Walking Home from The ICU Episode 28: Pharmacists
In this episode, Kali talks with Kathryn, BCCCP. She tells us of her culture shock coming to the awake and walking ICU after years in units around the country and about the role pharmacists play in delirium prevention and preservation of function in the ICU. She also shares how this shift in focus has enhanced
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Walking Home from The ICU Episode 27: Physicians
Dr. Badke, MD, shares what it was like to shift perspective and culture as a new intensivist in the awake and walking ICU. He explains what role the physician plays in helping patients walking home after the ICU. Episode Transcription Kali Dayton Dr. Badke, thank you so much for joining us. Dr. Badke Thank you
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Walking Home from The ICU Episode 26: Nurse Practitioners
Kali talks with Louise, ACNP, who explains how nurse practitioners are guardians of delirium prevention and preservation of function for their patients in the ICU. Episode Transcription Kali Dayton Louise, thanks so much for joining us. So you’ve done this, the nurse and a nurse practitioner for 27 years, what has your journey throughout
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Walking Home from The ICU Episode 24: Physical Therapists
Kali talks with Angels, DPT about how physical therapists in the awake and walking ICU save lives and enable patients to have their lives back after discharge. They talk about what is it like for physical therapists that get to do more than a passive range of motion with patients on ventilators. Episode Transcription
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Walking Home from The ICU Episode 23: Registered Nurses
In this episode, Kali talks with Brandy, an RN who shares with us why she is passionate about keeping brains and bodies strong during critical illness and reveals how humanizing the ICU has impacted her career. Episode Transcription Kali Dayton Brandy, thank you so much for being willing to talk about this with us. I’m
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Walking Home from The ICU Episode 22: Interdisciplinary Teamwork
Patients cannot walk out of the ICU without the efforts and expertise of each discipline. Kali discusses the role each discipline plays in returning patients to their lives. Episode Transcription Kali Dayton I saw a profound statement on Twitter that said, “No one person can overcome delirium.” That is so true. It is as Polly
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Walking Home from The ICU Episode 21: What We’ve “Always Done” Isn’t Always Right
Polly Bailey, ACNP, shares with us her journey to building an awake and walking ICU. Decades before the research and in a generation of paralytics and benzodiazepines, she saw a problem and had a vision. Episode Transcription Kali Dayton So now you’ve heard about patients that’s been weak on the ventilator with high settings
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Walking Home from The ICU Episode 20: A Chance To Say Goodbye
Though avoiding sedation and mobility decreases mortality, death is not always avoidable. Kali discusses how being awake and mobile during critical illness impacts your last mortal moments and what it looks like to have a chance to say goodbye. Episode Transcription Kali Dayton This episode, I want to share three sacred stories of patients
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Walking Home from The ICU Episode 19: Walking On ECMO Part 2
In Part II, Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Tyler Lintz The days
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Walking Home from The ICU Episode 18: Walking On ECMO Part 1
Tyler and Amber Lintz share with us how Tyler was admitted for severe septic shock, pneumonia, and ARDS and eventually needed ECMO but was still allowed to keep walking. Tyler also shares with us how he returned to being a firefighter 3 months after ECMO. Episode Transcription Kali Dayton Tyler, Amber thank you so
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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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