Episode 193: Empowering Respiratory Therapists with JJ the RT
What does JJ the RT have to say about last episode’s exploration of sedation and ventilator asynchrony? Are respiratory therapists prepared and empowered to optimize their role in Awake and Walking ICUs? How can create an environment that fosters RT excellence? JJ explores it all in this episode. Episode Transcription Kali Dayton\: [00:00:00] This is
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Walking Home From The ICU Episode 151: Breathing Trials with Karsten Roberts
Are awakening trials just for breathing trials? How do we set patients up for successful breathing trials to minimize time on the ventilator? What role does sedation and mobility play into prompt liberation from mechanical ventilation? Karsten Roberts, MSc, RRT, FAARC joins us now to dive deep into spontaneous breathing trials in the ABCDEF Bundle.
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Episode 192: Debunking Myths – Sedation and Ventilator Asynchrony
For years we have been taught at the bedside that sedation “improves ventilator asynchrony”. We have believed that patients must be sedated to be compliant with the ventilator. Is that true? What does the research show? Sylvia Stefanos, PharmD, BCCCP joins us armed with the evidence and ready to debunk the myths. Episode Transcription Kali
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Episode 186: The ICU Revolution at Mercy San Juan Medical Center Part 5 – Respiratory Therapy
What role do respiratory therapists play in creating Awake and Walking ICUs? How did Candace Wistrich, RRT, BSRT and Nelya Kapitula, RRT, BSRT lead their respiratory therapy department to move the revolution forward? They join us now to share their team’s journey! Episode Transcription Nelya Kapitula, RRT, BSRT 0:00 Candace and Nelya, thank you so
Walking Home From The ICU Episode 86: Ventilator Management in the Awake and Walking COVID19 Unit
How is the “Awake and Walking ICU” keeping their COVID19 patients mentally and physically functional during severe COVID19? Do they face constant ventilator asynchrony and how do they deal with it? Geoff shares with us his vast experience as a respiratory therapist in walking patients on mechanical ventilation during critical illness and now COVID19. Episode
Walking Home from The ICU Episode 25: Respiratory Therapists
Kali talks with Cash, RRT, who shares his tips and secrets to walking and even showering patients on the ventilator. He reveals how having patients awake and walking has impacted his ICU career. Episode Transcription Kali Dayton Cash thanks so much for joining us. So as a respiratory therapist Share with us your expertise,
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Episode 191: Insights from SCCM Congress- Current State of Affairs
What do ICU clinicians really know about patient perspective of sedation and immobility? What are their personal wishes if they were intubated in the ICU? What do ICU providers really understand about the ABCDEF bundle and how is it going in the ICU community at large? I hit the halls at SCCM Congress to find
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Episode 190: Healing From Post-ICU PTSD with UCF Restores
After 51 days of sedation and immobility in the ICU and on ECMO, Angela Leggett spent almost 2 decades battling post-ICU PTSD. She shares with us her journey and the impact of UCF Restores to give her a new chance at quality of life! Episode Transcription [00:00:00] This is the walking home from the ICU
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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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