Walking Home from The ICU Episode 38: “THEY’RE AWAKE?!?”
Kali talks to Alex, about what is it like to jump into an awake and walking ICU as a travel nurse. Alex shares with us her first shock and impressions upon entering a different culture and she teaches us the changes and wisdom her practice has gained. Episode Transcription Kali Dayton What is it like
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Walking Home from The ICU Episode 37: Culture Shock
Kali talks about how much of our practice is driven by culture vs. evidence. What role does ICU culture play in our perspective, knowledge, and patient outcomes? How often do we dare to ask “Why?”, “What if?” or, “Why not?” Episode Transcription Kali Dayton The first time I ever stepped into an ICU was as
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Walking Home from The ICU Episode 36: We Need To Talk
Kali discusses what would happen if we expected to be able to communicate with all patients on mechanical ventilation. How would that impact our practices? What role does communication play in patient survival and outcomes? Episode Transcription Kali Dayton What would happen if we expected to be able to communicate with all of our mechanically
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Walking Home from The ICU Episode 35: Mobility is EVERYONE’S job
Kali talks with Christiane Perme, the post-ICU rehabilitation specialist, who shares with us what happens after patients are sedated and immobilized for weeks, what the rehabilitation process for COVID19 survivors will be like, and how long will it take for them to be able to sit, stand, and walk again. Episode Transcription Kali Dayton Today,
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Walking Home from The ICU Episode 34: Recommendations From a 4 -Time Ventilator Survivor
Kali talks with Ann Bannon, who was intubated four times and awake on the endotracheal tube and ventilator for months. She gives us valuable insight into how to help the new flood of ventilated patients. Episode Transcription Kali Dayton Ann, thank you so much for joining us. Appreciate you coming on our show and helping
Walking Home from The ICU Episode 33: COVID19- The Domino Effect
Kali talks about what can we do to improve mortality in the midst of a pandemic and how, as times have changed, our practices must change as well. Episode Transcription Kali Dayton Hello, and welcome back. A lot has been happening in our ICU world. Over the past few weeks, I feel compelled to talk
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Walking Home from The ICU Episode 32: Delirium Day
In commemoration of Delirium Day, it is most appropriate to hear from one of the leading delirium experts, Dr. Sharon Inouye! She shares with us her professional and personal experiences with delirium in all aspects of hospitalization. Episode Transcription Kali Dayton Hello! Today, March 11 is delirium day. So not in celebration, but in commemoration
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Walking Home from The ICU Episode 31: Nurse Manager
In this episode, Nancy talks with Kali about her transition to the awake and walking ICU as a nurse manager. She explains the nurse manager’s role in preserving a culture of humanity in the ICU. She shares with us how sedation cessation saved her own mother’s life. Episode Transcription Kali Dayton Nancy, thank you
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Walking Home from The ICU Episode 30: Speech Language Pathologists
In this episode, Kali talks with Lydia, CCC-SLP, who shares with us the vital role speech therapy plays in helping patients get back to their lives. She explains how awake and walking enables patients to resume eating sooner and preserves cognition. The utilization of speech therapy is explained and applied in ways that the ICU
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Walking Home from The ICU Episode 29: Occupational Therapists
In this episode, Kali talks with Merrill, MOT, to find out how occupational therapy is utilized when patients are awake and walking on the ventilator, what role occupational therapy plays in preserving physical and cognitive function during critical illness, and how this enhanced role has impacted Merrill’s his career. Episode Transcription Kali Dayton I’m
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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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