Jul 27, 2026 · 1 hr 39 min · 11 segments
Posting a video about the role of communication for sedation management to help prevent post-ICU syndrome sparked important discussion and the sharing of valid concerns. @pulmtoilet comes back to the…
Nick GhionniGuest
Kali DaytonHost
It's more just like rambling about, I think where From my perspective, being an intern, say, I guess at this point, 10 years ago, which is probably disgusting to say, but, and then at my hospital initially where I started, which was a community hospital, like very much community, like the most community hospital you could think of.
and how because of the intensivist group that was there we were pretty deliberate about the a to f bundle more or less so satsbt sleep protocol like music therapy prn analgesia first before we did continuous sedation never ever fentanyl drip like never if we did a fentanyl drip the medical director would call and be like why are you using fentanyl drip that's how neurotic it was and then I think probably around COVID time, I would say, not probably, like COVID, and that all changed.
But I wonder if that's honestly just, I think, staying on the benzo topic for a second, I think if you're not in a...
I think depending on who your intensivists are, I think some of them still reach for benzo pretty quickly.
Stephen Ramsey talked about, he said like they get people on a lot of benzo and stuff when they get people transferred in.
Like we, we think like we, No, it's taboo, but I think a lot of people don't think that it's taboo.
Tell me in reality, because obviously if you're depending on sedation to keep patients, quote, calm, that's your auto set.
It's more just like rambling about, I think where From my perspective, being an intern, say, I guess at this point, 10 years ago, which is probably disgusting to say, but, and then at my hospital initially where I started, which was a community hospital, like very much community, like the most community hospital you could think of.
and how because of the intensivist group that was there we were pretty deliberate about the a to f bundle more or less so satsbt sleep protocol like music therapy prn analgesia first before we did continuous sedation never ever fentanyl drip like never if we did a fentanyl drip the medical director would call and be like why are you using fentanyl drip that's how neurotic it was and then I think probably around COVID time, I would say, not probably, like COVID, and that all changed.
But I wonder if that's honestly just, I think, staying on the benzo topic for a second, I think if you're not in a...
I think depending on who your intensivists are, I think some of them still reach for benzo pretty quickly.
Stephen Ramsey talked about, he said like they get people on a lot of benzo and stuff when they get people transferred in.
Like we, we think like we, No, it's taboo, but I think a lot of people don't think that it's taboo.
Tell me in reality, because obviously if you're depending on sedation to keep patients, quote, calm, that's your auto set.
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