Episode 202: Speechless in the ICU – an SLP’s Journey
Vanessa Abraham is an expert speech language pathologist. She had given innumerable youth access to communication. Then she found herself speechless in the ICU. Dr. Jared Rosen was a medical student with Vanessa and was a key player in humanizing her journey through critical illness. Episode Transcription Kali: [00:00:00] This is the walking home from
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Episode 201: Fighting for the Role and Power of Occupational Therapy in the ICU
Amanda shares her journey, starting from her field placement at Vanderbilt, which shaped her career path, to her current focus on early mobility and cognitive care in the ICU. She discusses the innovative approaches she has championed, including mobilizing patients early, even building protocols for cognitive assessments. Amanda also emphasizes the importance of interdisciplinary collaboration
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Episode 200: Culture, Reality, and Real-talk with Dr. Ghionni
What is the current state of affairs with the ABCDEF bundle in many ICUs? What is it like to be trained to have patients awake after intubation to later be begging for awakening trials? Dr. Nick Ghionni, The Floating Vent Guy, shares incredible insights, stories, and thoughts in this episode. Episode Transcription [00:00:00] This is
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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
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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