54th Congress

Important Date

Saturday, Dec 13

8:30 A.M.–10:55 A.M.

Plenary Session

Sam P Giordano MBA RRT FAARC
AARC Executive Director/Presiding

8:30 A.M.–10:10 A.M.

AARC Awards Ceremony

Sponsored by
Boehringer Ingelheim

10:15 A.M.–10:55 A.M.

Keynote Address

Supported by an unrestricted educational grant from
 GE Healthcare

Timothy McDonald

Timothy B McDonald

Legal and Ethical Pitfalls in Respiratory Care

Timothy B McDonald MD JD
Chief Safety and Risk Officer for Health Affairs for the University of Illinois; Professor of Anesthesiolgy and Pediatrics, University of Illinois College of Medicine at Chicago

11:00 A.M.

Opening of Exhibit Hall

Toni Rodriguez EdD RRT and
Timothy R Myers RRT-NPS/Presiding

Welcome Party

Saturday, Dec 13
7:30 P.M.–10:30 P.M.
Anaheim Marriott

A tradition you don’t want to miss. Everybody will be there and you want to be there too. Meet old friends and make new ones. Relax after a first busy day at the Congress, compliments of Cardinal Health.

Live entertainment. Complimentary beverages.

The 2008 and 2009 AARC Presidents open the Hall. The “Gold Standard” of all respiratory care meetings presents all the manufacturers and suppliers in the industry. The Exhibit Hall offers attendees an opportunity to make purchases right on the spot, often at special discounts. Don’t miss it! The Hall will stay open until 4:00 P.M. on Monday, Dec 15.

8:00 A.M.–6:00 P.M.

31st National Competition
Sputum Bowl® Preliminaries

Jim Fenstermaker RRT FAARC
Placentia CA/Presiding

11:05 A.M.–11:50 A.M.

Orientation for First-time Attendees

Presented by the AARC Program Committee

This program overview includes suggestions on how to maximize your time not only at the educational sessions, but also at the exhibits and peripheral activities.

11:05 A.M.–11:50 A.M.

Orientation: Presenting an OPEN FORUM® Abstract

Teresa Volsko

Teresa A Volsko MHHS RRT FAARC
Hudson OH

Ms. Volsko will discuss the framework of an Open Forum session (poster session and podium presentation), purpose and function of the moderators, and components essential to a podium presentation.


Ventilators & Ventilatory Techniques—Part 1

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 A.M.ong investigators and observers; posters expand the information presented.

  • Impact of a Uniform Ventilator Protocol Utilizing a Modified Open Lung Concept and Other Lung Protective Strategies on Potential Lung Donors—Sharon L McRee RRT, Weaverville NC
  • A Retrospective Review of NPPV and its Effect on Outcomes for Chronic Obstructive Airway Disease (COA) Patients Admitted via the ED for Respiratory Complaints—Joel M Brown II RRT, Newark DE
  • Evaluation of a Hypoxemic/Hypercapnic Algorithm for Identification and Treatment of Patients Following Application of NPPV—Paul D Luehrs RRT BSRT, Springfield MO
  • Prevention of Nasal Skin Breakdown During CPAP Use—Karen R Morelock RRT-NPS CHT, Albuquerque NM
  • Automatic Tube Compensation Promotes Earlier Weaning in Patients With Severe Neuroparalytic Snake Envenomation Requiring Mechanical Ventilation—Ashutosh N Aggarwal MD, Chandigarh India
  • In-Line Application of Continuous High Frequency Oscillation by Metaneb®—Joey Wilson RRT, Houston TX
  • Bench Test of a Double Blender CO2 Delivery System Through an Evita XL Ventilator—Tim Macknight RRT-NPS, Salt Lake City UT
  • Extubation Times After Open Heart Surgery: Comparison of Ventilator Modes—Jim Hamilton RRT RPFT, Provo UT
  • Outcome Evaluation of the Respiratory Care Wards Under Integrated Delivery System (IDS) for Long-Term Ventilator-Dependent Patients in Taiwan—Yen-Tang Lin RRT MS, Taou City Taiwan
  • Bench Study Examining Setup Practice of the Ventilator Circuit’s Affect on Initial Tidal Volume Delivery in Adaptive Support Ventilation—Anita C Cooney RRT CPFT, Norfolk VA
  • Documenting VT in mL/Kg PBW: Impact on All Patients and by Gender—Carl Haas RRT AE-C FAARC, Ann Arbor MI
  • Patterns of Tidal Volume Delivery During Mechanical Ventilation: a Retrospective Review of 2004-2007—Kimberly Bauser RRT, Ann Arbor MI
  • Evaluation of a Collaborative Oral Care Process and its Effect on Ventilator Associated Pneumonia Rates—Sara Bunting RRT, Lincoln NE
  • Triggering and Initial Gas Delivery of Current ICU Ventilators—Andrew D Marchese, Boston MA
  • Tidal Volume and Minute Ventilation Assessment Reliability With the Puritan Bennett 840 Ventilator and NICO Monitor in Two Ventilation Modes: Assist/Control (Volume) and Bilevel—Gary E Gradwell RRT, Philadelphia PA
  • Validation of Elevated Estimated Dead-Space Fraction as a Poor Prognostic Feature in Mechanically Ventilated Patients With Acute Lung Injury—Marija Kojicic MD, Rochester MN

