Walking Home From The ICU Episode 73: Say It Again: Sedation is NOT Sleep
We habitually lie to ourselves and our patients’ families when the word “sleep” leaves our tongues in reference to sedated patients. Why is sleep so vital to survival in the ICU? What prevents our patients from preserving their sanity and cognitive function? What has COVID taught us about the role of sleep in the ICU?
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Walking Home From The ICU Episode Episode 72: Military Veterans and Delirium
Why is baseline PTSD a risk factor for post-ICU PTSD? What does delirium look and feel like for war veterans? Why should the ICU community understand what veterans have experienced before and during the ICU? Episode Transcription Kali Dayton 0:27 Let’s talk about this. We know that a huge risk factor for post ICU PTSD
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Walking Home From The ICU Episode 71: What “Fight To Survive” Truly Means
When an ICU team started discussing end-of-life with 31-year-old Megan Wakley’s family, they fought to have her transferred to the “Awake and Walking ICU”. When research shows that the less sedation used and the more mobility performed the less likely patients are to die, what did that mean for Megan Wakely? Episode Transcription Kali
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Walking Home From The ICU Episode 70: Rallying The Troops In The PICU
What specific approaches help rally the troops to bring change to the ICU? How have other PICU teams cultivated a rich culture of mobility? When an interdisciplinary approach becomes the culture of the PICU, what happens to patient outcomes? Erin Gates, DPT and Sara Eilerman, DPT share with us the PICU UP! culture and practices
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Walking Home From The ICU Episode 69: Awake and Playing In The PICU
What does it take to inspire a PICU team to keep children on mechanical ventilation awake and playing? Who can bring the change? Hannah Child, a pediatric physiotherapist in the UK, shares with us her team’s evolution and successes. Episode Transcription Kali Dayton 0:00 Hello, and welcome back. Last episode, we were enlightened by Dr.
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Walking Home From The ICU Episode 68: PICU UP!
We know that sedation causes and worsens ICU delirium, post-ICU PTSD, post-ICU dementia, and ICU-acquired weakness in adults. The research is vast and compelling. What does this mean for children? What does research reveal about the harm children suffer from drug-induced comas? Is there a different way to treat our children? Can we preserve their
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Walking Home From The ICU Episode 67: On to LTACH?
If you were to come out of a medically-induced coma after weeks of delirium and atrophy with a new tracheostomy, only to find yourself unable to hold your head up…would you want to be discharged to an LTACH? Do other countries have LTACHs? Are there other options to survival after the ICU for survivors? Patrik
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Walking Home From The ICU Episode 66: Trach and Peg
Why do tracheostomy rates fluctuate so drastically between ICUs? What is the true reason for so many tracheostomies? What are the long-term effects of tracheostomies? Episode Transcription Kali Dayton 0:00 I have been needing to talk about tracheostomies for a while. A discussion on tracheostomy is incredibly relevant to this podcast that is about
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Walking Home From The ICU Episode 65: “Create Survivors, Not Victims”
Jeroen Molinger, MSc brings the research to the bedside. He ties together the importance of muscle maintenance, nutrition, and how to create survivors not victims. Episode Transcription Kali Dayton 0:01 Jeroen, thank you for being with us again. I know I’m taking a lot of your time. But I think we all really appreciate
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Walking Home From The ICU Episode 64: Nutrition During Critical Illness
What role does nutrition play in improving outcomes in the ICU? How can we help preserve muscle through appropriate nutrition during critical illness? Jeroen Molinger, MSc continues to upgrade our approach to critical care through exercise physiology. Episode Transcription Kali Dayton 0:28 In the ICU world, there is a new emphasis on ICU rehabilitation,
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Dayton ICU Consulting team came to our unit for 4 days, and they did in-person training for over 100 staff members, and spoke with many on our Leadership team. The transformation of the staff after the consulting team was remarkable.
The consulting team pushed us to look outside of our comfort zone in a way that someone from within our team could not achieve. They have firsthand knowledge of what to do, and how to do it and they walked side by side with us while they showing us how to do it. Many of the staff who were very ambivalent prior to the in-person training are now the biggest advocate of implementing the change.
Kali and her team have the knowledge and the skills to help make change happen.
Roni Kelsey, BSN, ICU Liberation Leader, PeaceHealth
Bellingham, WA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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