Walking Home From The ICU Episode 59: One Nurse Bringing Change to a Hospital System
How can one nurse make bring the change? What can happen when a team catches the vision? How can a team transition their culture from deep sedation and immobility to awake and walking? Nora tells us about igniting her team’s fire and the changes they are celebrating. Episode Transcription Kali Dayton 0:29 Hello, we’ve
Walking Home From The ICU Episode 58: Deadly Treatment for a Deadly Virus?
Louise, ACNP, has dedicated her career to preserving lives in the Awake and Walking ICU. So what was it like for her to have her own loved one die from sedation and immobility? She tells it like it is and gives us a sobering insight into both sides of the bedside during COVID19. Episode
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Walking Home From The ICU Episode 57: The Shock of Working in a “Normal ICU”
When all you’ve ever known is walking patients on ventilators, what is it like to enter a time machine and go back to sedation and immobility? What did Tara learn taking care of COVID19 patients outside of her “Awake and Walking ICU”? She shares with us her reaffirmed empowerment to change patients’ outcomes through evidence-based
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Walking Home From The ICU Episode 56: Minding Your Own Business
What does it mean to you to be able to toilet yourself? What happens to patient dignity when they are deprived of the capacity to “mind their own business”? Rachel shares with us what is happening to patients even when they are not on mechanical ventilation. Episode Transcription Kali Dayton 0:28 Hey, everybody, before we
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Walking Home From The ICU Episode 55: Walking in ICUs Around the World
Where in the world do patients walk on ventilators and ECMO? Providers from 22 countries share with us their experiences with helping patients walk home from the ICU. Episode Transcription Kali Dayton 0:28 Okay, let’s talk about walking patients on ventilators. Though one of my favorite topics, I recognize that it is a big
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Walking Home From The ICU Episode 54: Back To Harmful Practices From the ’90s
After decades of research revealing the price patients pay from benzodiazepines, where are we now in the ICU? Dr. Wes Ely and Brenda Pun share with us the latest COVID study and how COVID-19 patients are being cared for around the world. Episode Transcription Kali Dayton 0:29 Hello, it’s been a while. Thanks for hanging
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Walking Home From The ICU Episode 53: ICU Early Walking with Heidi Engel
How do we bring changes to the ICU? What barriers impede the progress of our culture? Heidi Engel, PT, DPT, shares with us her continuous journey to humanizing her ICU. Episode Transcription Kali Dayton 0:29 Welcome to the Awake and Walking ICU podcast, I can tell that we have a lot of new listeners.
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Walking Home From The ICU Episode 52: Haunted Beyond the ICU
What truly happens during delirium? When do the hallucinations and terror stop? Survivors give us a sobering reality check of what caused the deep psychological trauma during their ICU stays and how their lives are forever impacted Episode Transcription Kali Dayton 0:28 Throughout this podcast, we have explored the reality that prolonged deep sedation causes
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Walking Home From The ICU Episode 51: Post-ICU PTSD: Fact vs. Fallacy
What does research reveal about the most common contributing factors of post-ICU PTSD? Does sedation prevent or inflict trauma? Dr. Jackson shares with us his decades of research and experience with post-ICU PTSD. Episode Transcription Kali Dayton 0:27 Hello, and welcome back. This episode, we’re going to discuss what truly traumatizes our patients during their
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Walking Home From The ICU Episode 50: The Reality of Post-ICU PTSD
What causes Post-ICU PTSD? What is it like to live with this trauma? How does it impact life after the ICU? Spencer Freeman shares with us intimate insight into living with Post-ICU PTSD. Episode Transcription Kali Dayton 0:27 Throughout the podcast, we have talked a lot about delirium in the sense of what causes it,
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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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