RESPIRATORY CARE OPEN FORUM® Symposia supported by an unrestricted educational grant from

18 Symposia during the 4 days of the Congress:

Saturday, #1–4 Sunday, #5–8
Monday, #9–14 Tuesday, #15–18

12:30 P.M.–1:30 P.M.

Permissive Atelectasis: Lung Protective or Lung Injurious?

Neil MacIntyre

Michael Hewitt

Neil R MacIntrye MD FAARC
Durham NC

Michael J Hewitt RRT-NPS FAARC
Salsbury MD

The concept of “permissive atelectasis” was raised during the Respiratory Care Journal Conference on Controversies in the Critical Care Setting. This presentation will debate the merits of the theory behind the permissive atelectasis implications for lung protection versus lung injury.

12:30 P.M.–1:55 P.M.

Home Respiratory Care

12:30 P.M.–1:10 P.M.

How to Conduct a Research Project in the Home

Robert W McCoy RRT FAARC, Apple Valley MN

Research in the home provides a more realistic environment, yet is difficult to setup and control. This lecture will discuss how to select an appropriate topic for research, how to write a protocol, how to obtain Institutional Review Board’s approval and how to get the research published.

1:15 P.M.–1:55 P.M.

How Home Respiratory Products’ Variability in Performance Can Impact Patient Outcomes

Robert W McCoy RRT FAARC

This lecture will review the published articles on selected home respiratory products, the performance variability of several products and the documented variability of patient response to similar home respiratory products.

12:30 P.M.–2:40 P.M.

Pulmonary Rehabilitation
The Year in Review

12:30 P.M.–1:10 P.M.

Brian Carlin

Here’s Something New in Pulmonary Rehab!

Brian W Carlin MD FAARC
Pittsburgh PA

At the completion of this session, the learner will become familiar with the most recent publications in the field of pulmonary rehabilitation. The learner will also be able to develop strategies for implementation of the information learned during this session.

1:15 P.M.–1:55 P.M.

Pulmonary Rehab Program Modification Needed for Your Pulmonary Hypertension and Restrictive Lung Disease Patients

Susan G Farrell RRT CPFT AE-C ACSM, Annandale VA

Understand how to modify your pulmonary rehabilitation program from education, therapeutic exercise, and psychosocial intervention to long-term adherence for the pulmonary hypertension and restrictive lung disease patient.

2:00 P.M.–2:40 P.M.

Pulmonary Rehab Hot Management Topics from RVUs, The Joint Commission to Designing a Clinical Ladder. It’s All About Survival!

Gerilynn L Connors RRT FAACVPR, Falls Church VA

Develop the management strategies needed for pulmonary rehabilitation program survival to include staffing, the Joint Commission, and budget creativity.

1:00 P.M.–2:55 P.M.

Staff Development—No Therapist Left Behind

1:00 P.M.–1:35 P.M.

Darnetta Clinkscale

Encouraging Continuing Education in Respiratory Care

Darnetta Clinkscale MBA RRT
St Louis MO

Healthcare is becoming increasingly complex and requires our therapists to accurately process an incredible A.M.ount of complex technical and patient care data on a daily basis. The critical care environment requires our therapists to interact with a diverse healthcare team with varied educational and professional backgrounds. This presentation will discuss the obligation respiratory leadership has to our therapists to encourage and inspire them to continue their professional education, hone their communication skills and advance their clinical expertise in order to remain valued members of the healthcare team.

