Critical Illness Brain Syndromes (CIBS), Cognition and Dysphagia with Cara Donahue and Wes Ely

Brainstorms: Functional Neurorehab for SLPs

Guests: Cara Donohue, PhD, CCC-SLP & Wes Ely, MD, MPH

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/cbis-cognition-and-dysphagia

Join Renee Garrett as she hosts an enlightening discussion on the Speech Therapy PD podcast with esteemed guests Dr. Cara Donahue and Dr. Wes Ely. In this episode, we delve into the prevalence of dysphagia in critically ill patients, the importance of early intervention, and the collaborative efforts required for optimal patient care. Dr. Donahue shares her extensive research on swallowing disorders, while Dr. Ely discusses the holistic A2F protocol for ICU care. Together, they shed light on the significant role of speech-language pathologists, dieticians, and interdisciplinary teams in improving patient outcomes and recovery. Tune in for an insightful conversation that bridges the gap between clinical practice and patient-centered care.

Episode Timeline:

00:00 Introduction and Disclosures

01:46 Meet the Experts: Dr. Cara Donahue and Dr. Wes Ely

04:32 Prevalence and Challenges of Dysphagia in ICU Patients

09:00 The A2F Bundle: A Holistic Approach to ICU Care

11:13 Personal Stories and Pivotal Moments

19:00 The Role of Caregivers in ICU and Post-ICU Care

35:16 Advocating for Instrumental Exams in Dysphagia

39:15 Connecting CIBS and TBI: Overlapping Challenges

43:15 Final Thoughts and Future Directions

About the Guests:

Dr. Cara Donohue is a practicing speech-language pathologist, Assistant Professor, Medical Speech-Language Pathology Director, and Innovative Research in Aerodigestive Disorders (iRAD) Laboratory at Vanderbilt University Medical Center. She completed her doctoral studies in the Computational Deglutition Lab at the University of Pittsburgh and her post-doctoral research fellowship in the Aerodigestive Research Core Laboratory at the University of Florida. Her research aims to improve clinical care, patient outcomes, and quality of life for individuals suffering from swallowing disorders. Her current research work is funded by the American Heart Association, the Alzheimer’s Association, and the NHLBI.

E. Wesley Ely, MD, MPH, is an internist, pulmonologist, and critical care physician. Dr. Ely earned his MD at Tulane University School of Medicine and a Master’s in Public Health. He serves as the Grant W. Liddle Endowed Chair in Medicine and is a physician-scientist and tenured Professor at Vanderbilt University Medical Center. He is also the Associate Director of Aging Research for the Tennessee Valley Veterans’ Affairs Geriatric Research Education and Clinical Center (GRECC) in Nashville, TN. He is the founder and co-director of the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, and a pioneer in the investigation of delirium and long-term cognitive outcomes, including dementia, in survivors of critical illness, with continuous NIH and VA funding for over 25 years and more than 600 peer-reviewed publications. He designed and was a lead investigator for the study of JAK/STAT inhibitors in acute COVID-19, which successfully demonstrated a survival advantage for this class of medications, leading to FDA approval and a strong WHO recommendation for these medications in hospitalized patients receiving oxygen. He is the principal investigator for an NIA/NIH-funded phase III investigation of immunomodulation for patients suffering from Long COVID. His CIBS research center hosts free daily support groups to provide community and help in recovery for patients with Long COVID and their families. Dr. Ely is the author of a work of narrative nonfiction entitled Every Deep-Drawn Breath, from which he’s donating 100% of the net proceeds to help COVID-19 survivors and their family members rebuild their lives.