Walking Home From The ICU Episode 171: The Power of Autonomy and Human Connection During ECMO
Check out this episode with @Christinecasiano as she shares the contrast between being sedated vs. being awake while on ECMO. Register for the monthly ICU Revolutionists zoom meetings here. Episode Transcription Kali Dayton 0:00 Kristina, welcome to the podcast. I’m thrilled to have you on Can you introduce yourself to us? Christine Casiano 0:04 Yes,
It has been claimed that ICU early mobility is a “new and temporary fad”. Is walking intubated patients really that new? Let’s start in 1970 and work our way through decades of research that continues to reaffirm that true mastery of the ABCDEF bundle gives patients the best chance to survive and thrive in and
One of the most striking aspects of this initiative has been the cultural shift among physicians and nurses, which has been largely influenced by the training led by Kali Dayton. These trainings emphasize the importance of collaboration and communication within the health care team, fostering a shared commitment to patient-centered care.
As a result, clinicians are more attuned to the value of keeping patients awake and engaged, which has proven to be critical in preventing the deconditioning and delirium often associated with prolonged sedation. Moreover, the dramatic improvements in patient outcomes are evident in the reduction of complications that frequently arise in the ICU setting. With fewer ventilator days, patients are less susceptible to ventilator-associated pneumonia and other respiratory complications.
The emphasis on mobility not only accelerates recovery but also contributes to improved psychological well-being, as patients are less disoriented and more connected to their surroundings. This holistic approach to care, driven by a cultural transformation among health care providers, underscores the profound impact of mobility-limited sedation protocols on patient health and safety.
In summary, the integration of these protocols has not only enhanced clinical outcomes but has also reshaped the professional landscape within ICUs, and all of our staff are enthusiastic regarding the dramatic patient benefits.
Peter Murphy, MD, FCCP, MRCPI, Professor, Assistant Dean, and Chief of Medicine at California Northstate University College of Medicine
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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