What is the purpose of awakening “trials”? When should awakening “trials” be done? How can we have successful awakening “trials”? Dr. Wes Ely joins us in this episode to crack the code on sedation cessation. Transcriptions and citations at: www.daytonicuconsulting.com ***Early Mobility Conference April 14-16th in Orlando, FL***https://www.earlymobility.com/2024conference Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Che...
Oct 11, 2023•31 min
The A of the ABCDEF Bundle is for "Assess, Prevent, and Treat Pain". How do we truly master this tool and how does this impact patient outcomes? Can we assess, prevent, and treat pain while simultaneously striving to have all possible patients awake, autonomous, and even mobile? Joanna Stollings, PharmD, shares what the A of the ABCDEF Bundle really means and how to master it for each patient. Get your CE credit for this episode and all learning you do here ! Want to bring the revo...
Oct 02, 2023•35 min
How did the ABCDEF bundle come to be and what is its true objective? What barriers are causing the ICU community to fall short of full compliance with the bundle and what is the future of the ABCDEF bundle? Michele Balas, PhD, RN shares with us her insights as one of the founders of the ABCDEF bundle. This episode kicks of our 8-episode series dedicated to each element of the ABCDEF bundle. We're going to be going back to the basics and diving deep into how to truly practice the ABCDEF bundle in...
Sep 25, 2023•41 min
How do hospital-acquired pressure injuries (HAPIs) occur in the ICU and why is the ABCDEF bundle such a powerful tool to prevent HAPIs? How do HAPIs impact healthcare costs, staff workload, patient quality of life, and overall survival?Wound Care Karen joins us in this episode to explore the crisis of hospital-acquired pressure injuries in the ICU. Check out the Wound Care Karen Podcast here! Episode transcript and citations found at www.daytonicuconsulting.com Get your CE credit for this episod...
Sep 19, 2023•56 min
Individuals and teams are transforming patient outcomes through the adaptation of the ABCDEF bundle. Hear a compilation of their inspiring successes in this episode! www.daytonicuconsulting.com ***Don't miss the upcoming free webinar, "Financial Benefits of the ABCDEF Bundle", on October 18th at 12pm EST. Register here: https://us02web.zoom.us/meeting/register/tZIufuGsrTwjE9Lg_pK5i_Fslap7KYHuw63o Get your CE credit for this episode and all learning you do here ! Want to bring the r...
Sep 13, 2023•45 min
Sedation and immobility impact more than patient outcomes in the ICU. Family members also suffer the isolation, burden, trauma, and loss from sedation and immobility in and after the ICU. Families are also at risk of developing post-ICU syndrome themselves.Nonetheless, they are left unprepared to care for their loved ones who are suffering the damage of sedation, delirium, and ICU-acquired weakness while struggling through their own personal trauma. Stefan Becker, a professional psychotherapist,...
Sep 05, 2023•1 hr 22 min
What if we were as worried about "brain-protective strategies" as "lung-protective strategies" in the ICU? Such an approach will never be standardized until the ICU community truly recognizes the brain injuries survivors are left with after sedation and immobility. Until post-ICU syndrome is widely known and the impact is deeply appreciated, we will continue to fall short of evidence-based sedation and mobility practices. Only true experts can help us understand. The real experts on post-ICU syn...
Aug 29, 2023•46 min
We know that stroke patients are at high risk of poor cognitive, physical, and psychological outcomes. How does delirium impact their outcomes and how can we better protect patients from additional brain injury from delirium? Rosa Hart, BSN, RN, SCRN from the "Stronger After Stroke" joins us now to explore the struggles, barriers, and importance of the ABCDEF bundle for stroke patients in the neuro ICU. Check out the "Stronger After Stroke Podcast" here! Episode transcription and citations found...
Aug 22, 2023•40 min
We know that critical illness, sedation, delirium, etc., can leave patients with deep psychological trauma. How can we help them recover? What resources are available to treat post-ICU PTSD?Dr. Brian Peach shares with us his exciting developments and research. Contact information for Dr. Brian Peach found with the transcription for this podcast episode at: www.daytonicuconsulting.com Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to ...
