We know that early mobility is a potent tool to prevent and treat ICU delirium. How does it impact cognitive function 1 year after discharge? What do “Early” and “Mobility” REALLY mean? How has drastic variation in methodology in the research led to the confusion and conflict we now see in early mobility practices? How
Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU. Episode Transcription Kali Dayton 0:02
The mission to create Awake and Walking ICUs is not a brand new endeavor. Dr. Juli Barr, an early PAD and ICU liberation founder, shares with us the tools needed to master the ABCDEF bundle. Episode Transcription Kali Dayton 0:02 Dr. Barr, welcome to the podcast I am ecstatic to have you on. Can you
Walking Home From The ICU Episode 133: “SOAR: Sedation Off Awake and Rehabilitate” with Dr. Fuchita
When Dr. Mikita Fuchita heard about an Awake and Walking ICU, he had to see it with his own eyes. After visiting the Awake and Walking ICU, how did Dr. Fuchita embark on bringing his colleagues together to update their sedation and mobility practices? He shares his personal conversion and his team’s journey with us
Walking Home From The ICU Episode 131: Occupational Therapists as Leaders In the ICU
When Brenna’s ICU set out to become an “Awake and Walking ICU”, Brenna, OTR/L, accepted the challenge. She shares with us her journey to leading her team to have the skills and culture to optimize mobility during critical illness. Episode Transcription Kali Dayton 0:13 A few years ago, I spoke at a conference and I
Walking Home From The ICU Episode 130: Becoming an Awake and Walking ICU With Dr. Bellucci
After visiting the original Awake and Walking ICU, how did Dr. Brian Bellucci help bring these changes to his ICU? What is the physician’s role in supporting a team’s sedation and mobility practices? How can we increase physician buy-in? Dr. Bellucci shares with us his team’s journey to becoming an Awake and Walking ICU. Episode
Walking Home From The ICU Episode 127: Saving Lives and Over One Million Dollars
When the ICU at St. Joseph’s Hospital in Colorado invested less than $100,000 into becoming an Awake and Walking ICU, what was their return on investment? How has supporting the training, education, and support of their team impacted their team dynamics, morale, and patient outcomes? Nancy Mcgann, PT, shares with us her team’s exciting success!
Learn More > from Walking Home From The ICU Episode 127: Saving Lives and Over One Million Dollars
Walking Home From The ICU Episode 125: Responding to Agitation in the ICU
As Dr. Swamy said in episode 61, “You can’t sedate away delirium”. Yet, when patients are delirious and agitated, how can we keep patients and clinicians safe? How do we avoid and even discontinue sedation while keeping lines and tubes intact? What role do restraints play in agitation and trauma for patients? Are soft wrist
Learn More > from Walking Home From The ICU Episode 125: Responding to Agitation in the ICU
Walking Home From The ICU Episode 121: Tips and Tricks
Having patients awake during mechanical ventilation can require a new skill set and approach to patient care. Let’s talk about some of the tips and tricks for improving patient comfort and care. We’ll hear it from an RN/podcast listener/ICU survivor and Louise Bezdjian, APRN from the original Awake and Walking ICU. Episode Transcription Kali Dayton
Learn More > from Walking Home From The ICU Episode 121: Tips and Tricks
Walking Home From The ICU Episode 116: “In Shock” with Dr. Rana Awdish
How does a personal fight for life in the ICU impact a survivor-intensivist’s approach to patient care? Dr. Rana Awdish, author of “In Shock”, shares intimate experiences in and after her ICU stay. Episode Transcription Kali Dayton 00:38 Hello, and happy new year! Ending 2022, I am filled with gratitude for such an incredible year
Learn More > from Walking Home From The ICU Episode 116: “In Shock” with Dr. Rana Awdish
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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