54th AARC International Respiratory Congress

This lecture provides a critical and incisive evaluation of an aspect of clinical respiratory care of emerging or increasing importance.

What is the Legacy of the NIH ARDS Net?

The National Institutes of Health adult respiratory distress syndrome (ARDS) clinical trials network was a unique endeavor in the history of medical science. Both, the low tidal volume and the fluid-catheter management trials, were the most ambitious and complex multi-centered, clinical trials ever attempted. Although the landmark results of the low tidal volume trial were hailed as the first major breakthrough in the treatment of ARDS, the network quickly found itself embroiled in controversy that evokes debate to this day. Nearly a decade after the end of that landmark study, Mr. Kallet, an original member of the ARDS Net, gives an insider’s perspective on the workings of the network, its accomplishments, controversies, and what the long-term impact on the future of critical care research likely will be.

Pediatric Clinical Cases

Ride the Wave: An Interactive Case-Based Approach

Infants and children present with very diverse illnesses and injuries. In this interactive audience response session, several patient cases will be presented from the perspective of the physician and respiratory therapist. Emphasis will be placed on management decisions and technological challenges as well as their effects on outcome. After each case, time will be allotted for open discussions with the audience.

Educator Academy—Part I

Selecting the Best Candidates: Admissions Criteria for Your RC Program

The presenter will address the admissions process with emphasis placed on identifying the criteria that leads to selection of a qualified and successful candidate. Additionally, the presenter will provide an extensive review of the literature that supports successful candidate selection in health-related professions.

Panel Discussion–Thoughts From Three Experienced Program Directors

Bill Galvin MSEd RRT CPFT AE-C FAARC, Gwynedd Valley PA, and
Jeffrey J Ward MEd RRT FAARC, Rochester MN

Following the presentation, the panel will describe the admissions process at their respective institutions. Additionally, they will provide personal and practical commentary regarding selection criteria employed to identify qualified candidates. A question and answer session will follow.

RESPIRATORY CARE OPEN FORUM #9

Humidification & Nebulization
We Know Inhaled Air—Part 2

9:30 A.M.–11:25 A.M.

Clinicians present the results of their scientific studies. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions A.M.ong investigators and observers; posters expand the information presented.

Physicochemical Compatibility and In Vitro Deposition Properties of Formoterol Fumarate Inhalation Solution Binary Admixtures With Four Nebulizable Medications—June Gupta MSc, Napa CA
Albuterol Delivery by Intrapulmonary Percussive Ventilation (IPV®) and a Continuous Jet Nebulizer in a Heated Wire Ventilator Circuit Utilizing a Pediatric Ventilator In-Vitro Model—Randy Willis RRT-NPS, Little Rock AR
Accuracy of Mixing Albuterol Solutions for Inhalation—Bennett Downs RRT-NPS, Little Rock AR
Clinical and Economic Outcomes With a Conversion to Arformoterol Once or Twice Daily From Levalbuterol Using Breath Actuated Nebulizers—Robert S Pikarsky RRT, Syracuse NY
Comparative Study of the Delivery of Albuterol via Homemade and Commercially Produced Spacers—Kristen L Hess CRT, Conestoga PA
Influence of Nebulizer Type, Position and Bias Flow on Aerosol Drug Delivery in a Model of Infant Mechanical Ventilation—Arzu Ari PhD, Atlanta GA
Assessment of Medication Administration, Knowledge, Effect on Lung Function and Quality of Life With Patients Receiving the Combination Salmeterol/Fluticasone by Dry Powder Inhaler—Bill Pruitt RRT CPFT AE-C, Mobile AL
Comparison of Aerosol Performance Output From Anti-Static Valve Holding Chambers Using HFA Metered Dose Inhaler Formulations—Shailaja Somaraju PhD, Baltimore MD
A Novel Method to Assess the Seal Efficiency of Valved Holding Chamber Facemasks—Dirk von Hollen, Parsippany NJ
A Comparison of the Consistency of Output of a Low Flow Nebulizer Powered With Alternative Gas Sources—Emily L Zyla RRT, Grand Rapids MI
In Vitro Comparison of Two Nebulizer/Compressor Systems on the Emitted Dose of Nebulized Racemic Formoterol and Arformoterol—Andrea Bauer PhD, Marlborough MA
Humidification Levels During High Frequency Percussive Ventilation Using a Wicking Humidifier and a New Humidifier Technology (Hydrate Omni™)— Norm Tiffin RRT MSc, Midlothian VA
Response Time to Flow Changes in a Heated Passover Humidifier—Jaime Lynn Tiffin RRT, Simcoe ON Canada

“Come on in, the Water’s Fine”

The Rip Tide Effect: CMS and Regulatory Issues

Formerly with the Centers for Medicare and Medicaid Services (CMS), Ms. Hummel is the new AARC Director of Regulatory Affairs. She will discuss CMS regulations and how they affect the practice of resiratory care.

