Walking Home From The ICU Episode 97: How To Truly Prevent Ventilator-Associated Pneumonias
How does ventilator-associated pneumonia occur? How does the failure to practice the ABCDEF bundle increase the risks of prolonged time on the ventilator and mortality? What do we know about the impact of early mobility on VAPs? Let’s dive deep into what we know about VAPs and how to drive down the rates in our
Walking Home From The ICU Episode 96: The Backstory of Ventilator-associated Pneumonia
Ventilator-Associated Pneumonia has significant lethal and financial repercussions for patients and our healthcare system. So why aren’t we panicking about it? Are hospitals really liable for the costs incurred from this ventilator-associated condition? Dr. Benjamin Wang, MD joins us to share the backstory behind VAPs in our US healthcare system and government. Episode Transcription Kali
Walking Home From The ICU Episode 95: The Financial Cost of Sedation and Immobility
When healthcare systems say they don’t have the resources to support proper practices, is that true? How much do deep sedation and immobility cost our ICU teams, hospitals, and healthcare systems? How can we use the research to support our plight for safe staffing ratios and evidence-based practices? Let’s dive deep into the money talk.
Walking You Through The ICU Episode 11: Families Can Save Lives
Families can advocate for evidence-based and humane care can deeply impact patient outcomes and truly save lives. Kerry shares with us her journey to saving her sister’s life. Episode Transcription Kali Dayton Kerry, thank you so much for coming on the podcast. Can you introduce yourself? Kerry Yes. My name is Carrie Scarda. And
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Walking You Through The ICU Episode 10: The ABCDEF Bundle
In this episode, Kali explains how families should understand the ABCDEF bundle as the gold standard of care to prevent delirium and muscular atrophy in the ICU. Episode Transcription Alright, now that you have quite the foundation of understanding behind the principles of delirium prevention and mobility- let’s tie it all together into a neat
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Walking You Through The ICU Episode 9: Mobility is a Life-Saving Intervention
Mobility is a life-saving intervention. In this episode, Kali will discuss the lethal risks of Immobility and muscular atrophy and how mobility (even and especially on the ventilator) can help your loved one survive and thrive. Episode Transcription Ok, episode 9. I know this is a lot and I commend you for sticking with this
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Walking You Through The ICU Episode 8: Sedation and Medically-Induced Comas
Despite the high risks and harm of prolonged deep sedation, why do most ICUs place every patient on a ventilator into a medically-induced coma? Let’s talk straight about the history and big picture of our ICU sedation culture. Episode Transcription Now that you understand delirium, we have to address medically-induced comas. In all honesty, this
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Walking You Through The ICU Episode 7: ICU Delirium
Helping to prevent and treat the life-threatening complication of ICU delirium is one of your most important missions in the ICU. Let’s dive deep into everything you need to know about ICU delirium. Episode Transcription Ok, let’s talk about some hard and important things- starting with delirium. Your loved one is at risk of developing
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Walking You Through The ICU Episode 6: Ventilators
In this episode, Kali discusses ventilators, including the risks, how they work and how they can be vital in saving lives in the ICU. Episode Transcription Ok, let’s talk ventilators. Your loved one may need to be on a ventilator. Don’t panic. Despite the misinformation and fear out there… ventilators do not kill people. Ventilators
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Walking You Through The ICU Episode 5: Tools for Patient Advocacy
Kali’s guest is Sara Merwin, an MPH level epidemiologist, who shares her perspective about helping patients navigate a hospital and the emergency department. Episode Transcription Kali Dayton Sarah, thank you so much for coming on the podcast. Do you mind introducing yourself? Sara Merwin I’d be delighted to so my name is Sarah Merwin. I
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As an RN in the Medical-Surgical ICU at the hospital I work at, I began my interest in ICU Liberation through an Evidence-Based Practice project.
While I was initially grabbed by what the literature has to say about over-sedation and patient outcomes, it wasn’t until I discovered Kali’s Walking Home From The ICU podcast that a culture of sedationless ICU care sounded tangible. The group I worked with on the project was both inspired, devastated, and intrigued by the stories Kali illuminates on the podcast, and we were able to bring her to our hospital for a virtual Zoom Webinar, where she presented on the practices in the Awake and Walking ICU.
This webinar was an incredible way to draw attention toward this necessary culture shift as Kali shared stories of patients awake and mobile in the ICU despite the complexity of their illness. The webinar inspired our final draft for the new practice guideline on analgesia and sedation management in the ICU, and since then we have seen intubated COVID patients playing tic tac toe on the door with staff members on the other side, taking laps around the unit, performing their own oral care using a hand mirror, and most importantly, keeping their autonomy and integrity while fighting to leave the ICU to resume the life they had before coming in.
Nora Raher, BSN, RN, MSICU
Virginia, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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