Aug 11, 2023•47 min
Critical illness in the ICU is a battle. It is a fight for life. Sedation is often given with the hopes of sparing patients the discomfort and awareness of the struggles of the ICU. Yet, does that ultimately prevent harm and suffering? Antonette Montalvo, APRN shares with us what it meant to her to be able to fight for her life with her eyes open. 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...
Aug 03, 2023•35 min
Is early mobility safe and feasible in the burn ICU? Considering the significant barriers such as pain, dressing changes, variable device securement, delicate position needs, etc., how can an ICU team continue to practice early mobility? Physical therapist, Audrey O'neill, DPT, shares with us her recent publication and years of expertise. Vapotherm webinar: https://vtherm.com/0803 Ebook and newsletter: www.daytonicuconsulting.com Sign-up for ICU Revolutionists Meetings: https://ka8j42zmhi0.typef...
Jul 25, 2023•35 min
It goes without saying that nurses are the gatekeepers of patient outcomes in the ICU. Do ICU nurses *really* aspire to care for unresponsive and atrophying bodies? How does the ABCDEF Bundle impact the nursing role, skillset, and job fulfillment? James Fletcher, BSN, RN seems to fit the mold of a nurse that would thrive solely with the flashy skills of an ICU RN. He shares with us the impact nurses can make by using "soft-skills" and human touch in the ICU. He is brining joy back to nursing wit...
Jul 20, 2023•49 min•Season 1Ep. 139
We know that early mobility is a potent tool to prevent and treat ICU delirium. How does it impact cognitive function 1 year after discharge? What do "Early" and "Mobility" REALLY mean? How has drastic variation in methodology in the research led to the confusion and conflict we now see in early mobility practices?How can we optimize early mobility in the ICU? Is it safe and feasible to mobilize most patients within 48 hrs after intubation?Is there evidence to support restrictive mobility parame...
Jul 12, 2023•1 hr 12 min
Occupational and Physical Therapists save lives in the ICU with their unique and complementary expertise. Bryan Lohse, DPT, CCS and Paul Arnold, OTR/L, CLT share with us how their Awake and Walking CVICU has developed their therapy teams. They address the question of PT & OT cotreatments in the ICU. PESI Critical Care Rehab Summit: https://catalog.pesi.com/sales/rh_s_001719_criticalcarerehab_organic-629440?cmp_id=312&utm_source=Kali+Dayton&utm_medium=affiliate&utm_campaign=SUM001...
Jul 03, 2023•58 min
The mission to create Awake and Walking ICUs is not a brand new endeavor. Dr. Juli Barr, an early PAD and ICU liberation founder, shares with us the tools needed to master 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...
Jun 26, 2023•1 hr 11 min
The cultural assumption that everyone would rather be sedated is based on the myth that sedation is "sleep". Very few survivors can give us a comparison of being sedated vs. being awake while intubated. Lara, like Susan in episode 3, Caleigh in episode 117, and Mark in episode 87, has had it both ways and shares with us the contrast. 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....
Jun 20, 2023•41 min
We know that deep sedation is an independent predictor of mortality. This guides most sedation orders to require a RASS of 0- (-2). Is that what is really happening at the bedside? What percentage of patients are actually lightly sedated to the RASS goal vs. deeply sedated? What is driving oversedation throughout the ICU community? What are the risks to patients and nurses when RASS orders are not followed? We dive deep into this with Alexis Nowling, MSN. Get your CE credit for this episode and ...
Jun 12, 2023•47 min
When Dr. Mikita Fuchita heard about an Awake and Walking ICU, he had to see it with his own eyes. After visiting the Awake and Walking ICU, how did Dr. Fuchita embark on bringing his colleagues together to update their sedation and mobility practices? He shares his personal conversion and his team's journey with us in this episode. 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.co...
