The Gold Standard in Respiratory Care Meetings

2007 AARC Respiratory Congress
Advance Program


Monday, December 3

8:30 A.M.–9:20 A.M.
23rd Phil Kittredge Memorial Lecture
This lecture provides a critical and incisive evaluation of an aspect of clinical respiratory care of emerging or increasing importance.

Managing Respiratory Care—Where Is the Science?

Karen J Stewart MS
Charleston WV

Managing respiratory care services is a challenge and is not for the faint of heart. There have been significant changes in the past 20 years with many changes and challenges yet to come. How much of the management of respiratory care can be attributed to the art of management or the myths in management, and how much is science? What does the future hold? How do we respond to the needs of employees, patients and financial limitations? What are the issues in providing quality care? What kinds of leaders are needed in the future? What can these leaders expect? Do you have the right stuff to lead a department? These are all questions to be dealt with as we complete an historical review and predict the future in respiratory care management.

9:30 A.M.–10:00 A.M.
The Evolution of Respiratory Care: Part II: 1967–1987
David J Pierson MD FAARC, Seattle WA
In 1967, the main activity of most inhalation therapists was giving 150–200 IPPB treatments each month. Some of them were also drawing arterial blood samples, hospitals were beginning to open ICUs, the idea of treating emphysema patients with oxygen at home was just being explored, and a magazine called Inhalation Therapy was in its 12th year. Twenty years later, that journal was Respiratory Care, the AAIT was the AARC, and inhalation therapists had become respiratory therapists, with licensure in 18 states and Puerto Rico. This 3-part lecture series traces the history of respiratory care—subject area, the Journal, and the profession—and of the AARC, which in 2007 marks its 60th anniversary.

Pack the rooms for hot topics.

9:30 A.M.–10:10 A.M.
Key Take-home Lessons From the 2007 Respiratory Care Journal Conference on Asthma
Carolyn Kercsmar MD, Cincinnati OH
We know more about asthma, and have more effective agents for treating it, than ever before. Why, then, is asthma increasing in prevalence and severity, and why are so many patients ineffectively managed? This presentation summarizes the main take-home messages gleaned during the recent Journal conference on asthma, with proceedings to be published in 2 issues of Respiratory Care early next year.

9:30 A.M.–10:15 A.M.
Management of the Difficult Airway
Charles G Durbin Jr MD FAARC, Charlottesville VA
One of the scariest experiences for a respiratory therapist is being faced with a difficult airway. This session will provide strategies for effectively managing the difficult airway. Various techniques will be presented by one of the true experts in the field.

Education: Making Everyone Better

Supported by an unrestricted educational grant from IKARIA
9:30 P.M.–11:25 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 on the information presented.

  • Exploring the Effect of Program Resources on Student Retention in Respiratory Therapy Education—Arzu Ari PhD CRT CPFT, Atlanta GA
  • Admission Criteria as Predictors of Student Success on the National Board for Respiratory Care Examinations—Arzu Ari PhD CRT CPFT, Atlanta GA
  • The Development of a Preceptee Education Program for Respiratory Care Students at Children’s Hospital of Orange County, Orange, California—Mindy Pera, Orange CA
  • Student Respiratory Therapist Internship Program—Connie Dills, New Britain CT
  • Literacy Assessment of Internet Based Consumer Healthcare Information—Tiffany M Walsh RTS, Youngstown, OH
  • RCP Intubation Success After Incorporating a Virtual Education and Simulation Technology Lab: One Year Follow-Up—John Emberger RRT, Newark DE
  • Implementing a Respiratory Student Externship—Koreen Menzies RRT, San Diego CA
  • Smoking Among Saudi Arabian Students Studying in the United States—Khalid Alsowayegh MSc, Riyadh, Central, Saudi Arabia
  • Institution of a Smoking Cessation Protocol for Patient Education—Charez Norris RRT, Anthem AZ
  • Development and Initial Analysis of a Formal Mentorship Program for a Baccalaureate Degree Respiratory Care Program—Bryan Wattier, Rochester MN
  • The Results of a Respiratory Therapy Preceptor Training Needs Assessment: What, Why & How!—Kathy Jones-Boggs Rye RRT EdD, Little Rock AR
  • Perceived Benefits of the Use of Learning Contracts to Guide Clinical Education in Respiratory Care Students—Kathy Jones-Boggs Rye RRT EdD, Little Rock AR
  • Readiness to Quit Smoking and Begin Physical Activity Among a Sample of Patients Seeking Non-Emergent Care in an Urban, Academic, Tertiary Care Health Science Center—Michael Anders PhD RRT, Little Rock AR
  • Using Online Self-Paced Modules to Complete Institution-Required Education—Julianne Perretta MSEd, Baltimore MD
  • Comparison of Respiratory Therapy Department Websites—Vince Roberts RRT, Cleveland OH

