May 2025 - Dayton ICU Consulting

Raging Tigers and Merciful Angels: The Fight to Humanize Critical Care

Medicine is a field of evolution with a continuous trajectory of exploration, discovery, change, and progress. And this perpetual pattern has been just as reliable as the predictable resistance that comes with change. Past Revolutionists Who Fought to Humanize Critical Care This was demonstrated in the journey of Ignaz Semmelweis (pictured above), a Hungarian

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Episode 197: Raging Tigers and Merciful Angels- The Fight to Humanize Critical Care

In this powerful episode, we hear raw, heartfelt stories from ICU revolutionists who are bravely challenging the status quo in critical care. Amidst threats to their jobs, personal attacks, and widespread resistance, these clinicians refuse to turn a blind eye to the harm caused by sedation, immobilization, and dehumanization. From battling bullying by colleagues to

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ICU testimonial I stumbled upon Kali’s podcast midway through my anesthesia critical care fellowship in February 2021. At our institution, I got the impression that patients in the ICU either got better on their own or had a prolonged and complicated course to LTAC or death. In her podcast, Kali explained that LTAC was rarely the outcome for patients in the Awake and Walking ICU™ in Salt Lake City.

Their ICU survivors hardly ever got trached, PEGed, or sent to LTAC, and literally walked out of the hospital in condition as close to their previous health as they could be. Although the concept of using no sedation on ventilated patients was completely foreign to me, it made sense based on what I had read in the literature. I devoured all of the episodes from the beginning, many of them bringing tears and regret for my ignorance, followed by inspiration and hope in later episodes. Listening to her podcast has been one of the most profound experiences in my short, eight-year career in medicine.

After discovering the no sedation, early mobility practice at the Awake and Walking ICU™, my focus shifted to bringing it to my own institution. I visited Salt Lake City in March to witness it with my own eyes. Since then, I’ve been in touch closely with Kali and Louise to learn the practical approaches to sedation wean and sedation avoidance for newly intubated patients in the ICU.

Mikita Fuchita, MD
Colorado, USA

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