Testimonials

Kali Dayton’s consultancy energized our ICU to adopt the very latest evidence-based therapies to identify, prevent, and treat delirium with the ultimate goal being to eliminate preventable delirium by leveraging lessons shared by Kali to get our ICU patients awake, mobile, and walking.

The advice and tier-one support by Dayton ICU Consulting is a critical component of any ICU leader who wants to do better and make the greatest impact possible for patients so that they survive the ICU and go home to continue their livelihoods free of post-intensive care syndrome or PTSD.

Kali offers a powerful vector to ensure ICU care is state of the art.

Brian Delmonaco, MD, FACEP, Medical Director, Pulmonology and Critical Care Medicine, Samaritan Health Services

Kali offers a powerful vector to ensure ICU care is state of the art.

Brian Delmonaco, MD, FACEP, Medical Director, Pulmonology and Critical Care Medicine, Samaritan Health Services

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.
Implementation has been challenged by pushback at the bedside, but knowing how most patients can be off sedation and comfortable allowed me to advocate for the patients. So far, four patients were successfully kept off of sedation after getting intubated, and two of them immediately smiled at me as they woke up from induction meds. Kali and the members of the Awake and Walking ICU have decades of experience in this approach.

Some institutions, such as Johns Hopkins, have implemented this as their hospital-wide QI project. If you are interested in improving patients’ lives beyond survival, I highly recommend listening to the podcast and reaching out to Kali for further guidance. If this concept is new to you, as it was for me, it will broaden your perspectives in taking care of your ICU patients, and perhaps renew the sense of purpose in your everyday practice.

Mikita Fuchita, MD

One of the most striking aspects of this initiative has been the cultural shift among physicians and nurses, which has been largely influenced by the training led by Kali Dayton. These trainings emphasize the importance of collaboration and communication within the health care team, fostering a shared commitment to patient-centered care.

As a result, clinicians are more attuned to the value of keeping patients awake and engaged, which has proven to be critical in preventing the deconditioning and delirium often associated with prolonged sedation. Moreover, the dramatic improvements in patient outcomes are evident in the reduction of complications that frequently arise in the ICU setting. With fewer ventilator days, patients are less susceptible to ventilator-associated pneumonia and other respiratory complications.

The emphasis on mobility not only accelerates recovery but also contributes to improved psychological well-being, as patients are less disoriented and more connected to their surroundings. This holistic approach to care, driven by a cultural transformation among health care providers, underscores the profound impact of mobility-limited sedation protocols on patient health and safety.

In summary, the integration of these protocols has not only enhanced clinical outcomes but has also reshaped the professional landscape within ICUs, and all of our staff are enthusiastic regarding the dramatic patient benefits.

Peter Murphy, MD, FCCP, MRCPI, Professor, Assistant Dean, and Chief of Medicine at California Northstate University College of Medicine

Kali is leading ICU teams to become Awake and Walking ICUs through true mastery of the ABCDEF Bundle. I endorse her mission and look forward to the standardization of this evidence-based approach in ICUs all over the world.

Dr. Wes Ely, author of Every Deep Drawn Breath, leading founder of the ABCDEF Bundle and ICU CAM delirium screening tool, and Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center

The service Dayton ICU Consulting provided was exceptional and above expectations. As an ICU medical director, I have had to unlearn what has been taught to us over the years and what we thought was right. When I started listening to the Walking Home From The ICU podcast, I felt profound sadness and guilt for what we did to other human beings thinking what we were doing was right.

I have changed my practice and we had Dayton ICU Consulting at our hospital in each of our intensive care units for multiple sessions. It was eye-opening for the staff, especially the bedside RNs. We have developed significant momentum, especially in our surgical and trauma ICUs where staff that were non-believers are now champions of this movement. We have done videos of patients’ experiences and plan to use them to educate new hires. I am very excited about where we have come from and expect great things.

I cannot thank Kali Dayton and our staff enough for helping us improve ICU care and experiences for our patients.