9:30 A.M.–10:15 A.M.
The Pros and Cons of a Ventilator Dependent Unit in a Pediatric Long-Term Care Facility
Tammie Thacker RRT, New York City NY
The presenter will discuss the reasons for opening a ventilator dependent unit, the way to present a proposal to various disciplines in the facility (e.g., respiratory, nursing, physical therapy, and occupational therapy), and the advantages and disadvantages of opening a ventilator dependent unit.

9:30 A.M.–10:15 A.M.
Reducing Errors of Medication Administration: An Organization’s Journey
Bar-coding Enabled Medication Delivery and Respiratory Therapy
Manisha Shah CRT, Nashville TN
This presentation outlines the steps of redesigning the respiratory therapist’s workflow process prior to system implementation and enhancing patient safety, while reducing medication errors. The bedside electronic administration system provides item-specific identification (bar-coding) and enables the caregiver to administer medications with general confirmation of the 5 patient rights.

9:30 A.M.–10:20 A.M.
Interpretation of Indirect Calorimetry Data
Charles McArthur RRT RPFT, Mankato MN
The measurement of metabolic rate with indirect calorimetry may be a useful clinical tool in a variety of settings. The lack of a standardized approach to interpretation of these measurements may limit their clinical utility.

Hear original research at RESPIRATORY CARE OPEN FORUM symposia.

9:30 A.M.–11:10 P.M.
Special Things About Pediatrics
9:30 A.M.–10:15 A.M.
Upper Airway Infection
Gregory Schears MD, Rochester MN
The presenter will provide an overview of serious pediatric upper airway infections, to include: photos, radiographs, and videos with a discussion of recognition and management of upper airway infection encountered in the pediatrics population.

10:20 A.M.–11:10 A.M.
Utilization of a Pediatric Specialty Team with Interfacility Pediatric Trauma
Steven E Sittig RRT-NPS FAARC, Rochester MN
The use of pediatric specialty teams in the transport of interfacility pediatric trauma is rare due in part to long-held myths of delayed response time to request for transport and lack of knowledge on the part of the specialty team in dealing with immediate post trauma issues such as assessment. The presentation will address how this is done and more specifically, the composition of team, training, analysis of types of patients, and outcomes.

9:30 A.M.–11:45 A.M.
Prevention of VAP: Clues for Success
9:30 A.M.–10:00 A.M.
Pharmacological Prevention of VAP
Dean R Hess PhD RRT FAARC, Boston MA
This presentation will review pharmacologic measures used in the prevention of ventilator-associated pneumonia. Participants will be able to describe VAP prevention.

10:05 A.M.–10:35 A.M.
Ventilator and Nursing Related Measures in the Prevention of VAP
Ruben D Restrepo MD RRT, San Antonio TX
The prevention of VAP is a team sport. This presentation reviews mechanical ventilation and nursing actions used to prevent VAP.

10:40 A.M.–11:10 A.M.
Other Measures Used To Prevent VAP
San Antonio TX

There are many ways to prevent VAP. This presentation will explore new advancements in the prevention of VAP.

Enjoy educational opportunities.

11:15 A.M.–11:45 A.M.
Protocols and Bundles To Prevent VAP
Marcos I Restrepo MD, San Antonio TX
The information regarding VAP is massive. This presentation will review protocols, bundles, and protocols used in the prevention of VAP.

