Walking Home From The ICU Episode 78: “Never Really Over”
What is it really like to be in a medically-induced coma? As an experienced ICU physiotherapist and war veteran, Aron Welsh provides soul-shaking insight into the graphic trauma of ICU delirium during and after deep sedation. Episode Transcription Kali Dayton 0:00 Okay, welcome back, I need to apologize to those that have tried to
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Walking Home From The ICU Episode Episode 72: Military Veterans and Delirium
Why is baseline PTSD a risk factor for post-ICU PTSD? What does delirium look and feel like for war veterans? Why should the ICU community understand what veterans have experienced before and during the ICU? Episode Transcription Kali Dayton 0:27 Let’s talk about this. We know that a huge risk factor for post ICU PTSD
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Walking Home From The ICU Episode 67: On to LTACH?
If you were to come out of a medically-induced coma after weeks of delirium and atrophy with a new tracheostomy, only to find yourself unable to hold your head up…would you want to be discharged to an LTACH? Do other countries have LTACHs? Are there other options to survival after the ICU for survivors? Patrik
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Walking Home From The ICU Episode 60: “Just Let Them Sleep”
For decades we have sedated patients with the belief that it is more humane to “sleep” through critical illness. Survivors have told us their experiences were not “sleep” to them. What do neurologists and researchers say about the quantity and quality of sleep during medically-induced comas? Dr. Williams Roberson shares with us her research and
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Walking Home From The ICU Episode 54: Back To Harmful Practices From the ’90s
After decades of research revealing the price patients pay from benzodiazepines, where are we now in the ICU? Dr. Wes Ely and Brenda Pun share with us the latest COVID study and how COVID-19 patients are being cared for around the world. Episode Transcription Kali Dayton 0:29 Hello, it’s been a while. Thanks for hanging
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Walking Home From The ICU Episode 52: Haunted Beyond the ICU
What truly happens during delirium? When do the hallucinations and terror stop? Survivors give us a sobering reality check of what caused the deep psychological trauma during their ICU stays and how their lives are forever impacted Episode Transcription Kali Dayton 0:28 Throughout this podcast, we have explored the reality that prolonged deep sedation causes
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Walking Home From The ICU Episode 51: Post-ICU PTSD: Fact vs. Fallacy
What does research reveal about the most common contributing factors of post-ICU PTSD? Does sedation prevent or inflict trauma? Dr. Jackson shares with us his decades of research and experience with post-ICU PTSD. Episode Transcription Kali Dayton 0:27 Hello, and welcome back. This episode, we’re going to discuss what truly traumatizes our patients during their
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Walking Home From The ICU Episode 50: The Reality of Post-ICU PTSD
What causes Post-ICU PTSD? What is it like to live with this trauma? How does it impact life after the ICU? Spencer Freeman shares with us intimate insight into living with Post-ICU PTSD. Episode Transcription Kali Dayton 0:27 Throughout the podcast, we have talked a lot about delirium in the sense of what causes it,
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Walking Home from The ICU Episode 6: Broken Brains
In this episode, survivors tell us what “cognitive deficits” really look like and the impact they have on their function and lives. Episode Transcription Kali Dayton Today, I want to talk about cognitive deficits. Dr. Ely gave us insight into the brain injury that happens as a result of ICU delirium. For a while, I
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As an RN in the Medical-Surgical ICU at the hospital I work at, I began my interest in ICU Liberation through an Evidence-Based Practice project.
While I was initially grabbed by what the literature has to say about over-sedation and patient outcomes, it wasn’t until I discovered Kali’s Walking Home From The ICU podcast that a culture of sedationless ICU care sounded tangible. The group I worked with on the project was both inspired, devastated, and intrigued by the stories Kali illuminates on the podcast, and we were able to bring her to our hospital for a virtual Zoom Webinar, where she presented on the practices in the Awake and Walking ICU.
This webinar was an incredible way to draw attention toward this necessary culture shift as Kali shared stories of patients awake and mobile in the ICU despite the complexity of their illness. The webinar inspired our final draft for the new practice guideline on analgesia and sedation management in the ICU, and since then we have seen intubated COVID patients playing tic tac toe on the door with staff members on the other side, taking laps around the unit, performing their own oral care using a hand mirror, and most importantly, keeping their autonomy and integrity while fighting to leave the ICU to resume the life they had before coming in.
Nora Raher, BSN, RN, MSICU
Virginia, USA
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
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