Keeping Your Head above Water: An Introduction to the New Methodology

This speaker will present a review of the new Joint Commission chapters and standards. This speaker will also go over the 2009 Safety Patient Issues.

Motivation and Mentoring

Mentoring: Creating a Bright Future for the Profession

The infusion of new, passionate, and enthusiastic talent into our profession is the key to our future. Whether it’s at a department, hospital or national level, the profession of Respiratory Care is in need of leaders that will take us into well into the 21st century. This presentation will focus on mentoring; the need for it and how to do it. Attendees will leave this lecture with a much more profound understanding of mentoring and the seven roles of being a mentor.

Motivation Theory

Many staff therapists have been motivated to develop themselves personally and professionally as a result of the implementation of a Professional Development Program at our hospital. The program encourages increased involvement in professional activities and the pursuit of higher education. The department has reaped the benefits of the staff development by fostering quality therapists and improved clinical practice. This presentation will discuss motivational theories (e.g., intrinsic versus extrinsic motivator, generational motivators, etc.) and their applications in this development program.

National Asthma Education and Prevention Program (NAEPP) 2007: Differences from Prior Versions

Classification of Severity and the Stepwise Approach–Part I

Guidelines for the diagnosis and management of asthma in the latest report from the NAEPP and significant updated information in the 1997 and 2002 reports.

Classification of Severity and the Stepwise Approach–Part II

Part two will address medication treatment options, both mono and combination therapy.

Home Care Accreditation

Keys to Achieving Successful Accreditation in Your Home Care Company

At the end of this session attendees will be able to identify areas that have been problematic for home care companies achieving accreditation. Identify areas of compliance with regulations to ensure successful accreditation and obtain useful tools to implement in their home care company for successful accreditation.

Selecting An Accreditation Organization—Which One is Right for Your Home Care?

At the end of the session, attendees will be able to have an overview of the 10 accreditation organizations that have been deeming authority from CMS. Identify which accreditation services best match their home care company and understand the initial application and implementation process to home care accreditation.

State of the Art in Lung Transplantation

Who Needs a Lung Transplant and How Do They Get In?

The presenter will review the UNOS waiting list statistics, waiting times, organ availability and death frequency for these scarce resources; present an explanation of how UNOS work with local involvement and how these organs are acquired and distributed in and out of the network.

Lung Transplants–How are They Actually Done and What Should the Respiratory Therapist Expect Afterwards?

Speaker will discuss some of the technical aspects of a lung transplant including monitoring (with or without Swan Ganze catheter, and/or TEE), double lumen tubes, employing bypass or not, what is attached to what, and intraoperative issues such as pulmonary hypertension and problems such as immediate pulmonary edema.

Collaborating for Life: The Respiratory Therapist’s Role in the Organ Donation Process

Nearly 100,000 people in the United States are waiting for organ transplants of all types; more than 2,300 patients are waiting for lungs. This presentation highlights the value the respiratory therapist brings to the organ donation process. It outlines the influence the respiratory therapist has on organ donor management, leading to an increase in transplantable organs and an increase in the number of lives saved through organ donation.

RESPIRATORY CARE OPEN FORUM #10

Disaster Responsiveness: We Can Make A Difference

9:30 A.M.–11:25 A.M.

Quality Improvement: Reduction in Response Time for Medical Emergencies—Mary J Johnson RRT MBA, Phoenix AZ
Evaluating the Effectiveness of a Critical Access Hospital’s Pandemic Influenza Plan—Julianne Perretta MEd RRT-NPS, Baltimore MD
Engineering Controls to Ensure Uninterrupted Oscillatory Ventilation During a Power Failure—Richard T Nguyen RRT, Houston TX
Staged Implementation of a Rapid Response Team With a Continual Feedback Loop—Suzanne Iniguez RRT-NPS, Houston TX
Laboratory Evaluation of Three Stockpiled Portable Ventilators—Teresa A Volsko RRT MHHS FAARC, Youngstown OH
Poor Ventilator Planning Could Result in a Bigger Disaster—Mark D Babic RRT, Cleveland OH
The Acuity of Burn Injury Patients During the 2007 San Diego County Wildfires—Marcia Teal RRT, San Diego CA
Battery Performance of Four ICU Ventilators—Thomas C Blakeman RRT, Cincinnati OH
Internal Battery Variability of Two Models of ICU Ventilators—Thomas C Blakeman RRT, Cincinnati OH
A Simple Infant Ventilator Designed for Use in Resource-Limited and Mass Casualty Settings—Jay Zignego BSc, Seattle WA

Managing Respiratory Care—The Essentials for Success

From Therapist to Manager–How Prepared Are You?

