What is the current state of affairs with the ABCDEF bundle in many ICUs? What is it like to be trained to have patients awake after intubation to later be begging for awakening trials?

Dr. Nick Ghionni, The Floating Vent Guy, shares incredible insights, stories, and thoughts in this episode.

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When Molly suffered a severe stroke requiring mechanical ventilation and an EVD, what did Kaira do to prevent further neurological injury? What role did Molly’s ability to communicate while intubated play in her survival? Molly and Kaira both join us to share their perspectives from both sides of the ICU bed.

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CMS is rolling out a new initiative to require hospitals to have age-friendly care: 4Ms. This means that we must prioritize: Medications, Mentation, Mobility, and What Matters. Karen Mack, DNP, MBA, APRN, executive director at NICHE, shares with us how leverage age-friendly care in advocating for Awake and Walking ICUs!

Join the upcoming webinar on Verticalization Therapy in the ICU. Register here: https://tr.ee/-o9iVL3ErD

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In this powerful episode, we hear raw, heartfelt stories from ICU revolutionists who are bravely challenging the status quo in critical care. Amidst threats to their jobs, personal attacks, and widespread resistance, these clinicians refuse to turn a blind eye to the harm caused by sedation, immobilization, and dehumanization. From battling bullying by colleagues to risking their careers, they stand as fierce tigers and compassionate angels- fighting for dignity, autonomy, and humane care for our most vulnerable patients. Join us as we explore their courage, struggles, and unwavering dedication to transforming ICU culture against all odds.

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Does sedation improve safety in the ICU? What is the relationship between delirium and workplace violence? Nurse and survivor of workplace violence, Kelsey Springer, MSN, RN, CCRN join us now to share her experiences and the research.

Join me for the pre-conference delirium simulation training at ADS! https://americandeliriumsociety.org/events/ads-conference-2025/

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If the choice between being sedated or awake and mobile was provided prior to intubation with the risks disclosed, what would the general public choose?

Do patients and families have a right to know the risks of continuous sedation?

I interviewed strangers in airports throughout the USA to learn more about their preferences.

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What it is like to wake up intubated with an intra aortic balloon pump and then have Teia, your physical therapist, get you walking? Bob shares with us how the ABCDEF Bundle helped him walk home from the ICU.

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Need help making the business case for your hospital? Check out www.ABCDEFBundle.com !

What does JJ the RT have to say about last episode’s exploration of sedation and ventilator asynchrony? Are respiratory therapists prepared and empowered to optimize their role in Awake and Walking ICUs? How can create an environment that fosters RT excellence? JJ explores it all in this episode.

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