1:40 P.M.–2:15 P.M.

Professional Development Buzz Words and Best Practices: Making it Meaningful

Julianne Perretta MSEd RRT-NPS, Baltimore MD

How do you meet the needs of licensing boards, the NBRC, hospital administration, management and still make education meaningful and effective for the clinical respiratory therapist. This presentation will address the difficulties faced when designing professional development for RTs. Specifically, the educational requirements of governing bodies such as the Joint Commission, state licensing agencies, and the NBRC. A discussion of the importance of performing a needs assessment to evaluate the education of the needs of department administration and respiratory care staff.

2:20 P.M.–2:55 P.M.

What’s In It for Me? Advanced Practice from the Staff Perspective

Deborah M Bennett RRT AE-C, St. Louis MO

A front-line staff respiratory therapist will present her personal experiences and perspectives of departmental staff development efforts and how those efforts have affected her personal, professional, and clinical growth and development.


Education—Never Too Late To Learn

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 A.M.ong investigators and observers; posters expand the information presented.

  • A Survey of Respiratory Therapy Students Completing the Basic Disaster Life Support Program—Alisa G French RRT-NPS AE-C MBA, Kettering OH
  • From Admission to Graduation: Is There Any Difference Between Male and Female Respiratory Therapy Students on Academic Success in Respiratory Care Education?—Arzu Ari PhD, Atlanta GA
  • Respiratory Care Students as Research Assistants in a Randomized, Controlled, Clinical Trial—Whitney Ruff RRT, Little Rock AR
  • Catalysts for Learning Mechanical Ventilation— Gina A McMonangle, Younsgtown OH
  • Factors of Importance in the Persistence of Non-Nursing Health Science Students Enrolled in Community Colleges—Christy Kane PhD RRT-NPS, Louisville KY
  • Correlates of Attrition A.M.ong Part-Time Students in a Respiratory Care Baccalaureate Program—Tonya R Cook RRT, Little Rock AR
  • Review of Differences in Respiratory Therapy Programs Nationwide: a Randomized Controlled Sampling—Christina Chao CRT, Boston MA
  • Essential Admission Criteria as Predictors of Student Success on the National Board of Respiratory Care Exams—Dhiren K Chatterji MS RRT, Nashville TN
  • Comparison of Prerequisite Grades to Scores on the CRT and WRRT Exams—Aaron Light RRT BRST, Springfield MO
  • Critical Thinking Skills and Preferred Learning Styles of Respiratory Care Students—Joshua F Gonzales MA RRT-NPS, San Marcos TX
  • Factors That Predict Performance in a Respiratory Care Program—Leonard D Wittnebel RRT BSRC, San Antonio TX
  • Improvement in Confidence of Respiratory Therapists Through High Fidelity Simulation Training—Patricia A Achuff RRT-NPS MBA, Philadelphia PA
  • Evaluation of On-Line Preceptor Training—Georgianna Sergakis PhD RRT, Columbus OH
  • Preferred Attributes of Clinical Education Preceptors: a Survey of Baccalaureate Respiratory Care Students—Patrick Evans RRT RN, Texarkana AR
  • Comparison of Two Types of Staff Education Resources in an Intra-Departmental Based Education Program—Nancy A Johnson RRT-NPS, Cleveland OH
  • The Feasibility of Using an Instructional Video With Flow Volume Loop in 4 and 5 Year Old Children—Janelle S Smith RRT CPFT BSRT, Little Rock AR

1:00 P.M.–3:25 P.M.

Surfing the Waves to Rapid Response

1:00 P.M.–1:45 P.M.

Colleen Schabacker

Different Strategies in Developing Rapid Response Teams (RRT)

Colleen L Schabacker BA RRT FAARC
Cookeville TN

By attending this presentation the participant will be exposed to the makeup of numerous teams in various hospitals. This presentation discusses different personnel utilized depending on the different types and sizes of hospitals across the country.

1:50 P.M.–2:35 P.M.

Developing the Respiratory Therapist’s Role Within a Rapid Response Team

Karyn Releford BS RRT, Newport Beach CA

The role of the respiratory therapist within the Rapid Response Team is pivotal, yet often underutilized and overlooked. The respiratory therapist brings to the team advanced assessment skills, years of experience dealing with the critically or soon to be critically ill, as well as a collaborative approach to patient care. They are instrumental in providing ABG results, managing and maintaining the patient airway and cardiovascular system, and assisting in transport to a higher level of care.