10:00 A.M.
Surface and Air Transport Section Meeting
Dawn Filippa RRT EMT-P, Hartford CT/Chairing
Whether or not you are a member of the Surface and Air Transport Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.

10:05 A.M.–12:00 noon
Issues in Respiratory Home Care
10:05 A.M.–10:40 A.M.
Benchmarking in Respiratory Home Care
Timothy W Buckley RRT FAARC
Chicago IL

Benchmarking is an important element in improving respiratory home care services. With increasing competition in home care, it is often difficult to obtain reliable, unbiased data for benchmarking purposes. The speaker will present ways to obtain data to improve efforts to measure outcomes and explain how to use those data to improve the services that are delivered.

10:45 A.M.–11:20 A.M.
Improving CPAP Adherence
Joseph S Lewarski RRT FAARC
Mayfield OH

Studies continue to show poor rates of adherence with continuous positive airway pressure therapy. With an ever-growing population of patients with sleep-disordered breathing and OSA, it is important that patients receive effective therapy. Strategies for measuring and improving CPAP adherence will be discussed.

11:25 A.M.–12:00 P.M.
Respiratory Home Care: Taking the Higher Ground
Robert McCoy RRT FAARC, Apple Valley MN
Respiratory home care is under financial pressure, and organizations are looking for options to reduce expenses. For some, reductions in clinical support services have been suggested as one option, yet this has the potential to adversely impact patient care outcomes. This lecture will discuss how respiratory home care therapists can continue to provide diagnostic and therapeutic services to meet patient needs in spite of pending cutbacks.

Nebulization, Drugs, O2, and Devices—Part 2

Supported by an unrestricted educational grant from IKARIA
9:30 P.M.–11:25 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 on the information presented.

  • Aerosol Workload Reduction—Edward Hoisington RRT, Cleveland OH
  • Bench Study of a Heated Bland Aerosol Tracheostomy Collar (ATC) Set-Up—Joel Brown RRT, Newark DE
  • The Aerosol Properties of Arformoterol Tartrate Inhalation Solution in Five Nebulizer/Compressor Systems—Andrea Bauer PhD, Marlborough MA
  • Aerosolized Amphotercin B Lipid Complex (aABLC) Distribution in Lung Transplant Recipients: A Comparison of Continuous Versus Breath Actuated Nebulizers—John Davies MA RRT, Durham NC
  • Do Retail Pharmacists Teach Customers Receiving Flucticasone/Salmeterol Dry Powder Inhalers the Proper Technique for Optimal Effect?—Bill Pruitt MBA RRT CPFT, Mobile AL
  • High Flow Nasal Oxygen Therapy Delivers Low Level Positive Pressure in a Study of 15 Post Operative Cardiac Patients—Rachael Parke PGDipHSc, Auckland, New Zealand
  • Reduction of Nebulization Time, Number of Treatments, and Length of Stay Can Be Achieved With a Breath-Actuated Nebulizer—Ken Thigpen, Jackson MS
  • In Vitro Comparison of Albuterol Dose Output for Standard MDI With Liteaire Spacer Versus Misty Max 10 Nebulizer—Sunil Dhuper MD, Brooklyn NY
  • Does Exhaled CO2 Rebreathing Occur With the Medicator® Möbius™ Continuous Aerosol/Heliox Delivery System?—Michael McPeck RRT FAARC, Baldwin Park CA
  • In Vitro and Meta-Comparison of Medication Delivery of Large Volume Medication Nebulizers on Oxygen and Heliox—Michael McPeck RRT FAARC, Baldwin Park CA
  • Room Air Entrainment Threshold of the Medicator Möbius—Michael McPeck RRT FAARC, Baldwin Park CA
  • Prediction of Inspired Helium Concentration in Large Volume Medication Nebulizers (LVMN)—Michael McPeck RRT FAARC, Baldwin Park CA
  • Got O2?—Carol Agard RRT, Honolulu HI

10:15 A.M.–11:00 A.M.
Assessment and Management of Acute Severe Asthma
Margaret J Neff MD MSc, Seattle WA
Acute severe asthma remains one of the most common respiratory emergencies encountered by clinicians. This presentation provides an evidence-based review of the definition, assessment, and current management of acute severe asthma in the emergency department and in the ICU.

