Pre-Congress Courses
Maximize your attendance by registering for one of the pre-Congress courses. Congress attendees may register for course #1 free-of-charge, or course #2 at a 60% discount.
If you have already registered for Congress, please use the printable registration form, or call Customer Service at 972-243-2272, to add one of these courses to your registration.
Sunday, December 5, 2010, 8:00 am - 4:00 pm
Las Vegas Hilton, Las Vegas, NV
Course #1: Alpha-1 Antitrypsin Deficiency for the Respiratory Therapist
Presented by the Alpha-1 Foundation in collaboration with the AARC.
Approved for 6.0 hours of continuing education credit (CRCE). You must attend the entire course to receive CRCE credit; no partial credit will be given.
- Congress registration required.
- Course is free to Congress registrants but you must pre-register for both.
- Attendance is limited.
- Registration deadline: November 17 or when the course is full.
- This course runs concurrently with the Mechanical Ventilation Course. You may register for only one.
- Lunch is provided.
Objectives
To enhance respiratory therapists’ knowledge of this important and under-recognized disease, this one-day course will cover:
- The clinical presentation of alpha-1 antitrypsin deficiency (AATD)
- The genetics of AATD
- Treatment of COPD in general
- Current and emerging therapy for treating AATD
- The key role of the respiratory therapist in helping to identify affected individuals and to provide optimal care to these individuals
Course Agenda
7:00 am – 8:00 am
Registration
8:00 am – 8:10 am
Welcome and Introduction
James K Stoller MD MS FAARC, The Cleveland Clinic, Cleveland OH
8:10 am – 9:05 am
Pathobiology of AAT and of AATD
Charlie Strange MD, Medical University of South Carolina, Charleston SC
- What is AAT?
- Genetics of AAT (with a primer on basic genetics
- What causes AATD?
- Pathogenesis of COPD
- Pathogenesis of liver disease
- Pathogenesis of skin disease
9:10 am – 9:50 am
Pulmonary Manifestations of AATD
James K Stoller MD MS FAARC
- COPD
- Radiographic distribution
- Bronchiectasis
- Hepatic disease
- Panniculitis
- Other disease associations
9:50 am – 10:10 am
Break
10:10 am – 11:05 am
Epidemiology and Detection of AATD
Charlie Strange MD
- Epidemiology of AATD
- Methods to test for AATD
- When to suspect and test for AATD
11:10 am – 12:05 pm
A Review of General Treatment of COPD
James K Stoller MD MS FAARC
12:05 pm – 1:30 pm
Lunch (provided)
1:30 pm – 2:25 pm
Augmentation Therapy for AATD
Robert A Sandhaus MD, PhD, National Jewish Health, Denver CO
2:30 pm – 3:25 pm
Emerging Therapies for AATD and the Role of the RT in Treatment
Robert A Sandhaus MD, PhD
3:30 pm – 4:00 pm
Questions and Answers
Robert A Sandhaus MD, PhD
James K Stoller MD MS FAARC
Charlie Strange MD
4:00 pm
Adjournment
Sunday, December 5, 2010, 8:00 am - 4:45 pm
Las Vegas Hilton, Las Vegas, NV
Course #2: Current Issues in Mechanical Ventilation
The last few years have seen great advances in mechanical ventilators and a proliferation in the different modes available for mechanical ventilation. This course is designed to present the current concepts of mechanical ventilation for both pediatric and adult patients. Specifically, the course will: (1) review state-of-the-art strategies of mechanical ventilatory support; and (2) offer practical application with recent advances in the strategies of mechanical ventilatory support. Presenters will share the latest information on patient-ventilator interaction from the recently held RESPIRATORY CARE Journal Conference. In summary, by attending this course you can ensure you have the current information to manage your respiratory care services, as well as what to teach your students.
Approved for 6.5 hours of CRCE credit. You must attend the entire course to receive CRCE credits; no partial credit will be given.
- Attendance is limited.
- Pre-registration is required. Deadline: November 17 or when the course is full.