Lawrence Bistrong, MD, FCCP, Medical and Surgical Intensive Care Unit Medical Director at Mercy San Juan Medical Center

The service Dayton ICU Consulting provided was exceptional and above expectations.

As an ICU medical director, I have had to unlearn what has been taught to us over the years and what we thought was right. When I started listening to Kali’s Walking Home From The ICU podcast, I felt profound sadness and guilt for what we have done to other human beings while thinking what we’re doing is right.

I have changed my practice and we had Dayton ICU Consulting at our hospital in each of our intensive care units for multiple sessions. It was eye-opening for the staff, especially the bedside RNs.

We have developed significant momentum, especially in our surgical and trauma ICUs where staff that were nonbelievers are now champions of this movement. We have even done videos of patients’ experiences and plan to use them as education for new hires.

I am very excited about where we have come from and expect great things, and I cannot thank Kali Dayton and our staff enough for helping us improve ICU care and experiences for our patients.

Lawrence Bistrong, MD, FCCP

Dayton ICU Consulting team came to our unit for 4 days, and they did in-person training for over 100 staff members, and spoke with many on our Leadership team. The transformation of the staff after the consulting team was remarkable.

The consulting team pushed us to look outside of our comfort zone in a way that someone from within our team could not achieve. They have firsthand knowledge of what to do, and how to do it and they walked side by side with us while they showing us how to do it. Many of the staff who were very ambivalent prior to the in-person training are now the biggest advocate of implementing the change.

Kali and her team have the knowledge and the skills to help make change happen.

Roni Kelsey, BSN, ICU Liberation Leader, PeaceHealth
Bellingham, WA

When patients are so ill that they require a ventilator in the ICU, the antiquated approach of heavy sedation and immobilization should be avoided in order to help prevent the immense burden of physical and cognitive disabilities suffered during survival. To understand this better, listen to Walking Home From The ICU. You will see what ICU consultant Kali Dayton provides to your team.

Her training will catalyze changes in your practice to improve outcomes, decrease costs, and allow your patients to return to their full lives. Learn to love your job again as you embrace whole person care instead of caring for inert sedated bodies. Kali is leading ICU teams to become Awake and Walking ICUs through true mastery of the ABCDEF Bundle.

I endorse her mission and look forward to the standardization of this evidence-based approach in ICUs all over the world.

Dr. Wes Ely, author of "Every Deep Drawn Breath," leading founder of the ABCDEF Bundle and ICU CAM delirium screening tool, and Professor of Medicine in the Division of Allergy, Pulmonary, and Critical Care Medicine at Vanderbilt University Medical Center

Totally clueless is what my family and I would have been if I hadn’t reached out to Kali about my dad’s ICU journey. What started as a back surgery ended up turning into a three-month hospital stay which then ended up turning into three hospital stays from May through November 2021. Kali helped so much in understanding the ICU medications he was on and how the use of sedatives was in fact causing his delirium and agitation, and not actually his demeanor. We were able to talk to nursing staff and doctors to help gently wean him away from those medications. I have learned so much about ICU medication from Kali and I am not a medical professional. Without her consultation and knowledge, I wouldn’t know where to start when talking to the nurses and doctors.

Also, listening to her podcast helped me to understand the journey she took with her own patients who were being ventilated on high settings. This helped me understand my dad’s settings weren’t detrimental to his health and the issues were more related to the use of sedatives and being stationary in a hospital bed, which led to a longer hospital stay due to immobility and all the effects it can have on the human body.

With Kali’s advocacy and passion about ICU medicine she can change patient outcomes and improve their quality of life after an ICU hospital stay. I firmly know and believe EVERY single intensive care unit in EVERY single hospital needs to consult with Kali on how to change their practices, and EVERY single family who has a loved one in an intensive care unit needs to consult with Kali on the status of their loved one and how to improve their outcome.

Leah, Accounting professional and daughter of a beloved father

Testimonials

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