Jun 08, 2023•1 hr 12 min
Post-ICU PTSD is a life altering and life-threatening condition. ICU diaries have shown promising benefits to helping survivors navigate the trauma they carry with them from the ICU and especially delirium. David Richards shares with us his journey during and after the ICU and how his ICU diary has been a key part of his post-ICU survival. Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsu...
Jun 01, 2023•1 hr 10 min
When Brenna's ICU set out to become an "Awake and Walking ICU", Brenna, OTR/L, accepted the challenge. She shares with us her journey to leading her team to have the skills and culture to optimize mobility during critical illness. 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...
May 23, 2023•46 min
After visiting the original Awake and Walking ICU, how did Dr. Brian Bellucci help bring these changes to his ICU? What is the physician's role in supporting a team's sedation and mobility practices? How can we increase physician buy-in? Dr. Bellucci shares with us his team's journey to becoming an Awake and Walking 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...
May 17, 2023•45 min
When patients suffer from delirium in the ICU, what resources are available to them to support their cognitive rehabilitation? Psychologist, Dr. Jim Jackson, from episode 51, returns to the podcast. He shares with us his journey to writing his new book, "Clearing the Fog" as a roadmap to recovery for survivors. 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...
May 12, 2023•42 min
Let's talk about delirium severity. Does the severity of delirium vary by ICU specialties or by ICU treatment? What role does sedation play in delirium severity? What role does race play in delirium severity? Dr. Damaris Ortiz shares with us key findings from her important 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...
May 05, 2023•22 min
When the ICU at St. Joseph's Hospital in Colorado invested less than $100,000 into becoming an Awake and Walking ICU, what was their return on investment? How has supporting the training, education, and support of their team impacted their team dynamics, morale, and patient outcomes? Nancy Mcgann, PT, shares with us her team's exciting success! Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICU...
Apr 24, 2023•1 hr
This week leading nursing podcasts are teaming up to confront delirium head-on. Podcasts including Up My Nursing Game, Rapid Response RN, Good Nurse Bad Nurse, Cup of Nurses, and How to Not Kill Your Patient will dive deep into the reality and impact of delirium throughout the hospital from the ED to the acute care floor. This episode, Tina from Good Nurse Bad Nurse co-hosts with Kali to explore how gaps in delirium education and support can turn lethal by a "Bad Nurse" and how a "Good Nurse" ca...
Apr 19, 2023•55 min
Trailer
Apr 14, 2023•2 min
When patients are delirious and agitated, how can we keep patients and clinicians safe? How do we avoid and even discontinue sedation while keeping lines and tubes intact? What role do restraints play in agitation and trauma for patients? Are soft wrist restraints our best and only options? Dr. Marie Pavini, intensivist, and innovator of Exersides shares with us more tools and insights for approaching sedation and delirium management in the ICU through updated restraint technology. Get your CE c...
Apr 11, 2023•1 hr 8 min
Alcohol withdrawal can send our patients into a spiral of delirium and downstream complications in the ICU. What are the risks of benzodiazepines for our patients even during alcohol withdrawal? How can we give our patients the best chance to walk away from ETOH withdrawal and critical illness? Dr. Obiajulu Anozie, MD joins us in this episode to explore the benefits of phenobarbital for alcohol withdrawal. Get your CE credit for this episode and all learning you do here ! Want to b...
Apr 05, 2023•58 min
Medicine is a field of evolution. Are we open to learning, changing, and progressing? Dr. Peter Murphy has worked in critical care for nearly 50 years. As a seasoned expert in the field, he shares with us his own wake-up call to the reality of decades-old sedation practices. He provokes the question: "Am I leading or fighting evolution?" Get your CE credit for this episode and all learning you do here ! Want to bring the revolution to your ICU? Check out www.DaytonICUConsult...
Mar 20, 2023•1 hr 13 min
Caleigh has had it both ways in the ICU. She has been sedated and immobilized which led to battling delirium and ICU acquired weakness. She has also been awake and mobile while intubated and walked out the doors. Listen to Caleigh share her insights and what meant to her to be communicative, connected, and autonomous during her fights 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.Dayto...
Mar 14, 2023•46 min
