Episode 83- An Expert Talks: Awake and Walking ICU

Episode Summary:

Your intubated patients would love it if you heard this episode! Learn about the dangers of sedation with our guest, Kali Dayton, DNP, AGACNP

Show Notes:

Key Points:

“‘An Expert Talks: Awake and Walking ICUs”:
– In 2018, the Society of Critical Care Medicine published an update to the 2013 Pain, Agitation, and Delirium (“PAD”) guidelines. These “PADIS” guidelines added an emphasis on immobility (rehab/mobilization) and sleep
– The PADIS guidelines developed an ICU liberation bundle (the “A-F” or “ABCDEF” bundle) with the goal of using evidence-based recommendations to improve care in mechanically-ventilated patients
– One of the main aspects of this bundle is maintaining light sedation with opioid agents first, and avoiding continuous infusions of sedatives and benzodiazepines to reduce the risk of delirium, which in turn will reduce lengths of stay and even mortality
– There has been growing interested in developing “awake and walking/alert” ICUs- where patients are on very minimal or no sedation at all while intubated. Patients are encouraged to interact with staff and family, participate in physical therapy, and even walk the halls while intubated
– These awake and walking ICUs optimally utilize evidence-based, guideline-recommended strategies that can and should be implemented in all ICUs
ER-Rx Episode 83

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