Describe the typical career path of a respiratory care manager, the transition, and the qualities and characteristics that must be learned quickly to succeed.

Department Structure and Practice–Learning From the Best

In developing a new department, or if new management, an understanding of department structure is necessary to establish resources that drive success. Structures of the most successful will be reviewed in addition to best practices derived from AARC Benchmarking.

Hiring the A Team

Key elements of the hiring process and what both new and old managers need to know about hiring and retaining the best.

Spending the Hospital’s Money–The Capital Budget

The process of capital budget preparation and justification is an important skill for any RC managers. Selecting product, negotiating the deal, and gaining approval from administration will be presented.

You’ve Come A Long Way Baby!

40 Years of NICU Respiratory Care

It is quite impressive how advanced neonatal respiratory care is today as compared to just a couple of years ago–let alone 40 years ago. This presentation will review the history of neonatal intensive care from the early days of mechanical ventilation through the recent advances in noninvasive respiratory support. Speculations about the potential advances in neonatal respiratory care over the next forty years will be offered.

Educator Academy—Part II

Establishing a New RT Program

The presentation will list and explain the steps in establishing a new respiratory therapy program. It will specifically address the needs assessment, competency goal, outcomes, resources, and thresholds. Emphasis will be placed on the required documentation to satisfy the initial application.

The Tobacco Cessation Consult

How to Teach Tobacco Cessation and What To Tell Patients

The Joint Commission current standards require that hospitals provide tobacco information and counseling in select diagnostic categories. Respiratory Therapists are frequently chosen to provide this service with little or no additional training.

Neonatal-Pediatric Section Membership Meeting

Section members meet to determine their needs and priorities, as well as how to use the AARC resources to accomplish them. All Congress attendees are invited.

Aerosols in Intensive Care: From Modeling to Management

Bronchodilator Therapy in the ICU: Impact of the CFC to HFA Transition

Over the past decade the practice of aerosol delivery of bronchodilators during mechanical ventilation has shifted to the use of the CFC P.M.DI. This presentation will explore the impact of the transition to the newer HFA P.M.DIs on clinical practice.

Nebulizers in Odd Places: The Effect of Position and Humidity on Aerosol Delivery During Mechanical Ventilation

Placement and choice of aerosol generators in the ventilator circuit can greatly affect drug delivery with adults, children, and infants. This presentation will provide “the science” behind aerosol delivery when your patient is on a mechanical ventilator.

Modeling Aerosol Delivery: How Aerosols Change During Mechanical Ventilation

This presentation will attempt to answer the question: If humidity does affect drug delivery, what is the evidence suggesting that turning off the humidifier during administration does or does not make a difference?

Man vs. Machine

Ventilators Make Better Choices Than Respiratory Therapists

The increased complexity of new mechanical ventilation modes is not matching an equal increase of expert personnel in the intensive care units.

RESPIRATORY CARE OPEN FORUM #11

Case Reports That Matter

12:30 P.M.–2:25 P.M.

