Critical Care Time 43. ICU Mobility with Kali Dayton, DNP
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Feb 24, 2025 In this episode, Kali Dayton, a critical care nurse practitioner with a passion for ICU mobility, dives into the transformative power of movement for critically ill patients. She discusses the detrimental effects of sedation compared to the benefits of early mobility, emphasizing its role in recovery and preventing complications. Kali advocates for a culture shift among healthcare teams, promoting collaboration and innovative practices like verticalization beds. Her insights reveal how prioritizing patient mobility not only enhances care but also reduces hospital costs.
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Origin Story
- Kali Dayton's first ICU normalized walking intubated patients.
- Traveling to other ICUs, she was shocked by the prevalent sedation and immobility.
Muscle Loss as a Vital Organ
- Muscle loss in the ICU is rapid, up to 2% per day and 30% within ten days.
- This muscle loss is exacerbated by sedation and contributes to long-term disability and mortality.
Muscles in SBTs
- Evaluate muscle function, including diaphragm strength, during spontaneous breathing trials (SBTs).
- Consider the muscular system as a vital organ from day one, just like kidneys or the brain.