September 2022 - Dayton ICU Consulting

Walking From ICU 108- The ABCDEF Bundle in the Trauma ICU

Walking Home From The ICU Episode 108: The ABCDEF Bundle in the Trauma ICU

The trauma ICU has a variety of high-acuity and difficult conditions that can cause obstacles and hesitation to change sedation and mobility practices. How does the ABCDEF bundle apply to the trauma ICU? Dr. Gregory Schaefer joins us now to discuss his expertise and team’s success in practicing the ABCDEF bundle in the trauma ICU.

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How the ABCDEF Bundle Can Improve the Quality of Death for ICU Patients

How the ABCDEF Bundle Can Improve the Quality of Death for ICU Patients

Over the years, I’ve witnessed first-hand how the ABCDEF Bundle’s evidence-based practices can reduce healthcare costs, while improving patient outcomes and working conditions in the ICU. But even though evidence shows that the ABCDEF Bundle can decrease the risk of death by 68 percent, its success is not always found in a patient’s ability to

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Walking From ICU Episode 107- Awake and Moving in the CVICU

Walking Home From The ICU Episode 107: Awake and Moving in the CVICU

Critically ill cardiovascular patients can be very high-risk and high-acuity patients with numerous devices and multiorgan failure. How and when can we safely initiate early mobility? What role should physical and occupational therapy play in the CVICU? Jenna Hightower, PT, DPT, CCS shares her incredible expertise and ground-breaking work in early mobility in the CVICU.

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My dad came down with COVID pneumonia at the end of September. We did our best to treat him at home but eventually we realized we needed to get him to a hospital. After about four days in the hospital on oxygen he crashed and needed to be put on a ventilator. We were devastated.

When they put a person on a ventilator, hospital protocol generally is to sedate and paralyze the patient. My dad was sedated and paralyzed for a total of about 17 days. He was completely immobilized. One doctor told us that my dad had one of the worst cases of COVID pneumonia he had seen in a long time. We were, of course, extremely worried. As time went on, his condition worsened. Through a series of miracles, my dad stabilized enough that they were able to give him a tracheostomy. This was the turning point where he was able to get transferred to a LTAC facility (which is a critical care facility for COVID patients).

Fortunately, through a friend, we were put in touch with Kali Dayton. We were told she has had amazing success helping people come down off sedation and the paralytic. One of the side effects of sedation is the patients experience extreme delusions and hallucinations. While we were at the LTAC, Kali was extremely helpful in helping us understand the importance of getting my dad off the paralytic and sedation quickly. She informed us that every day he was on the sedation added weeks onto his recovery. We began pressuring the staff at the LTAC to get him off the sedation. Kali has found that it is critical to get a ventilated patient up and moving and you can’t unless they are off sedation. The staff at the LTAC were very hesitant to take my dad off sedation, at times even telling us he was off it, when in fact, he was still on sedation.

Heidi Lanthen
Utah, USA

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