The Application of Proportional Assist Ventilation in a Patient With Decompensated Congestive Heart Failure—Scott Richey RRT, Hampton VA
High Frequency Chest Wall Oscillation Increases Secretion Clearance and Chest Radiograph in a Patient With Traumatic Brain Injury, a Case Study—Matthew Davis CRT, Cockeysville MD
Use of High Flow Oxygen Delivery System in a Critically Ill Patient With Dementia—Tatjana P Calvano DO, Ft Sam Houston TX
Unusual Recruitment and Optimal PEEP Maneuvers in an Adult Morbidly Obese Man With Sepsis and Respiratory Failure—Troy A Whitacre RRT, Hallsville MO
Cetacaine Induced Methemoglobinemia: Case Report— Melinda A Hester RRT, Omaha NE
Late Application and Prolonged Use of High Frequency Oscillation in a Septic Patient With ARDS—Michael Bocci RRT, Houston TX
Imposed Work of Breathing Associated With Inadequate Mechanical Ventilator Flow Response—Nancy Craig RRT, Boston MA
Non-Invasive Positive Ventilation (NIPPV) With Helium Oxygen Gas (Heliox) in a Patient With Post Extubation Airway Constriction. A Case Study—Richard Piekutowski RRT-NPS, Hershey PA
A Case Study of Necrotizing MRSA PNA—Koreen Menzies RRT, San Diego CA
Use of Non-Invasive Positive Pressure Combined With Heliox to Alleviate Mediastinal Mass-Related Dyspnea—Julie Griffin RRT, Boston MA
A Case Study in the Treatment of Asthma Exacerbation With Non-Invasive Ventilation and Heliox—Joseph W Hegge RRT, Franklin WI
Mechanical Ventilation of a Patient With a Severe, Persistent Air Leak—Susan Lagambina RRT, Boston MA
The Oscillatron® Servo in a Patient With Severe Hypoxemic Respiratory Failure Improves Oxygenation—Felix Khusid RRT-NPS RPFT, Brooklyn NY
Missed Opportunity for Early Diagnosis of a Corrosive Esophageal Foreign Body and Subsequent Complications—James Coffman RRT, Little Rock AR
Optimization of High-Frequency Oscillatory Ventilation During Therapeutic Hypothermia: a Case Study—Carmen M Drye RRT, Marshville NC
Using NIRS to Evaluate Splanchnic Perfusion in NEC: a Case Report—Susan A Roark RRT-NPS, Atlanta GA
Case Report: Polysomnography Used to Optimize Mechanical Support for a Patient With Congenital Central Hypoventilation Syndrome—Richard T Ermak RRT, Wilmington DE
Non-Invasive Pressure Control Avoids Intubation in Patient With Amniotic Embolism—Felix Khusid RRT-NPS RPFT, Brooklyn NY

Assessing and Quantifying Lung Recruitment

This presentation will focus on the associations of pressures and volumes during lung recruitment. Included will be methods to determine effectiveness of lung recruitment.

2008 Legislative Impact on Respiratory Home Care

This presentation will review the challenges faced by providers of respiratory home care services. Discussion will include the impact of federal, state, and local legislation, as well as the challenges of continuing to provide quality patient care in the face of significant reimbursement compression.

Wipe Out Bugs in the ICU—MRSA & VRE

Methicillin-Resistant Staphylococcus Aureus (MSRA) and Vancomycin-Resistant Enterococcus (VRE) infections should be of great concern to every respiratory therapist. This lecture will discuss the epidemiology and impact of these infections on respiratory care clinical practice.

Current Controversies in Pediatric Respiratory Care

Ever wonder what the experts are saying about some of the more controversial aspects of respiratory care? This interactive debate between two experts in the field will provide contrasting views on clinically relevant topics affecting critically ill infants and children. Should all pediatric patients with acute lung injury be ventilated with a tidal volume of 6ml/kg? Is surfactant administration indicated for pediatric hypoxemic respiratory failure? These questions and others will be discussed. Time will be allotted for an interactive discussion with the audience. Bring your questions, opinions, and surf boards.

Respiratory Care Protocols

The Anatomy of a Protocol–From Idea to Implementation

For those still thinking about implementation of PDPs but not sure where to start or how to go about structuring a program, this lecture will provide some key concepts and considerations that have demonstrated success.

Order Set Development for a Bronchodilator Protocol

Despite overwhelming evidence that therapist-driven protocols improve the care delivered to our patients, respiratory therapists continue to fight an uphill battle with pharmacy regulations and accreditation inspectors challenging therapists’ ability to appropriately assess and treat patients. As a result of increasing regulation it has become difficult to effectively use the medication protocol our hospital already has in place. This presentation will discuss our collaboration with the pharmacy to ensure that we are compliant with applicable regulations, while ensuring that therapists maintain the flexibility to appropriately treat our patients. We will also discuss the resistance we faced during implementation of this order set and the education and support that were necessary to ensure success.

Ready, Air, Fire–Factors Leading to Success in the Implementation of Your Protocol Program

Once evidence-based protocols are developed and ready, there exist numerous barriers to getting both medical staff and RC staff to apply them to the majority of patients treated. This lecture will assist in the identification of barriers to success and strategies to overcome those barriers.

Competitive Bidding, Oxygen Caps, and the Future of Long-Term O2 Therapy

An Update on the Status of Competitive Bidding and Long Term O2 Therapy

Round one of competitive bidding is in place, and round two bids have been submitted for the next 70 cities. What impact does competitive bidding have on long-term oxygen therapy and where is it headed in the future?

Medicare Oxygen Caps and Their Impact on Home Oxygen Therapy

Medicare has continued to decrease the time to capping of oxygen payments. Will this have an impact on the availability of home oxygen? What is the strategy for moving forward?

Alternative Delivery Models for Home Oxygen Therapy

With competitive bidding and oxygen caps a reality, home care RTs are challenged to meet patient needs with new innovative techniques. Discussion of portable oxygen concentrators and nondelivery technologies will be highlighted.

