Episode 121: Having patients awake during mechanical ventilation can require a new skillset and approach to patient care. Let's talk about some of the tips and tricks for improving patient comfort and care. We'll hear it from an RN/podcast listener/ICU survivor and Louise Bezdjian, APRN from the original Awake and Walking ICU. Citations and transcription: www.daytonicuconsulting.com Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to y...
Mar 06, 2023•1 hr 26 min•Ep. 121
What does being awake and mobile mean to current ECMO patient, Denise Bazalda? From her ICU room with a tracheostomy and connected to ECMO, @88deniseb, gives us incredible insight into how she is fighting for her life. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Feb 18, 2023•33 min
Episode 119: How can delirium contribute to the trauma of a traumatic birthing experience? Midwife and ICU survivor, Amber, shares with us her personal journey through and after the ICU. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Feb 12, 2023•41 min
During the worst of the COVID pandemic, how did this Baylor Scott and White The Heart Hospital- Plano CVICU decrease their COVID mortality rates by 30%? Jenelle Sheasby, MSN, RN, tells us about the transformation in their mobility practices. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Jan 31, 2023•50 min
The ICU community is buzzing with talk about the recent NEJM "TEAM Study". What do the methods and findings of the study tell us? The author of the study, Dr. Carol Hodgson, as well as Dr. Wes Ely and Heidi Engel, DPT join us to dissect and discuss this study. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Jan 27, 2023•1 hr 12 min
How does a personal fight for life in the ICU impact a survivor-intensivist’s approach to patient care? Dr. Rana Awdish, author of “In Shock”, shares intimate experiences in and after her ICU stay. Episode transcripts and citations at www.daytonicuconsulting.com . Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Jan 19, 2023•46 min
We know that deep sedation and immobility are lethal. We also know that outcomes in the ICU vary between races. How does race impact sedation practices? What role does sedation management play in the racial disparities seen in the ICU? Dr. Tom Valley shares with us his invaluable research into sedation by race. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Dec 27, 2022•49 min
What was it like as a travel COVID ICU nurse to jump into an “Awake and Walking COVID ICU”? How does true mastery of the ABCDEF bundle impact RN workload, burnout, safety, and career fulfillment? Travel RN, Laurelai, shares with us her experiences and insights. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Dec 08, 2022•58 min
Introduction to an “Awake and Walking ICU” - An Episode in Spanish. Que experimentan a los pacientes durante sus comas inducidas? Porque y como debemos evitar a la sedation continua durante a la enfermedad crítica? Que es una “UCI Despierta y Caminando”? Este episodio cambiará a la perspectiva de nuestras prácticas en la UCI. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Dec 03, 2022•27 min
What does research reveal about how and why do unplanned extubations occur? How dangerous are unplanned extubations? Does sedation really keep patients safer from unplanned extubations? We dive into it deep in this episode. Transcriptions and citations found at www.DaytonICUConsulting.com Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Nov 24, 2022•41 min
What is like to be an ICU delirium survivor and intensivist? How did Dr. Wischmeyer’s own nutrition research Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Nov 15, 2022•51 min
The trauma ICU has unique risks to agitation, delirium, and long-term impairments. How does occupational therapy help the trauma ICU team avoid sedation, maximize mobility, and radically transform patient outcomes? Phillip Gonzalez, OTR, MOT, shares with us his expertise and success as an occupational therapist in the trauma ICU and traumatic brain injuries. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out ww...
Nov 02, 2022•51 min
Traumatic brain injuries can have distinct exceptions that necessitate deep sedation and immobility. How then can we apply the ABCDEF bundle to protect injured brains and restore lives? Charlotte Davis, BSN, RN, CCRN and Richard Rivera, BSN, RN-BC share their expertise and their team's incredible success with the ABCDEF bundle in the settings of TBI. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.Dayton...
