Walking Home From The ICU Episode 105: The ABCDEF Bundle in the CVICU
How does the ABCDEF bundle apply to the CVICU with a variety of diagnoses, acuities, and devices? Anna Dalton, DNP, ACANP, in an “Awake and Walking CVICU” shares with us the evolution their team has experienced in improving their mastery of the ABCDEF bundle. Episode Transcription Kali Dayton 0:38 Okay, the next three episodes are
Learn More > from Walking Home From The ICU Episode 105: The ABCDEF Bundle in the CVICU
How I Was First Introduced to the ABCDEF Bundle
“Would you be willing to walk intubated patients on ventilators?” my future nurse manager asked me during my initial interview. As a new nurse, I failed to fully understand the importance of this question and eagerly answered, “Yes! Of course! Teach me everything.” During my first few years working as a nurse in an Awake
Learn More > from How I Was First Introduced to the ABCDEF Bundle
Walking Home From The ICU Episode 104: ICU Rehabilitation
When ICU-acquired weakness is not preventable, or we encounter a patient that has not received the ABCDEF bundle, how can we start the rehabilitation process? What approach can one lone clinician use for initiating recovery or preventing ICU-acquired weakness? Physiotherapist, Lucy Sutton, shares with us incredible insight into ICU rehabilitation. Episode Transcription Kali Dayton 0:01
Learn More > from Walking Home From The ICU Episode 104: ICU Rehabilitation
Megan’s Story: How Management of Delirium in the ICU Can Vastly Improve Patient Outcomes
More often than not, ICU patients today are subjected to unbearable bouts of sedation, immobility, and the inevitable delirium that accompanies a lack of evidence-based treatment. Sadly, many of these patients don’t survive, and even more of them are robbed of their ability to thrive, both while they’re in the ICU, and after they’ve left
Walking Home From The ICU Episode 103: Communication Is a Basic Human Right- Especially in the ICU
This episode explores the value of communication in the ICU and the impact of our sedation and immobility practices on the basic human right of communication. Episode Transcription Kali Dayton 0:38 This episode is dedicated to communication and the ICU. This has taken me a long time to publish in part because it is so
In my haste to convey the horror experienced by so many patients who have been sedated and immobilized in the ICU, the case studies I’ve published have not had particularly happy endings. So far, the cases I’ve detailed have involved either the patient dying, being traumatized by the delirium they suffered while under sedation, or
Walking Home From The ICU Episode 102: Waking Up in the ED
When post-intubation wait times increased during the COVID19 crisis, Julie, an ED nurse, took “saving lives in the ED” to a whole new level. She shares with us what communication and patient autonomy mean to her and how she is applying that to how she cares for patients in the ED. One nurse can make
Learn More > from Walking Home From The ICU Episode 102: Waking Up in the ED
Jim’s Story: How Evidence-Based Practices Can Stop the Domino Effect and Reduce ICU Complications
I hate to say it, but what I’m about to tell you is nothing new. The unnecessary suffering I’m about to describe has occurred countless times due to a culture of habit in the intensive care unit, and a lack of support or investment in evidence-based practices. Regrettably, for many who end up in the
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
Learn More > from Walking Home From The ICU Episode 101: The ABCDEF Bundle in the Neuro ICU
Walking Home From The ICU Episode 100: Moving the Mission Forward
After 100 episodes of compelling stories, research, and testimonials, we know what can and should be for intensive care medicine. What is the next step? How do we lead our ICU teams into the future and standardize “Awake and Walking ICUs”? What resources are available to educate and support our teams in this transition? Episode
Learn More > from Walking Home From The ICU Episode 100: Moving the Mission Forward
I 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
Perception Versus Reality: Debunking The Myths About Medically-Induced Comas
By clicking the Subscribe button, you agree to this site's Privacy Policy. Your information is always kept safe.