Asthma Therapy in 2018

What Does the Future Hold?

Think back about how much asthma therapy has changed over the past decade. Now, imagine the tremendous potential for the next decade. This presentation will offer a truly unique perspective of what the future might hold.

RESPIRATORY CARE OPEN FORUM #12

Diagnostics, Can You Tell?—Part 2

12:30 P.M.–2:25 P.M.

Clinicians present the results of their scientific studies. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand the information presented.

Selection of Reference Equations for Adult Pulmonary Function Tests: an AARC Diagnostics Section Survey—Charles McArthur RRT RPFT, Mankato MN
Clinical Evaluation of an On-Airway System to Measure Oxygen Uptake—Joseph Orr PhD, Salt Lake City UT
Performance Evaluation of the EPOC Blood Gas System—Rebecca Meredith, Cleveland OH
Effect of Open Versus Closed-Mouth Breathing on Capnography Using Combination Nasal-Oral Sampling Line—Paul F Nuccio RRT FAARC, Boston MA
Impact of Company-Wide Spirometry Testing on the Identification of Patient Needs—Nicholas J Macmillan RRT FAARC, Bargersville IN
Arterial Line Insertion Workshop: Report of a Method—Leslie Patzwahl RRT-NPS, Cleveland OH
Post Extubation Stridor and Laryngeal Edema: an Original Study Measuring the Incidence, Severity, and Risk Factors—Donald L Bellerive MA RRT, Worcester MA
Comparison of Mean Expired CO2 Measurements Calculated Using the Dräger XL Ventilator Volumetric Capnography vs the Respironics NICO2 Monitor—Mark Siobal RRT, San Francisco CA
CO2 Rebreathing During Simulated Non Invasive Ventilation: Comparison of Device, Tidal Volume Size, Respiratory Rate, and Exhalation Valve Type—Mark Siobal RRT, San Francisco CA
Pulmonary Function Test and Work-Related Respiratory Symptoms in Hairdressers—Nastran Hashemi MD, Los Angeles CA
Evaluation of High Altitude Simulation Gas Delivery Methods: Pros and Cons—Matthew J O’Brien RRT RPFT, Madison WI
A Comparison of Functional Residual Capacity Measurement Between a Modified Nitrogen Washout/Washin Technique Versus Body Plethysmography in Healthy Volunteers— Stanley M Baldwin RRT, Loma Linda CA
What Is the Threshold of PCO2 Needed to Activate the Measurement of Quantified Versus Qualified CO2 Detector—Carter K Tong RRT-NPS BRT, Loma Linda CA
The Efficacy of 7% Hypertonic Saline in Patients With Cystic Fibrosis: a Retrospective Study—Sandra Kindel RRT CRT, San Diego CA
Site Selection for Pulse Oximetry Performed on Individuals With Developmental Disabilities—William M Scicolone RRT, Mantua OH
Use of Smaller Tidal Volumes in a Porcine Cardiovascular Research Model May Be Unphysiological—George A Steer PhD RRT, Galveston TX

Embedding and Embracing Innovation

Change Theory and Innovation Implementation for Respiratory Care

Advanced control algorithms during mechanical ventilation is just one example of how technology is continuously refining medical treatment. This presentation will then focus on innovation and technological advances in Respiratory Care.

The Quality of Pulmonary Diagnostic Labs and Clinical Trials

The Quality of Pulmonary Diagnostics: Are They Adequate for Clinical Trials?

Recent studies have suggested there are widespread quality problems in pulmonary diagnostic labs. The speaker will review the studies and discuss the issues of quality requirements for performing clinical trials.

Preparing Your Lab for Clinical Trials

There has been an increase in the utilization of pulmonary labs in clinical trials. Learn how you can be successful participating in a clinical trial.

How to Complete a Respiratory Transport Outside the USA

When RTs air transport a patient from outside the U.S. borders to the U.S. or vice versa, the challenges are great. The presenter will answer the question, “I am in a third world country with a ventilator patient, what am I to do now?” The presenter will address information and guidelines for international air transport.

Global Perspective of Facility-Prolonged Mechanical Ventilator Care

Facility-Based Long-Term Ventilation in Germany

Discusses the growing “middle space” concept of care in Germany. Describes the facility-based care in that country, its financial implications, and anticipated growth of this concept across Europe.

Facility-Based Long-Term Ventilation in Colombia

Discusses the growing “middle space” concept of care in Colombia. Describes the facility-based care in that country, its financial implications, and anticipated growth of this concept across South America.

