Category: Walking Home From The ICU Podcast

Walking From ICU Episode 101- The ABCDEF Bundle in the Neuro ICU

Walking Home From The ICU Episode 101: The ABCDEF Bundle in the Neuro ICU

What does the ABCDEF bundle look like in neurocritical care? When patients suffer conditions such as intracranial hypertension that necessitate sedation and immobility, how does the ABCDEF bundle apply? Neurointensivist, Dr. Neha Dangayach, shares with us her team’s strong ABCDEF culture and practices in the neuro ICU. Episode Transcription Kali Dayton 0:06 In a recent

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Walking From ICU Episode 99- How Physical Therapists Save Lives in the ICU

Walking Home From The ICU Episode 99: How Physical Therapists Save Lives in the ICU

When physical therapists are allowed to work at the top of their licenses, how do they save lives? What barriers prevent them from fully contributing their expertise during critical illness? How is mobility a life-saving intervention? ICU Physical Therapist experts, Kenny Venere, PT, DPT, and Kyle Ridgeway, PT, DPT, CCS share with us their experiences

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Walking From ICU Episode 98- Occupational Therapists Change Outcomes in the ICU

Walking Home From The ICU Episode 98: Occupational Therapists Change Outcomes in the ICU

How can occupational therapists help decrease time on the ventilator and time in the hospital? How can they preserve function and quality of life? What skills do they bring to preventing and treating delirium? Why should they be promptly utilized in a patient’s journey? Corinne, Mallory, and Rachel share give us insight into the value

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Walking From ICU Episode 97- How To Truly Prevent Ventilator-associated Pneumonias

Walking Home From The ICU Episode 97: How To Truly Prevent Ventilator-Associated Pneumonias

How does ventilator-associated pneumonia occur? How does the failure to practice the ABCDEF bundle increase the risks of prolonged time on the ventilator and mortality? What do we know about the impact of early mobility on VAPs? Let’s dive deep into what we know about VAPs and how to drive down the rates in our

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Walking From ICU Episode 96- The Backstory of Ventilator-associated Pneumonia

Walking Home From The ICU Episode 96: The Backstory of Ventilator-associated Pneumonia

Ventilator-Associated Pneumonia has significant lethal and financial repercussions for patients and our healthcare system. So why aren’t we panicking about it? Are hospitals really liable for the costs incurred from this ventilator-associated condition? Dr. Benjamin Wang, MD joins us to share the backstory behind VAPs in our US healthcare system and government. Episode Transcription Kali

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Walking From ICU Episode 95- The Financial Cost of Sedation and Immobility

Walking Home From The ICU Episode 95: The Financial Cost of Sedation and Immobility

When healthcare systems say they don’t have the resources to support proper practices, is that true? How much do deep sedation and immobility cost our ICU teams, hospitals, and healthcare systems? How can we use the research to support our plight for safe staffing ratios and evidence-based practices? Let’s dive deep into the money talk.

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Walking From ICU Episode 94- The ICU Deathtrap

Walking Home From The ICU Episode 94: The ICU Deathtrap

Why are prolonged sedation and immobility lethal? How do our standard practices of automatically sedating every patient on a ventilator deprive them of the chance to survive and thrive? What systemic barriers stop us from implementing evidence-based practices that save lives and drastically change outcomes? Michelle, DNP, ACNP dives deep into powerful case studies that

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Walking From ICU Episode 92- Sedated Because She's Intubated and Intubated Because She's Sedated

Walking Home From The ICU Episode 92: Sedated Because She’s Intubated and Intubated Because She’s Sedated

Susanne was admitted to the ICU for ludwig’s angina. When she required intubation only for airway protection, she was placed on the conveyor belt of ICU care. How did deep sedation and immobility impact her physical and psychological outcomes? How much more unnecessary time did she spent suffering in delirium on the ventilator? She tells

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ICU testimonialI 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

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