10:20 A.M.–11:00 A.M.
Implications of Vocal Cord Paralysis for the Respiratory Therapist
Ian J Welsby MD, Durham NC
Vocal cord paralysis is a common disorder, and symptoms can range from mild to life-threatening. This lecture will describe the prevalence and treatment of vocal cord paralysis.

Enjoy the camaraderie.

10:20 A.M.–11:15 A.M.
Ventilator Games
G.W. Hamilton BHS RRT, St Louis MO
“Come on down. You’re the next contestant on ‘The Price Is Right’”…well, not exactly. Attendees to this interactive challenge of the mind will be divided into teams and answer a variety of challenging critical care/ventilatory strategy questions. Topics will include, but are not limited to: disease management, respiratory physiology, and evidence-based ventilatory practice. In addition, specific questions linked to the operation of specific modes and settings of the current generation ventilators will be imposed. Think you have what it takes?

10:20 A.M.–11:20 A.M.
The Role of the Health Care Provider Concerning Cultural Issues and End-of-Life Decisions
Pat Munzer DHSc RRT, Topeka KS
The presentation will provide information on the attitudes and beliefs toward death and end-of-life planning for different races, ethnicities, and cultures. It will address how one’s cultural beliefs, past health experiences, level of education, and family dynamics play a role in dealing with illness and making end-of-life decisions. Emphasis will be placed on developing a culturally competent health care professional.

10:30 A.M.–11:15 A.M.
Ethics in Respiratory Care
Ray Sibberson MS RRT, Akron OH and David A Lucas MS RRT-NPS AE-C, Parma OH
Respiratory therapists can get into trouble over issues that can generally be avoided. This presentation will discuss common issues of ethical breach and ways to overcome them.

11:15 A.M.–12:00 noon
MDI Conversion in a Pediatric Acute Care Setting
John W Salyer MBA RRT FAARC, Seattle WA
Typically, small volume jet nebulizers are used to administer aerosol medications to hospitalized pediatric patients. However, evidence suggests that comparable efficacy can be achieved in children with a metered-dose inhaler (MDI). This presentation will discuss the process and benefits derived from an MDI conversion in a pediatric in-patient setting.

See new products.

11:15 A.M.–12:00 noon
Respiratory Controversies in the Critical Care Setting
Top Controversies from the Respiratory Care Journal Conference
Ira M Cheifetz MD FAARC, Durham NC
Ever wonder what the experts are saying about some of the more controversial aspects of respiratory care? This presentation will review the top controversies in the critical care setting from the Respiratory Care Journal Conference. A summary of the expert opinion from this landmark conference will be provided.

12:30 P.M.–1:50 P.M.
The Patient, Respiratory Therapist, and Physician Approaches to Management: Models for Chronic Hypoxemia and Alpha-1 Antitrypsin Deficiency
12:30 P.M.–12:50 P.M.
Long-Term Oxygen Therapy from the Patient’s Perspective
John Tiger, Wichita KS
The speaker will discuss LTOT from a patient’s view.

12:50 P.M.–1:10 P.M.
LTOT from the Physician’s Perspective
Ken L Christopher MD RRT, Denver CO
This session will cover state-of-the-art and patient communication with LTOT.

1:10 P.M.–1:30 P.M.
LTOT from the Respiratory Therapist’s Perspective
Stephanie Diehl RRT, Littleton CO
Patient testing, initiation of LTOT and follow-up education, and support testing will be covered.

1:30 P.M.–1:50 P.M.
Alpha-1 Antitrypsin from the Physician’s Perspective
Robert A Sandhaus MD PhD, Coconut Grove FL
The speaker will discuss state-of-the-art and patient communication with alpha-1 antitrypsin deficiency.

Asthma and COPD—Part 1

Supported by an unrestricted educational grant from IKARIA
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 on the information presented.