2:40 P.M.–3:25 P.M.

Karen Stewart

Rapid Response Teams—Do They Really Work?

Karen J Stewart MS RRT FAARC
Charleston WV

Rapid Response Teams have been in existence for numerous years now. This presentation will look at the research and report the outcomes of these teams.

1:00 P.M.–3:30 P.M.

Transport Database Development: From Quality Assurance to Clinical Research

1:00 P.M.–1:45 P.M.

Transport Database Development: Where Do I Start and What Do I Collect

Bradley A Kuch BS RRT-NPS, Pittsburgh PA

Quality assurance and resource allocation are crucial aspects of any transport system. This presentation will discuss the initial development of a transport team database from identifying and collecting pertinent transport data to potential uses of such a resource. Variables which should be included and their definitions will also be discussed. The presentation will conclude with a brief description of currently available desktop and Internet-based database systems.

1:50 P.M.–2:35 P.M.

Richard Orr

Clinical Research in the Transport Setting: Utilizing the Transport Team Database

Richard A Orr MD
Pittsburgh PA

Clinical research in the area of transport medicine is a difficult undertaking, which has resulted in a lack of scientific evidence in this often misunderstood area of patient care. This presentation will discuss issues surrounding clinical research in the transport setting, provide a brief introduction to variable coding, and describe how a database can facilitate the research process. It will conclude with an interactive discussion centering around the future direction of transport research.

2:40 P.M.–3:30 P.M.

Goal-Directed Therapy in Pediatric Transport Setting

Richard A Orr MD

The practice of goal-direct care has improved outcomes when implemented in the emergency care setting. As a result, the concept has extended into the area of pediatric transport medicine. The lecture will introduce this concept while presenting an evidence based discussion addressing how it affects the outcome of critically ill children who require transport.

1:00 P.M.–3:50 P.M.

Pediatric Acute Lung Injury: Beyond Routine Pediatric Conventional Ventilation

1:00 P.M.–1:30 P.M.

Surfactant Therapy, Not Just for Neonates Anymore

Douglas F Willson MD, Charlottesville VA

Exogenous surfactant administration has been the standard of care in intensive care nurseries for many years. More recently, the use of surfactant in the pediatric intensive care unit has been increasing. This presentation will overview the pathophysiologic rationale behind this trend along with a review of the available medical literature.

1:35 P.M.–2:05 P.M.

Prone Positioning—Is It Really Worth the Risk?

Martha A Q Curley RN PhD FAAN, Philadelphia PA

Prone positioning has long been demonstrated to improve gas exchange in patients with acute lung injury. The effects of prone positioning on outcome have been more controversial. This presentation will review the medical literature on this important topic.

2:10 P.M.–2:40 P.M.

Pediatric Acute Lung Injury: Epidemiology, Treatment, and Outcome

Bradley A Kuch RRT-NPS, Pittsburgh PA

Despite significant progress in recent years, research concerning pediatric acute lung injury remains sparse in comparison to the adult version of the disease. This presentation will review the most pertinent publications on pediatric acute lung injury with emphasis on its epidemiology, treatment strategies, and outcome. Future research directions, including identifying patients who are at increased risk for the development of lung injury and potential treatment options will be discussed.

2:45 P.M.–3:15 P.M.

Mid-Frequency Ventilation

Robert L Chatburn RRT-NPS FAARC, Cleveland OH

How do we obtain the lung protective benefits of high-frequency ventilation without the skills needed to operate the specialized ventilator? This presentation will review the  theory and bench studies describing this new approach to neonatal and pediatric mechanical ventilation.

3:20 P.M.–3:50 P.M.

Extracorporeal Techniques in the Management of Cardiopulmonary Failure

Peter Betit RRT-NPS FAARC, Boston MA

When advanced ventilatory strategies and cardiac support fail, extracorporeal techniques are utilized to permit cardiopulmonary “rest” and recovery. This presentation will review extracorporeal techniques and clinical strategies associated with this life-saving technology. Alternatives to traditional ECMO, and outcomes of recent studies will be presented.


Ventilators & Ventilatory Techniques—Part 2

3:00 P.M.–4:55 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 A.M.ong investigators and observers; posters expand the information presented.

