We appreciate the IHQSE and the CU leadership for supporting our SOAR (Sedation Off Awake Rehabilitate) initiative. Walking Home From The ICU Kyle Ridgeway

#ICURehab Early mobility for sedated patients even intermittently sedated patients is indeed problematic. Rather than light sedation, mobile patients need to be awake- this is sedation cessation.

And the no sedation strategy genuinely works well ONLY if the patient is also mobile and allowed out of bed. We sedate people so they will tolerate being confined to bed 23-24 hours/day.

When you think propofol is compassionate safe care.., realize it appears that way in your short term moment.., but long term later.. it’s created damage like this. Kali Dayton

On this delirium day, let's hear it from those that have and continue to live it. Let's not just bring awareness, let's bring CHANGE. Full video found here: youtube.com/watch?v=kJ3J12… #icudelirium #awakeandwalkingicu

This is cool and applicable to awakening sedated mechanically ventilated patient Luda Karnatovskaia Sumera Ahmad Alex Niven WesElyMD Dale Needham, MD, PhD

This is a tremendous effort by the authors to synthesize such a massive body of evidence. Now, would I change my practice based on this and say “let’s keep all intubated patients immobile for the first 72 hours”? What would the Awake and Walking ICU think of their conclusions?

This story is repeated everyday in ICUs everywhere. Time to change usual care- and sitting on the edge of the bed during a “sedation vacation” would not preserve her strength. Awake & Walking in ICU needs to be new standard care Kali Dayton

Check out the podcast, "Walking Home From the ICU" to hear ICU survivors, researchers, and clinicians share the reality of medically-induced comas. #awakeandwalkingICU Podcast episodes with transcriptions and citations organized by topics found here: daytonicuconsulting.com/category/walki…

Friends. My book, "Clearing the Fog" is offically available today. Between its covers, I pray you'll find kindness and affirmation, patient stories that empower, practical strategies grounded in science and experience, and, perhaps most importantly, hope. WesElyMD #longcovid

Multimodal, patient-centred symptom control: a strategy to replace sedation in the ICU thelancet.com/journals/lanre… Why is it so attractive to sedate our ICU patients? We can learn from palliative medicine: Sedation is not a valid goal. Patient’s Symptom control should be our focus.

Does postoperative mobilization improve outcomes? Our team summarized accelerometer research for patients undergoing major abdominal surgery and identified 9 Obs studies and 6 RCTs. Association but no causation? dlvr.it/Sp3qFq Kyle Ridgeway ISMPB

Wonderful description of what #ICULiberation SCCM 2.0 needs to be- listen to episode 133 ⁦Walking Home From The ICU⁩ ⁦WesElyMD⁩ ⁦Shoshana Ungerleider, MD⁩ ⁦UCSF Critical Care Medicine⁩ ⁦michael gropper⁩ ⁦Atul Gawande⁩ ⁦Dale Needham, MD, PhD⁩ ⁦Tina Chen⁩ podcasts.apple.com/us/podcast/wal…

Exactly- all the more reason to have patients Awake & Walking to prevent the damage in the first place. Episode 136 of podcast Walking Home From the ICU gives step by step from leader MD Juli Barr to help Walking Home From The ICU WesElyMD SCCM

ken Mikita discuss mobility in venous thromboembolism (VTE): academic.oup.com/ptj/article-ab… a letter regarding clinical practice guideline on PT management: pubmed.ncbi.nlm.nih.gov/35567347/ #ICUrehab #PCCM #acutePT #acuteOT #mobility Evan Haezebrouck, PT, DPT Johns Hopkins Activity & Mobility Promotion (AMP) Heidi Engel, PT, DPT Walking Home From The ICU

It’s no surprise that deep sedation continues to be a standard practice if clinicians have misperceptions about what it actually does and want sedated themselves.

“The Need for Change in Generating Evidence for the Critically Ill”

“Medicine takes care of persons. Yet modern medicine is becoming infatuated with things—machines, AI, and other non-human things—all while allegedly in the service of caring for human beings.” Kristin M. Collier, MD thepublicdiscourse.com/2024/02/92580/

In discussing my career when I was a fellow, I told my mentor "I can see patients, but I can't do teaching or research." She told me "It's not about can/can't. It's about want. You can do everything as long as you want it." What Is a Mentor? | NEJM nejm.org/doi/full/10.10…

Recently had an ER visit for dehydration while out of town. Received some labs and 3 IV bags. Here's the bill- AFTER insurance. It's no wonder medical debt is the top cause of bankruptcy in the U.S. 🏥💸 #HealthcareCosts #MedicalDebtCrisis