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Redefining Early Mobility in an Awake and Walking ICU

The history of bedrest, inter-organ connection between the muscles and other systems, and the impact of muscular atrophy on critical illness are discussed. The effect of ICU-acquired weakness and diaphragm dysfunction on the rates of death, disability, tracheostomy, and time on the ventilator is revealed.

In this talk, your audience will hear about survivors who discuss their rehabilitation and the life-long impact of ICU-acquired weakness. Research on the safety, feasibility, and efficacy of early mobility is also shared. The science behind the benefits of each level of mobility is explained.

After participating in this presentation, ICU team members will understand mobility as a life-saving intervention. Clinicians will learn to prioritize prompt mobility as a part of best practices.

About the Author, Kali Dayton

Kali Dayton, DNP, AGACNP, is a critical care nurse practitioner, host of the Walking Home From The ICU and Walking You Through The ICU podcasts, and critical care outcomes consultant. She is dedicated to creating Awake and Walking ICUs by ensuring ICU sedation and mobility practices are aligned with current research. She works with ICU teams internationally to transform patient outcomes through early mobility and management of delirium in the ICU.

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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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Creating Awake and Walking ICUs
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