Category: Survivors of Sedation and Immobility

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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Walking From ICU Episode 87- Is Their Silence Worth Their Suffering?

Walking Home From The ICU Episode 87: Is Their Silence Worth Their Suffering?

Mark Hudson, an ICU survivor podcast host, is all too well acquainted with delirium. He has dedicated himself to advocating for fellow patients and survivors to prevent the torture of delirium. He tells it to us straight and guides us towards improvements. Episode Transcription Kali Dayton 0:00 Okay, a huge objective of this podcast is

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Walking From ICU Episode 52 Haunted Beyond the ICU

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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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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