Tag: icu sedation

Dayton Walking Through ICU Episode 8 Sedation and Medically-Induced Comas

Walking You Through The ICU Episode 8: Sedation and Medically-Induced Comas

Despite the high risks and harm of prolonged deep sedation, why do most ICUs place every patient on a ventilator into a medically-induced coma? Let’s talk straight about the history and big picture of our ICU sedation culture. Episode Transcription Now that you understand delirium, we have to address medically-induced comas. In all honesty, this

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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 84 Zentensive Care

Walking Home From The ICU Episode 84: Zentensive Care

How can we manage ventilators to decrease alarms, avoid misdiagnosing/mistreating asynchrony, and improve patient comfort and outcomes? Dr. Matt Siuba, MD, the “Zenintensivist”, shares with us his tools to decrease sedation and neuromuscular blockade use. Episode Transcription Kali Dayton 0:00 Hello, and welcome back. Before we start as the episode you have all been waiting

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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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Perception Versus Reality: Debunking The Myths About Medically-Induced Comas

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