Episode 157: Sedation is Sleep-Deprivation

Walking Home From The ICU Episode 157: Sedation is Sleep-Deprivation

For decades, we have culturally passed on the myth that patients are sleeping while sedated into medically induced comas. We have assured ourselves and each other that sedation “prevents PTSD”. Research has proven that sedation makes true restorative sleep impossible and real recall of the reality of the ICU is protective against post-ICU PTSD. So

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Episode 156- Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle

Walking Home From The ICU Episode 156: Nurses Are Willing, but Unsupported and Untrained in Practicing the ABCDEF Bundle

After decades of research and effort, why is there a persistent struggle to truly practice the ABCDEF bundle? Are antiquated sedation practices because nurses are unwilling to change, or is it because they are unsupported and untrained in the risks and realities of sedation? Even when training is provided in the classroom, what do nurses

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Episode 155- F- Family Engagement and Empowerment with Lito Rama

Walking Home From The ICU Episode 155: F- Family Engagement and Empowerment with Lito Rama

How do families impact patient outcomes in the ICU? What does it really mean to engage and empower families in the ICU? Have our teams truly recovered from the strict visitation restrictions from COVID? How does an ABCDEF Bundle culture influence our visitation policies? Lito Rama, RN, MBA joins us now to share with us

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Episode 153 D Assess, Prevent, and Treat Delirium with Dr. Adrian Austin

Walking Home From The ICU Episode 153: D- Assess, Prevent, and Treat Delirium with Dr. Adrian Austin

The normality of delirium in the ICU is often mistaken for benign. What does it really mean to “assess, prevent, and treat delirium”? Are we treating a positive CAM score with the same urgency as a positive tropinin? If we are automatically starting deliriogenic medications on every patient immediately upon intubation, are we truly practicing

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Episode 152 C- Choice of Sedation and Analgesia with John Devlin, PharmD

Walking Home From The ICU Episode 152: C- Choice of Sedation and Analgesia with John Devlin, PharmD

Is the C of the ABCDEF bundle only for avoiding benzodiazepines? How do we fully practice the “C” of the bundle and how does this impact patient care and outcomes? If we are automatically starting sedation without evaluation, are we truly practicing the ABCDEF bundle? John W. Devlin, PharmD, BCCCP, MCCM, FCCP joins us in

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Episode 150: Awakening Trials- "Rehumanization of the Patient"- With Dr. Wes Ely

Walking Home From The ICU Episode 150: Awakening Trials- “Rehumanization of the Patient”- With Dr. Wes Ely

What is the purpose of awakening “trials”? When should awakening “trials” be done? How can we have successful awakening “trials”? Dr. Wes Ely joins us in this episode to crack the code on sedation cessation.   Episode Transcription Kali Dayton: Last week, I did a little survey on social media. I recognize that my followers

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Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD

Walking Home From The ICU Episode 149: A- Assess, Prevent, and Treat Pain with Joanna Stollings, PharmD

The A of the ABCDEF Bundle is for “Assess, Prevent, and Treat Pain”. How do we truly master this tool and how does this impact patient outcomes? Can we assess, prevent, and treat pain while simultaneously striving to have all possible patients awake, autonomous, and even mobile? Joanna Stollings, PharmD, shares what the A of

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Walking Home From The ICU Episode 147: The Big Picture of Hospital-Aquired Pressure Injuries with Wound Care Karen

Walking Home From The ICU Episode 147: The Big Picture of Hospital-Acquired Pressure Injuries with Wound Care Karen

How do hospital-acquired pressure injuries (HAPIs) occur in the ICU and why is the ABCDEF bundle such a powerful tool to prevent HAPIs? How do HAPIs impact healthcare costs, staff workload, patient quality of life, and overall survival? Wound Care Karen joins us in this episode to explore the crisis of hospital-acquired pressure injuries in

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Before Kali, our hospital struggled with overly-sedated patients and lack of early mobility. Despite multiple efforts to change the culture, we were at a standstill. In one hour, Kali was able to ignite a flurry of conversations regarding her experience with the Awake and Walking ICU and this immediately led to a change in clinical practice.

Patients with less sedation and other neurotoxic medications are spending fewer days on the ventilator. If you are considering starting an ICU early mobility program at your hospital, your first step needs to be to consult with Kali and absorb as much information as you can!

Matthew McClain, DPT
Florida, USA

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Perception Versus Reality: Debunking The Myths About Medically-Induced Comas

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