Facility-Based Long-Term Ventilation in the United States

Discusses the growing “middle space” concept of care in the United States. Describes the facility-based care in this country, its financial implications, and anticipated growth.

Managing Multiple Long-Term Ventilator Sites

This presenter will describe the complexity of managing multiple ventilator sites within a major area. She will further discuss responsibilities of the respiratory therapist in these facilities.

RESPIRATORY CARE OPEN FORUM #13

Management: We Know Our People—Part 1

3:00 P.M.–4:55 P.M.

OSA Screening—A Team Approach—Evans Castor RRT MBA, Naperville IL

The AIR (Achievement in Respiratory) Program: Developing a New Strategy for Recognition, Reward and Retention—Kathy L Kammeraad RRT, Grand Rapids MI

Respiratory Product Standardization in a Large Multi-Site Medical Organization—Mary J Johnson RRT MBA, Phoenix AZ

Enhanced Role of NICU Based Respiratory Therapists in an Academic Perinatal Center’s Neonatal Delivery Room Team: A BWH NICU Quality Improvement Project—Christine Pantano RRT-NPS, Boston MA

Arterial Line Insertion Simulator…on a Budget!—Keleigh Z Entienza RRT BSRC, Galveston TX

Electronic Documentation Provides Consistent Data Collection Regarding Failed Extubation Rates—Robert N Leshko RRT, Allentown PA

Bacterial Colonization of Respiratory Therapist Documenting Equipment in the Hospital—David F Wolfe MEd RRT AE-C, Syracuse NY

Decrease in Days of Mechanical Ventilation With Early Placement in a Dual-Pathway Weaning Guideline—Cindrich Kiley RRT, Vancouver BC Canada

Virtual Education and Simulation Technology (VEST) Used to Increase Clinical Confidence—Megan Boyle RRT, Newark DE

RCPs Can Provide a Safe and Effective Intubation Service as Compared With Health Care Professionals—Robert S Slonac RRT, Durham NC

Impact of an Intranet-Based Decision Support Tool on Therapist Adherence to a Therapist Driven Protocol—Christopher B Teegardin RRT, Seattle WA

Impact of Offering CRCEs on Attendance to a Respiratory Care Journal Club—Carl R Hinkson RRT, Seattle WA

Evaluation of Multi-Disciplinary Guidelines and a Dedicated Respiratory Therapist on the Care of Patients With a Tracheostomy—Neila Altobelli RRT, Boston MA

Challenges of Earned Versus Actual Labor in a Large Tertiary Referral Center—Harry Morris RRT MS, Orlando FL

Critical Care Practitioners Attitudes Toward Withdrawal of Life Support in a Tertiary Care Center—N Tate Bennett RRT, Durham NC

Clinical Endpoints in COPD Pharmacotherapy Evaluation

Integration of Physiologic and Outcome Measures

The clinical development of respiratory drugs has evolved over the recent past. This has been illustrated in the development of bronchodilators where the focus of demonstrating effectiveness via spirometeric improvements has expanded and evolved to include several outcome measures related to symptomatology and activities of patient living. Using the WHO Model of impacts on a chronic disease applied to COPD, this presentation will review approaches to assess the impairment, disability and handicap of disease and how therapy can impact these components.

Difficult Airways

Tips, Tricks, and Tools for Airways

The presentation will discuss tips, tricks, and tools that can be employed to establish a better airway. The presenters will address specific examples of techniques and strategies that might make navigation through an airway mess a bit easier. Examples of issues to be addressed include: anterior intubation, digital intubation, retrograde guided intubation, crycothyrotomy, and more.

Airway Management Issues Specific to the Neonate and Children

The neonatal airway offers unique challenges both in terms of anatomy as well as the available technology to manage the airway. This presentation will review the tricks of the trade for the difficult airway in the delivery room and the neonatal intensive care unit.

Infectious Airway Challenges

Various infectious processes from viruses to bacteria to the unknown can cause tenuous airways in the pediatric population. Preparation for these potential scenarios is essential. Diagnostic practices and treatment options will be reviewed.

Structural Airway Anomalies Diagnosis and Treatments

This presentation will define common pediatric airway anomalies and help the clinician identify them in daily practice as well as review current treatment options and long-term outcomes.

You Are Going to Nebulize What?

Gone are the days where respiratory therapists only nebulized bronchodilators. Many therapies are now being nebulized–often with limited or even no data. What should you say when a physician orders a novel nebulized medication? This presentation will discuss the use of off-label medications that can be delivered by inhalation. Potential risks and benefits will be considered. Just think of what the future might hold!

So You Think You Are A Superstar?

So You Think You Are a Superstar!

