Walking Home From The ICU Episode 142: Treating Post-ICU PTSD
We know that critical illness, sedation, delirium, etc., can leave patients with deep psychological trauma. How can we help them recover? What resources are available to treat post-ICU PTSD? Dr. Brian Peach shares with us his exciting developments and research. Episode Transcription Kali Dayton 0:00 This week I flew out to meet with the executive
Learn More > from Walking Home From The ICU Episode 142: Treating Post-ICU PTSD
Walking Home From The ICU Episode 141: Fighting For Your Life With Your Eyes Open
Sedation is often given with the hopes of sparing patients the discomfort and awareness of the struggles of the ICU. Yet, does that ultimately prevent harm and suffering? Antonette Montalvo, APRN shares with us what it meant to her to be able to fight for her life with her eyes open. Episode Transcription Kali Dayton
Learn More > from Walking Home From The ICU Episode 141: Fighting For Your Life With Your Eyes Open
Walking Home From The ICU Episode 140: Early Mobility in the Burn ICU
Is early mobility safe and feasible in the burn ICU? Considering the significant barriers such as pain, dressing changes, variable device securement, delicate position needs, etc., how can an ICU team continue to practice early mobility? Episode Transcription Kali Dayton 0:02 Audrey, welcome to the podcast. Thanks for joining us and all your great work
Learn More > from Walking Home From The ICU Episode 140: Early Mobility in the Burn ICU
Walking Home From The ICU Episode 139: The Power of RN “Soft-Skills” to Change Outcomes
It goes without saying that nurses are the gatekeepers of patient outcomes in the ICU. Do ICU nurses *really* aspire to care for unresponsive and atrophying bodies? How does the ABCDEF Bundle impact the nursing role, skillset, and job fulfillment? James Fletcher, BSN, RN seems to fit the mold of a nurse that would thrive
We know that early mobility is a potent tool to prevent and treat ICU delirium. How does it impact cognitive function 1 year after discharge? What do “Early” and “Mobility” REALLY mean? How has drastic variation in methodology in the research led to the confusion and conflict we now see in early mobility practices? How
Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU. Episode Transcription Kali Dayton 0:02
The mission to create Awake and Walking ICUs is not a brand new endeavor. Dr. Juli Barr, an early PAD and ICU liberation founder, shares with us the tools needed to master the ABCDEF bundle. Episode Transcription Kali Dayton 0:02 Dr. Barr, welcome to the podcast I am ecstatic to have you on. Can you
Walking Home From The ICU Episode 135: The Contrast Between Awake and Sedated
The cultural assumption that everyone would rather be sedated is based on the myth that sedation is “sleep”. Very few survivors can give us a comparison of being sedated vs. being awake while intubated. Lara, like Susan East in episode 3, has had it both ways and shares with us the contrast. Episode Transcription Kali
Learn More > from Walking Home From The ICU Episode 135: The Contrast Between Awake and Sedated
Walking Home From The ICU Episode 134: Are We Sedating Them to Death?
We know that deep sedation is an independent predictor of mortality. This guides most sedation orders to require a RASS of 0- (-2). Is that what is really happening at the bedside? What percentage of patients are actually lightly sedated to the RASS goal vs. deeply sedated? What is driving oversedation throughout the ICU community?
Learn More > from Walking Home From The ICU Episode 134: Are We Sedating Them to Death?
Walking Home From The ICU Episode 133: “SOAR: Sedation Off Awake and Rehabilitate” with Dr. Fuchita
When Dr. Mikita Fuchita heard about an Awake and Walking ICU, he had to see it with his own eyes. After visiting the Awake and Walking ICU, how did Dr. Fuchita embark on bringing his colleagues together to update their sedation and mobility practices? He shares his personal conversion and his team’s journey with us
The service Dayton ICU Consulting provided was exceptional and above expectations. As an ICU medical director, I have had to unlearn what has been taught to us over the years and what we thought was right. When I started listening to the Walking Home From The ICU podcast, I felt profound sadness and guilt for what we did to other human beings thinking what we were doing was right.
I have changed my practice and we had Dayton ICU Consulting at our hospital in each of our intensive care units for multiple sessions. It was eye-opening for the staff, especially the bedside RNs. We have developed significant momentum, especially in our surgical and trauma ICUs where staff that were non-believers are now champions of this movement. We have done videos of patients’ experiences and plan to use them to educate new hires. I am very excited about where we have come from and expect great things.
I cannot thank Kali Dayton and our staff enough for helping us improve ICU care and experiences for our patients.
Lawrence Bistrong, MD, FCCP, Medical and Surgical Intensive Care Unit Medical Director at Mercy San Juan Medical Center
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.