Critical Care Scenarios

Episode 88: ICU Liberation SCCM Congress 2025

7 snips
Mar 19, 2025
In this enlightening discussion, Heidi Engel, a physical therapist at UCF Submedical Center, delves into innovative strategies for mobilizing sedated ICU patients. She confronts the psychological and physical hurdles in patient recovery, emphasizing alignment with their experiences. The conversation shifts to pediatric ICU liberation, highlighting tailored sedation and mobility strategies. Engel also critiques traditional sedation practices, advocating for approaches that keep patients awake and mobile to enhance recovery outcomes.
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ANECDOTE

Challenges of First Mobilization

  • Heidi Engel describes mobilizing heavily sedated ICU patients as very challenging.
  • Patients often experience hallucinations and fear, complicating their first mobilization session.
ANECDOTE

Intensivist's Patient Experience

  • Sergio Sanotti shares his experience as a critical care patient, highlighting emotional pain beyond clinical success.
  • He emphasizes aligning care with what patients truly feel matters during ICU recovery.
INSIGHT

Pediatric ICU Liberation Differences

  • Pediatric ICU care differs notably from adult care, especially regarding sedation and mobility.
  • SATs are not recommended for children, and early mobility includes age-appropriate goals like being held.
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