This presentation is a sequel to last year’s presentation. It will be an interactive case presentation entailing a computerized audience response system. The audience will participate in the care and treatment of challenging adult and pediatric scenarios. The audience’s responses will be shared and displayed throughout the presentation.

Simulation to Excellence

This presentation will review the traditional methods of training new flight personnel; focusing on the benefits, costs, and advantages of incorporating a computerized simulation center to simulate complex medical and traumatic scenarios.

Adult Neuromuscular Disease

Overview of Adult Neuromuscular Disease

This presentation will provide an overview of common adult neuromuscular diseases that the respiratory therapist may see in practice. Included topics will be amyotrophic lateral sclerosis (ALS), muscular dystrophy (MD), and spinal muscle atrophy (SMA).

Noninvasive and Invasive Ventilators for Patients with Neuromuscular Diseases

This presentation will describe the use of mechanical ventilator technology to support the neuromuscular patient. Included will be discussion of noninvasive and invasive ventilators, including new and traditional ventilatory techniques.

Adjunct Therapy for the Support of the Neuromuscular Patient

Many devices are available to support neuromuscular patients. Included in this discussion will be airway clearance techniques and the use of such devices as suction, breath stacking, Cofflator, and percussive therapy vests.

RESPIRATORY CARE OPEN FORUM #14

Babies & Kids: We Can Tell The Difference—Part 1

3:00 P.M.–4:55 P.M.

Measuring the Impact of Intensive Staff Education and Electronic Alerts to Achieve Lower Initial Set Tidal Volumes in a PICU Population—Tim Macknight RRT-NPS, Salt Lake City UT

Assessment of End Tidal CO2 During Pediatric and Adult Sedation for Endoscopic Procedures—Ron Shaoul MD, Haifa Israel

Setting the Target: Improving Outcomes Using Oxygen Targeting—Deborah A Igo RRT-NPS, Portland ME

A Neonatal Resuscitation Program (NRP) Simulation Quality Improvement Study—Daniel D Woodhead RRT, Ogden UT

Respiratory Care Device Selection With the Care of Medically Fragile Children—Lindsay B Miller, Youngstown OH

Prolonged Utilization of Isoflurane Anesthesia in a Case of Refractory Pediatric Status Epilepticus in the Pediatric Intensive Care Unit—Steven Sittig RRT-NPS FAARC, Rochester MN

Adenosine Deaminase Activity in Bronchoalveolar Lavage, Induced Sputum, Gastric Lavage and Serum in Childhood Pulmonary Tuberculosis—Eman M Fouda MD, Cairo Egypt

Accuracy of Sidestream vs Mainstream End Tidal Capnography: a Bland-Altman Analysis— Bradley Kuch RRT-NPS, Pittsburgh PA

Comparative Evaluation of a Simulation-Based Neonatal Resuscitation Program (NRP) With the Standard NRP Program—Daniel D Woodhead RRT, Ogden UT

How Does a Change in Oxygen Supplimentation Affect the Incidence of Retinopathy of Prematurity?—David M Dolcini RRT-NPS, Cleveland OH

Ventilator Alarms in PC Mode, Involving Pediatric Patients—Cynthia White RRT-NPS AE-C, Crittenden KY

Administration of Heliox via High Flow Cannula in a Croup Patient—Pamela J McDermott RRT, Springfield MA

Comparison of Reflective and Transmission Pulse Oximetry With Co-Oximeter Measured Oxygen Saturations in Severely Burned Children—Ronald P Mlcak PhD RRT FAARC, Galveston TX

Airway Pressure Release Ventilation Improves Ventilation/Oxygenation Using Lower Peak Inspiratory Pressures in Premature Neonates With Respiratory Failure—Daniel Gavin RRT, Boston MA

Evaluation of A Digital Tcpco2 Sensor and Its Correlation to ABG PCO2 Measurements During Neonatal High Frequency Oscillatory Ventilation—Daniel D Rowley RRT-NPS RPFT, Charlottesville VA

Teaching and Learning in the Affective Domain

The primary goal of this presentation is to present practical ways to help RT educators assist students in becoming healthcare professionals. Specific techniques for teaching professional attitudes and values will be presented. A review of the literature related to teaching values and attitudes in healthcare will also be presented.

The Pharmaceutical Develpment Process

The drug development process begins with discoveries and their subsequent development to establish their safety and efficacy for determining their rationale use in patient care. There are several critical areas and disciplines that contribute in this process including toxicology, chemistry, manufacturing, medicine, and commercial organizations. Through examples, this presentation will review the drug development process with emphasis on respiratory drugs.