  • Measurement of Total Flow and FIO2 in Bi-Level Non Invasive Mechanical Ventilation—Rodrigo S Adasme RRT-NPS PT, Santiago, Chile
  • Ventilator Advisory System Recommends Appropriate Pressure Support Ventilation Settings: Validation Study—S Bonett RRT, Gainesville FL
  • A Prospective Study of Clinical Outcome and Correlates for Success of Noninvasive Positive Pressure Ventilation in Acute Respiratory Failure—Saumy Johnson MSc BRT, Udupi Karnataka India
  • A Comparison of Two Compression to Ventilation Ratios on Rescuer Performance in BLS—Phillip D Hoberty RRT EdD, Columbus OH
  • The Weaning Index Predictors for Prolonged Mechanical Ventilation in Central Taiwan—Chin-Jung Liu RRT CRT, Taichung Taiwan
  • Clinical Use of Non-Bronchoscopic Bronchoalveolar Lavage Catheter in Mechanically Ventilated Patients—John S Emberger Jr RRT, Newark DE
  • Patterns for Liberating Mechanically Ventilated Patients by Day of the Week—John S Emberger Jr RRT, Newark DE
  • Calculation of Oxymask FIO2 by Using a Modified Version of the Alveolar Air Equation—Tim Hubbard RRT, Springfield MO
  • Gas Exchange With High Frequency Oscillatory (HFOV) vs. Percussive (HFPV) Ventilation in an Animal Lung Injury Model—Robert Gillette MD MA, San Antonio TX
  • Clearing Secretions From Above the Endotracheal Tube Cuff Using a Purge Maneuver: a Bench Study—Lawrence B Cole RRT, Seattle WA
  • Epidemiology of Noninvasive Mechanical Ventilation for Acute Respiratory Failure in Olmsted County, Minnesota: a Retrospective Population-Based Study—Guangxi Li MD, Rochester MN
  • Evaluation of Hypopharyngeal Pressure Generated by a High Frequency High Flow Nasal Cannula Device—Steven B Powell MD, Chicago IL
  • Clinical Implementation of Neurally Adjusted Ventilatory Assist (NAVA) —Kerri Porretta RRT, Toronto, Canada
  • Non-Invasive Positive Pressure Ventilation: Outcomes of Introducing Technology Which Addresses the Limitations of Gas Leak—Christopher T DaRosa MS RRT-NPS RPFT, Fall River MA
  • Effect of Humidity in Expiratory Filters on Graphic Analysis in the Dräger Evita 4 XL and Servo-i—Roger W Reichenbach RRT, Detroit MI
  • The Importance of Standardization of Head of Bed Measurements in Ventilated Patients: Lessons Learned—Marie Duggan RRT, Boston MA

1:40 P.M.–5:00 P.M.

Ride the Wave to Patient Ventilator Interactions

Supported by an unrestricted educational grant from

1:40 P.M.–2:20 P.M.

Dimitris Georgopoulos

Asynchrony: What Is It and How to Monitor It?

Dimitris Georgopoulos MD
Crete, Greece

Patient-ventilator synchrony is essential to optimizing mechanical ventilation. This presentation will describe the tools needed to recognize and alleviate asynchrony.

2:25 P.M.–3:05 P.M.

Patient-Ventilator Interaction During Pressure Support

Dean R Hess PhD RRT FAARC, Boston MA

Pressure Support has been used for decades during mechanical ventilation. Asynchrony can also occur during Pressure Support. This lecture will discuss the signs and symptoms of asynchrony and possible remedies.

3:10 P.M.–3:50 P.M.

Patient-Ventilator Interaction During Proportional-Assist Ventilation

Dimitris Georgopoulos MD

Proportional assist ventilation (PAV) is a recent innovation for mechanical ventilation. This lecture will discuss the mechanics of PAV and the available literature on clinical application.

3:55 P.M.–4:35 P.M.

Patient-Ventilator Interaction During Closed-Loop Ventilation

Richard D Branson MS RRT FAARC, Cincinnati OH

Closed-loop mechanical ventilation has become increasingly popular modality in the ICU. This lecture will describe various methods and synchrony issues during the application of closed-loop mechanical ventilation.

4:35 P.M.–5:00 P.M.

Questions from the Audience

2:00 P.M.–2:30 P.M.

Home Care Section Membership Meeting

Robert W McCoy RRT FAARC/Chairing

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.

2:40 P.M.–5:25 P.M.

Student Focused Seminar—The Transformation to Practitioner

2:40 P.M.–3:10 P.M.