Oct 19, 2022•1 hr 3 min
The trauma ICU has a variety of high-acuity and difficult conditions that can cause obstacles and hesitation to change sedation and mobility practices. How does the ABCDEF bundle apply to the trauma ICU? Dr. Gregory Schaefer joins us now to discuss his expertise and team’s success in practicing the ABCDEF bundle in the trauma ICU. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Sep 28, 2022•29 min
Critically ill cardiovascular patients can be very high-risk and high-acuity patients with numerous devices and multiorgan failure. How and when can we safely initiate early mobility? What role should physical and occupational therapy play in the CVICU? Jenna Hightower, PT, DPT, CCS shares her incredible expertise and ground-breaking work in early mobility in the CVICU. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check ou...
Sep 09, 2022•40 min
As ECMO programs have grown in demand and popularity during COVID19, what have we learned about the safety, feasibility, and benefit of early mobility? Why is there such a significant disparity in mobility practices between ECMO teams? Dr. Julian Macedo shares with us his expertise and insights into early mobilization during ECMO. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Aug 20, 2022•39 min
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. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Jul 19, 2022•46 min
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. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU?...
Jul 02, 2022•55 min
What impact does it have on patients to be lost in solitude while in medically-induced comas? How does the inability to communicate impact patients' agitation, anxiety, and trauma? How can providing communication tools ease the stress and burden of critical illness on clinicians, patients and families? When patients are unable to verbalize, what tools are available to facilitate communication? This episode explores the value of communication in the ICU and the impact of our sedation and immobili...
May 17, 2022•1 hr 4 min
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 a ripple effect throughout an entire hospital system. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? C...
May 01, 2022•53 min
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. @Drdangayach Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com...
Apr 15, 2022•50 min
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? www.DaytonICUConsulting.com Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsul...
Apr 05, 2022•23 min
Episode 99: When physical therapists are allowed to work at the top of their licenses, how do they save lives? What barriers prevent them from fully contributing their expertise during critical illness? How is mobility a life-saving intervention? ICU Physical Therapist experts, Kenny Venere, PT, DPT, and Kyle Ridgeway, PT, DPT, CCS share with us their experiences and insights. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this e...
Mar 16, 2022•1 hr 5 min
Occupational Therapists Change Outcomes in the ICU How can occupational therapists help decrease time on the ventilator and time in the hospital? How can they preserve function and quality of life? What skills do they bring to preventing and treating delirium? Why should they be promptly utilized in a patient's journey? Corinne, Mallory, and Rachel share give us insight into the value occupational therapists bring into the ICU. Photos, transcriptions, and citations at: www.DaytonICUConsulting.co...
Mar 05, 2022•39 min
How does ventilator-associated pneumonia occur? How does the failure to practice the ABCDEF bundle increase the risks of prolonged time on the ventilator and mortality? What do we know about the impact of early mobility on VAPs? Let's dive deep into what we know about VAPs and how to drive down the rates in our ICUs. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do here ! Want to bring t...
Feb 23, 2022•46 min
Ventilator-Associated Pneumonia has significant lethal and financial repercussions for patients and our healthcare system. So why aren’t we panicking about it? Are hospitals really liable for the costs incurred from this ventilator-associated condition? Dr. Benjamin Wang, MD joins us to share the backstory behind VAPs in our US healthcare system and government. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all l...
Feb 22, 2022•35 min
When healthcare systems say they don't have the resources to support proper practices, is that true? How much do deep sedation and immobility cost our ICU teams, hospitals, and healthcare systems? How can we use the research to support our plight for safe staffing ratios and evidence-based practices? Let's dive deep into the money talk. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all learning you do here...
Feb 11, 2022•33 min
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 explore the "ICU deathtrap". Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your...
Dec 17, 2021•1 hr 22 min
Why is the mortality rate for COVID ICU patients in the Awake and Walking ICU less than half of the other COVID ICUs in the same hospital system in the same community? How have sedation and mobility practices impacted rates of central lines, vasopressor use, paralysis, tracheostomies, and LTACH admissions? How has this ICU continued to keep COVID patients awake and mobile during this pandemic? Dr. Joel Pittman shares with us valuable updates from the Awake and Walking ICU. Photos, transcriptions...
Dec 09, 2021•30 min
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 us all in this episode. Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsulting Get your CE credit for this episode and all l...
Dec 06, 2021•1 hr 4 min