  • Effectiveness of a Structured Education Program for Patients With COPD—Svetlana Semenyuk MD, Moscow, Russia
  • Influence of the Education Program for COPD Patients on a Health Related Quality of Life—Svetlana Semenyuk MD, Moscow, Russia
  • AIR (Asthma Intervention & Retraining) Program in an Urban Emergency Department Improves Asthma Quality of Life; Decreases ED Revisits, Admissions and Hospitalization Days—Kevin Ryan, Philadelphia PA
  • Changes in Asthma Hospitalization Frequency Among Different Races in the United States—Ankur Patel MD, Scotch Plains NJ
  • Asthma Hospital Admission Distribution Throughout Different Regions in the United States—Ankur Patel MD, Scotch Plains NJ
  • Trends of Asthma Hospitalization Among Different Age Groups in the United States—Ankur Patel MD, Scotch Plains NJ
  • Changes in Asthma Admission and Primary Payer Over 10 Years in the United States—Ankur Patel MD, Scotch Plains NJ
  • COPD Management Programs Can Achieve Joint Commission’s Certificate of Distinction—Nita Cadic, Atlanta GA
  • Improved Outcomes in COPD Patients Undergoing Cardiac Surgery: Immediate Extubation Reduces ICU and Hospital Length of Stay—Eric Crimmins MD, Lincoln NE
  • Use of Spirometry in an Inner City School Proves Successful One Year Later—Ed Conway RRT, Cincinnati OH
  • Disease Management Program for Patients With Chronic Obstructive Pulmonary Disease: A Retrospective Observational Study on Patient Outcomes—Kenneth Wyka MS RRT FAARC, Clifton Park NY
  • Impact of COPD in a Surgical/Trauma ICU on Ventilator Length of Stay—Thomas Gillin RRT, Newark DE
  • The Effect of COPD in Open Heart Surgery Patients—JaneMarie Murphy, Newark DE
  • Outcome of Patients With Acute Severe Exacerbations of Asthma Requiring Intensive Care in a Tertiary Care Hospital—Herng Lee Tan, Republic of Singapore

1:00 P.M.–1:45 P.M.
Information Retrieval: Guiding Students/New Graduates
Michael Anders PhD MPH RRT, Little Rock AR
At the conclusion of the session, attendees will be able to help students and/or recent graduates: recognize steps for information retrieval from the Web, recognize key sources of online information, and recognize guidelines for appropriate web sites. Additionally the attendees will develop search questions/terms and recognize key features and applications of search engines, including PubMed, Ovid, and Google Scholar.

1:00 P.M.–1:45 P.M.
COPD and Sleep Disorders
Samuel L. Krachman DO, Philadelphia PA
This lecture delves into the varied impact of COPD on sleep ranging from hypoxemia to obstructive sleep apnea. The objectives of this lecture are to inform the clinician about the connection between COPD and sleep quality, provide an overview of the research into the area of COPD and sleep, provide an insight into the various manifestations of COPD and sleep, and provide an overview of the various treatment modalities and their effectiveness.

Learn new technology.

1:00 P.M.–1:50 P.M.
Long Distance Driving and Sleep Disorders
Gene Gantt RRT CEO, Livingston TN
This presentation will provide attendees with an understanding of current problems facing long distance drivers with sleep disorders. There are guidelines being developed to improve road safety and help for these drivers.

1:00 P.M.–2:35 P.M.
Blood Gas Analysis in the 21st Century
1:00 P.M.–1:40 P.M.
Quality Management in the 21st Century
James O Westgard PhD, Madison WI
Dr. Westgard will provide an overview of the current quality management tools and how they fit into a quality management process. Application of Six Sigma principles provide new tools and metrics for the assessment of quality. Deming’s principles still provide the overall guidance for quality management.

1:45 P.M.–2:35 P.M.
Test Quality and Lab QC in the 21st Century
James O Westgard PhD
Current trends emphasize pre-analytic and post-analytic errors, particularly in point-of-care testing. Yet analytical quality remains an issue that must be addressed with improved quality control procedures. Completely automated QC is possible and represents the hopes for the future, particularly for POC applications.

