H
Heidi Engel
ICU physical therapist, PT, DPT, at UCSF Medical Center; creator of the first UCSF ICU Early Mobility Program and frequent guest on Walking Home From The ICU.
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Oct 4, 2026
Episode 219: Rethinking ICU Sedation with Dr. Wes Ely
37:02
H
12:38Heidi EngelGUEST
I feel like the purpose of the sedation awakening is often presented as part of a weaning process.
H
12:45Heidi EngelGUEST
And so I find awakening trials often being things like, "We've turned the propofol down from 50 to 20, and their eyes are opening, so that's our awakening trial." The other thing I often hear is how they of course need some sedation.
H
13:04Heidi EngelGUEST
But I feel like within all those conversations that present sedation as compassionate, providing comfort, needing to be lowered, not turned off completely, I find in those conversations, which are far more prevalent than I ever hear the conversation saying sedation is harmful, i- is lost the purpose, the whole purpose of removing the sedation.
24 MINS LATER

Wes ElyGUEST
In the studies where it's implemented early, what Haley, what Kaylee just said is accurate.