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

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

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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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

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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Example of How Evidence-Based Care Can Improve Patient Outcomes in the Intensive Care Unit

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

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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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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When patients are so ill that they require a ventilator in the ICU, the antiquated approach of heavy sedation and immobilization should be avoided in order to help prevent the immense burden of physical and cognitive disabilities suffered during survival.

Kali is leading ICU teams to become Awake and Walking ICUs through true mastery of the ABCDEF Bundle. I endorse her mission and look forward to the standardization of this evidence-based approach in ICUs all over the world.

Dr. Wes Ely, author of Every Deep Drawn Breath, leading founder of the ABCDEF Bundle and ICU CAM delirium screening tool, and Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center

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Perception Versus Reality: Debunking The Myths About Medically-Induced Comas

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