Case Studies Archives - Dayton ICU Consulting

Reviving Core Nursing Values in Critical Care Through the ABCDEF Bundle

Critical care is an extraordinary and complex specialty that’s continually evolving, with a growing capacity to save and extend life in the face of the most extreme perils. Research, knowledge, and technological developments have transformed nursing skills and our ability to care for patients who are critically ill. Unfortunately, the nursing values and ethics, which

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Diane’s Story: An Unfortunate Example of the Risks of Immobility and Sedation

Despite their widespread use in the ICU, decades of research have proven the risks of immobility and sedation. And as clinicians, it’s easy to approach care as a robotic conveyor belt instead of focusing on the individuals, families, lives, careers, and futures that are being affected. But in reality, ICU patients are being harmed, having

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Tyler’s Story: How Evidence-Based Practices Helped Preserve an ARDS Survivor’s Quality of Life

Most patients who are admitted to the ICU in need of mechanical ventilation have to suffer through days or even weeks of deep sedation, immobility, and all the ill effects of these practices. But for patients with acute respiratory distress syndrome (ARDS), this lack of adherence to evidence-based practices can spell the death of their

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Joan’s Story: Yet Another Example of the Benefits of the ABCDEF Bundle

Despite all the evidence to the contrary, most ICUs still operate as if the best thing you can do for patients on the ventilator is to ensure they remain sedated and immobile. But the truth is, there are mountains of evidence to show the harm that these practices can cause for ICU patients, and just

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Bryan’s Story: How the ABCDEF Bundle Helped a Man with Severe ARDS Walk Out of the ICU with Near-Perfect Cognition

Bryan Carter is a man with a history of type 1 diabetes who was admitted to the ICU for acute respiratory failure secondary to influenza A, which quickly developed into acute respiratory distress syndrome (ARDS). He remained awake and walking while intubated on mechanical ventilation, even with high ventilator settings, including a PEEP of 18

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Megan’s Story: How Management of Delirium in the ICU Can Vastly Improve Patient Outcomes

More often than not, ICU patients today are subjected to unbearable bouts of sedation, immobility, and the inevitable delirium that accompanies a lack of evidence-based treatment. Sadly, many of these patients don’t survive, and even more of them are robbed of their ability to thrive, both while they’re in the ICU, and after they’ve left

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Kenneth’s Story: A Poignant Example of How Evidence-Based Care Can Improve Patient Outcomes in the Intensive Care Unit

In my haste to convey the horror experienced by so many patients who have been sedated and immobilized in the ICU, the case studies I’ve published have not had particularly happy endings. So far, the cases I’ve detailed have involved either the patient dying, being traumatized by the delirium they suffered while under sedation, or

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Jim’s Story: How Evidence-Based Practices Can Stop the Domino Effect and Reduce ICU Complications

I hate to say it, but what I’m about to tell you is nothing new. The unnecessary suffering I’m about to describe has occurred countless times due to a culture of habit in the intensive care unit, and a lack of support or investment in evidence-based practices. Regrettably, for many who end up in the

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Susanne’s Story: How to Improve ICU Patient Outcomes with the ABCDEF Bundle

When we think about the intensive care unit, most of us would assume it’s a place that provides the best possible treatment for patients, and is always on the cutting edge of science, medicine and technology. But while this may be true in many aspects, when it comes to things like sedation, early mobility, and

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Sally’s Story: How Outdated ICU Patient Care is Crippling Outcomes for COVID Patients

Sally’s Story: How Outdated ICU Protocols Are Crippling Outcomes for COVID Patients

Throughout the pandemic, it’s become increasingly obvious that the lack of evidence-based ICU protocols is having a devastating effect on ICU patient care. Over the last two years, I’ve seen countless examples of this, and it breaks my heart because most of these tragedies are totally preventable. One of the most poignant examples of this

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