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
Learn More > from Walking Home From The ICU Episode Episode 72: Military Veterans and Delirium
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
Learn More > from Walking Home From The ICU Episode 71: What “Fight To Survive” Truly Means
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
Learn More > from Walking Home From The ICU Episode 70: Rallying The Troops In The PICU
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.
Learn More > from Walking Home From The ICU Episode 69: Awake and Playing In The PICU
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
Learn More > from Walking Home From The ICU Episode 68: PICU UP!
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
Learn More > from Walking Home From The ICU Episode 67: On to LTACH?
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
Learn More > from Walking Home From The ICU Episode 66: Trach and Peg
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
Learn More > from Walking Home From The ICU Episode 65: “Create Survivors, Not Victims”
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,
Learn More > from Walking Home From The ICU Episode 64: Nutrition During Critical Illness
Walking Home From The ICU Episode 63: Muscles Matter
Why is ICU-acquired weakness an independent predictor of mortality? What role does muscular atrophy play in multi-organ failure? When we unnecessarily sacrifice muscles for other organs, how badly do we damage patients’ chances to survive and thrive? Jereon Molinger, MSc, brings eye-opening information to the discussion. Episode Transcription Kali Dayton 1:51 Now let’s talk
Learn More > from Walking Home From The ICU Episode 63: Muscles Matter
One of the most striking aspects of this initiative has been the cultural shift among physicians and nurses, which has been largely influenced by the training led by Kali Dayton. These trainings emphasize the importance of collaboration and communication within the health care team, fostering a shared commitment to patient-centered care.
As a result, clinicians are more attuned to the value of keeping patients awake and engaged, which has proven to be critical in preventing the deconditioning and delirium often associated with prolonged sedation. Moreover, the dramatic improvements in patient outcomes are evident in the reduction of complications that frequently arise in the ICU setting. With fewer ventilator days, patients are less susceptible to ventilator-associated pneumonia and other respiratory complications.
The emphasis on mobility not only accelerates recovery but also contributes to improved psychological well-being, as patients are less disoriented and more connected to their surroundings. This holistic approach to care, driven by a cultural transformation among health care providers, underscores the profound impact of mobility-limited sedation protocols on patient health and safety.
In summary, the integration of these protocols has not only enhanced clinical outcomes but has also reshaped the professional landscape within ICUs, and all of our staff are enthusiastic regarding the dramatic patient benefits.
Peter Murphy, MD, FCCP, MRCPI, Professor, Assistant Dean, and Chief of Medicine at California Northstate University College of Medicine
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
By clicking the Subscribe button, you agree to this site's Privacy Policy. Your information is always kept safe.