Toni Rodriguez

Becoming a Professional

Toni Rodriguez EdD RRT
Phoenix AZ

The presentation will provide an overview of the profession of respiratory care, to include its evolution, role, and value. Emphasis will be placed on the characteristics and traits of a professional and the critical importance of being involved and maintaining a professional membership.

3:15 P.M.–3:45 P.M.

Bill Galvin

Getting Credentialed

Gwynedd Valley PA

The presentation will address commonly cited reasons for poor performance on the NBRC credentialing examinations. It will cover strategies and techniques for successful performance on examinations to include: study skills, memory skills, and test-taking skills.

3:50 P.M.–4:20 P.M.

Getting Employed

Colleen L Schabacker BA RRT FAARC, Cookeville TN

The presentation will provide an overview of the job selection process to include the resume and the interview process. Emphasis will be placed on securing meaningful and satisfying employment.

4:25 P.M.–4:55 P.M.

Continuing Your Education

Jeffrey J Ward MEd RRT FAARC, Rochester MN

The presentation will stress the importance of continuing one’s education even after graduation from your respiratory care program. Presenter will identify and discuss additional career options as well as the value and importance of lifelong learning.

2:50 P.M.–5:00 P.M.

Wipeout—More on Disaster Planning

Supported by an unrestricted educational grant from
GE Healthcare

2:50 P.M.–3:30 P.M.

Disaster Preparedness, What we Learned From the San Diego County Wild Fire Storms of 2007

Kevin McQueen RRT, San Marcos CA

Discuss what was learned when our hospital had to deploy surge capacity tents to accommodate the influx of patients seeking emergency care associated with the San Diego County Fire Storms of 2007. The objective is to discuss with others what worked well and what obstacles we had to overcome to provide patient care during a major disaster.

3:35 P.M.–4:15 P.M.

Mass Casualty Ventilation Planning and Education: The Wisconsin Way

Robert A Milisch MEd RRT, La Crosse WI

This presentation will outline the steps taken by the State Expert Panel on Ventilator Surge Capacity to plan and implement the Wisconsin Surge Capacity Plan (WSCP). Details of the plan including ventilator selection, pre-positioning, and ventilator distribution will be presented. The presentation will also contain the online Mass Casualty Ventilation Training program that was used to train 1,000 therapists throughout the state. Also discussed will be the WSCP drill and data collected on the outcome of the drill including retention of knowledge included in the training program.

4:20 P.M.–5:00 P.M.

Making Ethical Decisions During a Disaster

Mark D Babic RRT, Cleveland OH

This speaker will explain the basics of medical ethics and current triage plans for mass casualties. Also, will present detailed information on how to apply ethical decisions during a disaster or pandemic.


Humidification & Nebulization
We Know Inhaled Air—Part 1

3:00 P.M.–4:55 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 A.M.ong investigators and observers; posters expand the information presented.

  • Measurement of Humidification Levels From Active Humidifiers Using a High Performance Humidity Sensor—Daniel P Dwyer, Durham NC
  • The Influence of Moisture Accumulation on Drug Delivery From P.M.DIs During Mechanical Ventilation—Hui-Ling L Lin MSc RRT RN, Tao-Yuan Taiwan
  • Aerosol Delivery With Metered-Dose Inhaler During Adult Mechanical Ventilation: Influence of Inspiratory Flow Rate, Tidal Volume, and Actuation Adaptors—Hui-Ling L Lin MSc RRT RN, Tao-Yuan Taiwan
  • Performance of Seven Small Volume Nebulizers at Three Different Flowrates—Christy E Forsman CRT, Mertztown PA
  • An Alternative Method for Titratable Aerosolized Prostacyclin Administration During Mechanical Ventilation—Travis Leistiko RRT, Seattle WA
  • Variations in Inspired Gas Temperatures in Neonatal Ventilation—Stephen G Staib RRT, Philadelphia PA
  • Back Pressure Buildup in Medical Gas Delivery Systems—Holly W Cummings MPH, Louisville KY
  • Influence of Nebulizer Type, Position and Bias Flow on Aerosol Drug Delivery in a Model of Adult Mechanical Ventilation—Arzu Ari PhD, Atlanta GA
  • An In-Vitro Evaluation of Aerosol Drug Delivery With Continuous Nebulization in Simulated Mechanically Ventilated Pediatrics—Essam A Aljamhan RRT-NPS, Atlanta GA
  • Comparison of Breath-Actuated Nebulizers (BAN) and Ultrasonic Nebulizers in Sputum Induction—George M Blaisdell CRT RPFT CCPT, Portland ME
  • Bronchodilator Treatment Time With a Breath-Actuated Small Volume Nebulizer Need Not Be Longer Than With a Continuously Operating Nebulizer—Dominic P Coppolo RRT, Syracuse NY
  • Evaluation of Two Valved Holding Chambers With Facemask Using a New Infant Face Model: Importance of Avoiding Leakage Between Facemask and Face—Dominic P Coppolo RRT, Syracuse NY
  • Evaluation of Two Valved Holding Chambers With Facemask Attachments for Pediatric Use With a New Small Child Face Model—Dominic P Coppolo RRT, Syracuse NY