- Registration fee is separate from Congress registration.
- Congress registrants receive a 60% discount on this course.
- This course runs concurrently with the Alpha-1 Course. You may register for only one.
- Lunch is on your own.
Course Agenda
7:00 am – 8:00 am
Registration
8:00 am – 8:50 am
Breathing: Conventional Ventilation—Does The Mode Matter?
Brian K Walsh MBA RRT-NPS FAARC, Children’s Medical Center, Dallas TX
Clinicians often debate which mode would be more optimal for an individual patient. But, does the mode really matter? Are there advantages to the newer mode of ventilation as compared to the more traditional approaches? This presentation will present the available literature in an attempt to bring this clinical question to a resolution.
9:00 am – 9:50 am
Decisions: What To Do When Conventional Ventilation Is Failing?
Michael A Gentile RRT FAARC, Duke University Medical Center, Durham NC
How is a failure of standard conventional ventilation defined? When should adjunct therapies and/or modalities beyond conventional ventilation be initiated? Are ‘non-conventional’ ventilator modalities and strategies really non-conventional? This presentation will review ventilator approaches beyond standard conventional ventilation, including high-frequency ventilation, prone positioning, surfactant administration, and inhaled nitric oxide. The rational for timing of these approaches will be reviewed.
10:00 am – 10:50 am
Circulation: The Influence Of The Ventilator and ECMO on Hemodynamics
Ira M Cheifetz MD FAARC, Duke University Medical Center, Durham NC
Cardiorespiratory interactions play a significant role in the physiology of a critically ill patient; however, these interactions are often underappreciated when ventilator parameters are adjusted. As the ventilator is adjusted, what happens to the cardiovascular system? This presentation will review the interactions between the lungs and heart.
11:00 am – 11:45 am
Panel Discussion: Ask the Experts
Ira M Cheifetz MD FAARC
Michael A Gentile RRT FAARC
Brian K Walsh MBA RRT-NPS FAARC
Pose your problems and concerns to our group of ventilator experts as they share their technical experience and expertise on issues related to the pediatric ventilator patient.
11:45 am – 12:55 pm
Lunch—On Your Own
1:00 pm – 1:50 pm
Lung Protection
Neil R MacIntyre MD FAARC, Duke University Medical Center, Durham NC
The use of mechanical ventilation can help as well as hurt the patient. What effect does positive pressure ventilation have on the lung? What are save levels of oxygen and carbon dioxide? How can we employ mechanical ventilation and safely protect the lung from injury? This presentation will review the concept of ventilator induced lung injury, lung protective ventilatory strategies and permissive hypercapnia/hypoxemia.
2:00 pm – 2:50 pm
Management of the Ventilator Withdrawal Process
Dean R Hess PhD RRT FAARC, Massachusetts General Hospital, Boston MA
The indications for mechanical ventilation are fairly well documented in the literature. However, the withdrawal process less understood and more subjective. When should the discontinuation of mechanical ventilation be considered? What process should be followed? This presentation will review the ventilator withdrawal process, to include; recognizing withdrawal potential, the role of the SBT, managing patients who fail the SBT, and the role of NIV.
3:00 pm – 3:50 pm
Patient-Ventilator Synchrony
Richard D Branson MSc RRT FAARC, University of Cincinnati, Cincinnati OH
With the enhanced capabilities and features of the contemporary mechanical ventilators comes the potential for patient-ventilator dyschrony. How would one identify asynchrony/dyschrony? What can the therapist do to correct the problems of asynchrony/dyschrony? This presentation will review management of asynchrony/dsychrony in mechanical ventilation, to include; autocycling, intrinsic PEEP, triggering, the role of flow in synchrony and breath termination issues.
4:00 pm – 4:45 pm
Panel Discussion: Ask the Experts
Richard D Branson MSc RRT FAARCR Dean R Hess PhD RRT FAARCR Neil R MacIntyre MD FAARC
Pose your problems and concerns to our group of ventilator experts as they share their technical experience and expertise on issues related to the adult ventilator patient.