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Redefining Early Mobility in an Awake and Walking ICU

The history of bedrest, inter-organ connection between the muscles and other systems, and the impact of muscular atrophy on critical illness are discussed. The effect of ICU-acquired weakness and diaphragm dysfunction on the rates of death, disability, tracheostomy, and time on the ventilator is revealed.

In this talk, your audience will hear about survivors who discuss their rehabilitation and the life-long impact of ICU-acquired weakness. Research on the safety, feasibility, and efficacy of early mobility is also shared. The science behind the benefits of each level of mobility is explained.

After participating in this presentation, ICU team members will understand mobility as a life-saving intervention. Clinicians will learn to prioritize prompt mobility as a part of best practices.

About the Author, Kali Dayton

Kali Dayton, DNP, AGACNP, is a critical care nurse practitioner, host of the Walking Home From The ICU and Walking You Through The ICU podcasts, and critical care outcomes consultant. She is dedicated to creating Awake and Walking ICUs by ensuring ICU sedation and mobility practices are aligned with current research. She works with ICU teams internationally to transform patient outcomes through early mobility and management of delirium in the ICU.

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The service Dayton ICU Consulting provided was exceptional and above expectations.

As an ICU medical director, I have had to unlearn what has been taught to us over the years and what we thought was right. When I started listening to Kali’s Walking Home From The ICU podcast, I felt profound sadness and guilt for what we have done to other human beings while thinking what we’re doing is right.

I have changed my practice and we had Dayton ICU Consulting at our hospital in each of our intensive care units for multiple sessions. It was eye-opening for the staff, especially the bedside RNs.

Lawrence Bistrong, MD, FCCP

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