Walking Home From The ICU Episode 109: The ABCDEF Bundle for Traumatic Brain Injuries
Traumatic brain injuries can have distinct exceptions that necessitate deep sedation and immobility. How then can we apply the ABCDEF bundle to protect injured brains and restore lives? Charlotte Davis, BSN, RN, CCRN and Richard Rivera, BSN, RN-BC share their expertise and their team’s incredible success with the ABCDEF bundle in the settings of TBI.
Bryan Carter is a man with a history of type 1 diabetes who was admitted to the ICU for acute respiratory failure secondary to influenza A, which quickly developed into acute respiratory distress syndrome (ARDS). He remained awake and walking while intubated on mechanical ventilation, even with high ventilator settings, including a PEEP of 18
Totally clueless is what my family and I would have been if I hadn’t reached out to Kali about my dad’s ICU journey. What started as a back surgery ended up turning into a three-month hospital stay which then ended up turning into three hospital stays from May through November 2021. Kali helped so much in understanding the ICU medications he was on and how the use of sedatives was in fact causing his delirium and agitation, and not actually his demeanor. We were able to talk to nursing staff and doctors to help gently wean him away from those medications. I have learned so much about ICU medication from Kali and I am not a medical professional. Without her consultation and knowledge, I wouldn’t know where to start when talking to the nurses and doctors.
Also, listening to her podcast helped me to understand the journey she took with her own patients who were being ventilated on high settings. This helped me understand my dad’s settings weren’t detrimental to his health and the issues were more related to the use of sedatives and being stationary in a hospital bed, which led to a longer hospital stay due to immobility and all the effects it can have on the human body.
With Kali’s advocacy and passion about ICU medicine she can change patient outcomes and improve their quality of life after an ICU hospital stay. I firmly know and believe EVERY single intensive care unit in EVERY single hospital needs to consult with Kali on how to change their practices, and EVERY single family who has a loved one in an intensive care unit needs to consult with Kali on the status of their loved one and how to improve their outcome.
Leah, Accounting professional and daughter of a beloved father
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