Education Section Membership Meeting

Section members meet to determine their needs and priorities, as well as how to use the AARC resources to accomplish them. All Congress attendees are invited.

Adult Acute Respiratory Care Section Membership Meeting

Section members meet to determine their needs and priorities, as well as how to use the AARC resources to accomplish them. All Congress attendees are invited.

Monday, December 15

24th Phil Kittredge Memorial Lecture

What is the Legacy of the NIH ARDS Net?

Pediatric Clinical Cases

Ride the Wave: An Interactive Case-Based Approach

Educator Academy—Part I

Selecting the Best Candidates: Admissions Criteria for Your RC Program

Panel Discussion–Thoughts From Three Experienced Program Directors

Humidification & Nebulization We Know Inhaled Air—Part 2

“Come on in, the Water’s Fine”

The Rip Tide Effect: CMS and Regulatory Issues

Keeping Your Head above Water: An Introduction to the New Methodology

Motivation and Mentoring

Mentoring: Creating a Bright Future for the Profession

Motivation Theory

National Asthma Education and Prevention Program (NAEPP) 2007: Differences from Prior Versions

Classification of Severity and the Stepwise Approach–Part I

Classification of Severity and the Stepwise Approach–Part II

Home Care Accreditation

Keys to Achieving Successful Accreditation in Your Home Care Company

Selecting An Accreditation Organization—Which One is Right for Your Home Care?

State of the Art in Lung Transplantation

Who Needs a Lung Transplant and How Do They Get In?

Lung Transplants–How are They Actually Done and What Should the Respiratory Therapist Expect Afterwards?

Collaborating for Life: The Respiratory Therapist’s Role in the Organ Donation Process

Disaster Responsiveness: We Can Make A Difference

Managing Respiratory Care—The Essentials for Success

From Therapist to Manager–How Prepared Are You?

Department Structure and Practice–Learning From the Best

Hiring the A Team

Spending the Hospital’s Money–The Capital Budget

You’ve Come A Long Way Baby!

40 Years of NICU Respiratory Care

Educator Academy—Part II

Establishing a New RT Program

The Tobacco Cessation Consult

How to Teach Tobacco Cessation and What To Tell Patients

Neonatal-Pediatric Section Membership Meeting

Aerosols in Intensive Care: From Modeling to Management

Bronchodilator Therapy in the ICU: Impact of the CFC to HFA Transition

Nebulizers in Odd Places: The Effect of Position and Humidity on Aerosol Delivery During Mechanical Ventilation

Modeling Aerosol Delivery: How Aerosols Change During Mechanical Ventilation

Man vs. Machine

Ventilators Make Better Choices Than Respiratory Therapists

Case Reports That Matter

Assessing and Quantifying Lung Recruitment

2008 Legislative Impact on Respiratory Home Care

Wipe Out Bugs in the ICU—MRSA & VRE

Current Controversies in Pediatric Respiratory Care

Respiratory Care Protocols

The Anatomy of a Protocol–From Idea to Implementation

Order Set Development for a Bronchodilator Protocol

Ready, Air, Fire–Factors Leading to Success in the Implementation of Your Protocol Program

Competitive Bidding, Oxygen Caps, and the Future of Long-Term O2 Therapy

An Update on the Status of Competitive Bidding and Long Term O2 Therapy

Medicare Oxygen Caps and Their Impact on Home Oxygen Therapy

Alternative Delivery Models for Home Oxygen Therapy

Asthma Therapy in 2018

What Does the Future Hold?

Diagnostics, Can You Tell?—Part 2

Embedding and Embracing Innovation

Change Theory and Innovation Implementation for Respiratory Care

The Quality of Pulmonary Diagnostic Labs and Clinical Trials

The Quality of Pulmonary Diagnostics: Are They Adequate for Clinical Trials?

Preparing Your Lab for Clinical Trials

How to Complete a Respiratory Transport Outside the USA

Global Perspective of Facility-Prolonged Mechanical Ventilator Care

Facility-Based Long-Term Ventilation in Germany

Facility-Based Long-Term Ventilation in Colombia

Facility-Based Long-Term Ventilation in the United States

Managing Multiple Long-Term Ventilator Sites

Management: We Know Our People—Part 1

Clinical Endpoints in COPD Pharmacotherapy Evaluation

Integration of Physiologic and Outcome Measures

Difficult Airways

Tips, Tricks, and Tools for Airways

Airway Management Issues Specific to the Neonate and Children

Infectious Airway Challenges

Structural Airway Anomalies Diagnosis and Treatments

You Are Going to Nebulize What?

Humidification & Nebulization
We Know Inhaled Air—Part 2