Walking Home From The ICU Episode 173: ICU Outcomes by Dose of Mobility
We know that for each additional 10 minutes of early mobility in the ICU, hospital length of stay decreases by 1.2 days. What else do we know about the relationship between dose of mobility and time on the ventilator? Sarina Fazio, PhD, RN, shares with us her exciting discoveries in her latest research. E Episode
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Walking Home From The ICU Episode 171: The Power of Autonomy and Human Connection During ECMO
Check out this episode with @Christinecasiano as she shares the contrast between being sedated vs. being awake while on ECMO. Register for the monthly ICU Revolutionists zoom meetings here. Episode Transcription Kali Dayton 0:00 Kristina, welcome to the podcast. I’m thrilled to have you on Can you introduce yourself to us? Christine Casiano 0:04 Yes,
It has been claimed that ICU early mobility is a “new and temporary fad”. Is walking intubated patients really that new? Let’s start in 1970 and work our way through decades of research that continues to reaffirm that true mastery of the ABCDEF bundle gives patients the best chance to survive and thrive in and
Walking Home From The ICU Episode 169: Intubated in Your Own ICU
What is like to be intubated in your own ICU? Even when the environment and team are well known, what does an intensivist turned patient experience? Dr. Meta van der Woude shares with us her personal journey through the ICU. Episode Transcription Kali: Dr. Van der Woude, thank you so much for coming to the
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Walking Home From The ICU Episode 168: I Was Reported to the Board of Nursing!
What happened when I was reported to the board of nursing for advocating for early mobility in the ICU? What are the roots of these concerns and this report? How does social media impact culture and practices in the ICU? Jess Hren, BSN, RN, Jenna Hightower, DPT, CCS, Phillip Gonzalez, MOT, OTR/L, BCPR discuss why
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Is it save to mobilize patients with trans-formal devices such as balloon pumps, impellas, and ECMO? Who was the first person to dare to ask, “Why can’t we mobilize patients with trans-femoral balloon pumps?” Stephen Ramsey, PT, DPT, CCS shares with us his journey to developing the Ramsey protocol and revolutionizing mobility in the CVICU.
Walking Home From The ICU Episode 166: The Struggle of an ICU Revolutionist to Save Lives
What is it like for one lone ICU clinician to truly understand the risks of sedation and immobility? What it is like for them to try to implement interventions like awakening trials that have been supported by decades of research? How does lack of support and success increase moral injury, burnout, and the loss of
Are patients sleeping during medically-induced comas? Are they more comfortable and free of trauma while sedated? Can patients hear, feel, and understand their surroundings while in a medically-induced coma? Do patients know when sedation is turn up higher? Do they know which providers will let them wake up and which ones will try to “turn
Walking Home From The ICU Episode 164: Antipsychotics in the ICU with Dr. Marie Rueve
Antipsychotics have been a hot topic in the ICU. Do they treat delirium? Can they be used to replace continuous sedation? When and how can we utilize antipsychotics to optimize care and outcomes? Dr. Marie Rueve from episode 160 joins us again to clear the air on antipsychotics in the ICU. Episode Transcription Kali
Sabrina Eggmann is a PhD physiotherapist with 17 years of experience. She shares with us how her team utilized their years of expertise in early mobility to preserve their practices for COVID19 patients in Switzerland. Episode Transcription Kali Dayton 0:48 There’s been a lot of online discussion about whether or not early mobility during
Totally clueless is what my family and I would have been if I hadn’t reached out to Kali about my dad’s ICU journey. What started as a back surgery ended up turning into a three-month hospital stay which then ended up turning into three hospital stays from May through November 2021. Kali helped so much in understanding the ICU medications he was on and how the use of sedatives was in fact causing his delirium and agitation, and not actually his demeanor. We were able to talk to nursing staff and doctors to help gently wean him away from those medications. I have learned so much about ICU medication from Kali and I am not a medical professional. Without her consultation and knowledge, I wouldn’t know where to start when talking to the nurses and doctors.
Also, listening to her podcast helped me to understand the journey she took with her own patients who were being ventilated on high settings. This helped me understand my dad’s settings weren’t detrimental to his health and the issues were more related to the use of sedatives and being stationary in a hospital bed, which led to a longer hospital stay due to immobility and all the effects it can have on the human body.
With Kali’s advocacy and passion about ICU medicine she can change patient outcomes and improve their quality of life after an ICU hospital stay. I firmly know and believe EVERY single intensive care unit in EVERY single hospital needs to consult with Kali on how to change their practices, and EVERY single family who has a loved one in an intensive care unit needs to consult with Kali on the status of their loved one and how to improve their outcome.
Leah, Accounting professional and daughter of a beloved father
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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