3:00 P.M.–4:25 P.M.

Medication Management

3:00 P.M.–3:40 P.M.

Cut the Waste and Cut the Cost of Respiratory Medications

Thomas R Lamphere RRT, Sellersville PA

The presentation will show how to safely use MDI canisters between patients while still meeting the Joint Commission guidelines. The practice (aka Common Canister Protocol) was widely used in the past but has fallen by the wayside due to a 2005 TJC standard and the introduction and subsequent popularity of Advair Diskus. The presentation will review how to update this protocol for use in an acute care facility and includes a discussion on infection control, TJC, Pharmacy and Pyxis systems and more. The example provided will show how one hospital reduced wasted doses of medication by over 90,000 doses while saving $100,000 a year in costs.

3:45 P.M.–4:25 P.M.

Missed Respiratory Therapy–Impact and Potential

Donna L Clayton BS RRT, St. Louis MO

The difficulty of exactly defining “missed therapy” and lack of an accepted benchmark continues to plague our profession. This presentation will detail our experiences as an individual hospital and as a member of a multihospital system. The difficulties of staffing to achieve zero missed therapy will be discussed as well as the unique aspects of our facility that cause geography to be a factor in missed therapy. We will share the data that we have developed from our studies and discuss our ongoing efforts to clarify and standardize the definition of missed therapy and achieve zero missed therapy.

3:30 P.M.–4:15 P.M.

Respiratory Care 2015
The AARC Initiative

Charles Durbin

Charles G Durbin Jr MD FAARC
Charlottesville VA

Dr. Durbin will provide an update on the work of the AARC’s Respiratory Care 2015 Initiative. It will address the purpose and process and specifically cover the following issues which were addressed in the first conference: demographics of patients, workforce projections, quality evaluation, electronic records, changes in insurance, Medicare, etc. Dr. Durbin will conclude with a discussion of future conferences and projections of the RT of the future.

3:35 P.M.–4:15 P.M.

Surface and Air Transport Section Membership Meeting

Dawn Filippa RRT EMTP/Chairing
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.

3:55 P.M.–5:15 P.M.

Sedation Management for Mechanically Ventilated Infants and Children

3:55 P.M.–4:20 P.M.

Michael Anderson

Pediatric Sedation: A Primer for the Respiratory Therapist

Michael R Anderson MD
Cleveland OH

The administration of pharmacologic sedation, and at times neuromuscular blockade, is essential to the ideal ventilatory management of critically ill infants and children. This presentation will describe the importance of optimal sedation management and will provide the audience with a primer on sedation practices from the perspective of the respiratory therapist.

4:25 P.M.–4:50 P.M.

Steven Donn

Babies Feel No Pain: Debunking the Myth

Steven M Donn MD
Ann Arbor MI

The neonate presents unique challenges with regard to pharmacologic sedation. This presentation will focus on those aspects of medication delivery and drug metabolism that make the pre-term and full-term neonatal population different than older children and adults.

4:50 P.M.–5:15 P.M.

Protocols to Optimize Sedation for Infants and Children

Martha A Q Curley RN PhD FAAN, Philadelphia PA

Preliminary data have demonstrated the beneficial effects of sedation protocols in optimizing mechanical ventilation for infants and children. In this session, the available data will be presented along with a description of the rationale for protocolized sedation. Advantages and disadvantages of such an approach will be discussed.

4:30 P.M.–5:00 P.M.

Managment Section Membership Meeting

Richard M Ford RRT FAARC/Chairing

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.


All photos courtesy of Anaheim/Orange County Visitor & Convention Bureau