1:00 P.M.–2:40 P.M.
Respiratory Support for Specialized Pediatric Populations
1:00 P.M.–1:25 P.M.
Respiratory Support of the Pediatric Burn Patient
Tiffany Mabe RRT-NPS, Chapel Hill NC
The medical literature and the pertinent management issues in the respiratory support of the pediatric burn patient will be presented. This session will provide a comprehensive review of respiratory management for patients with severe burns, including airway management for facial/airway burns, ventilatory strategies for smoke inhalation, hyperbaric therapy for carbon monoxide poisoning, and routine respiratory management of the complicated burn patient.

Gain new knowledge each day.

1:25 P.M.–1:50 P.M.
Respiratory Support of the Pediatric Transplant Patient
Ira M Cheifetz MD FAARC, Durham NC
The medical literature and the pertinent management issues in the respiratory support of the pediatric burn patient will be presented. This session will provide a comprehensive review of the respiratory management for patients after solid organ and bone marrow transplantation. Conventional and non-conventional ventilatory strategies specific to these populations will be presented along with a discussion of prognostic indicators.

1:50 P.M.–2:15 P.M.
Respiratory Support of the Pediatric Trauma Patient
Michael R Anderson MD, Cleveland OH
The medical literature and the pertinent management issues in the respiratory support of the pediatric trauma patient will be presented. This session will provide a comprehensive review of the respiratory management for patients after major trauma. Management strategies for patients with chest trauma, pulmonary contusion, airway injury, and closed head injury will be presented.

2:15 P.M.–2:40 P.M.
Respiratory Support of the Pediatric Asthma Patient
Timothy R Myers RRT-NPS FAARC Cleveland OH
The medical literature and the pertinent management issues in the respiratory support of the pediatric asthma patient will be presented. This session will provide a comprehensive review of respiratory management, including ventilatory strategies and heliox administration, for patients with status asthmaticus.

Good Management = Good People—Part 1

Supported by an unrestricted educational grant from IKARIA
12:30 P.M.–2:55 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 among investigators and observers; posters expand on the information presented.

  • Evidence Supporting Evidence-Based Thinking Across Disciplines—Jerry Edens MEd, Cincinnati OH
  • Introduction of a Culture of Evidence-Based Practice to Respiratory Care Staff—Jerry Edens MEd, Cincinnati OH
  • Utilization of Barcoding Technology to Streamline Medication Delivery—Kenneth Miller MEd RRT-NPS, Allentown PA
  • Integrating Evidence-Based Practice With Policies and Procedures—Bernhart Hochleitner, Allentown PA
  • Rapid Response Teams: Do They Make a Difference? One Hospital’s Experience—Russell Graham RRT, Houston TX
  • Development of a Taxonomy for Preventable Mechanical Ventilator Errors—Kelly Wayne Wright, Texarkana TX
  • A Comparison of Indications Used for Respiratory Care Protocols in Different Hospitals—E Lucy Kester RRT MBA FAARC, Cleveland OH
  • An Analysis of Features of Change-Avid Respiratory Therapy Departments—James K Stoller MD MSc FAARC, Cleveland OH
  • An Analysis of Needs for Respiratory Therapists in Northeast Ohio and Development of Strategies to Meet Increased Recruitment Demands—Doug Orens MBA RRT, Cleveland OH
  • EICU/Ecare Manager: A Multi-Professional Care Planning, Coordination, and Documentation Tool—Donald L Bellerive MA, Worcester MA
  • Walk a Mile in Our Shoes: An Evaluation of Walking and Workload Productivity for Respiratory Care Practitioners (RCP)—Joel M Brown RRT, Newark DE
  • Walk a Mile in Our Shoes: A Comparison of the Average Steps Taken by RCPs at a Large and a Small Acute Care Hospital Facility—Eric Krauss RRT, Newark DE
  • Simulated Evaluation to Identify Respiratory Care Practioners’ (RCP) Knowledge of the Joint Commision’s National Patient Safety Guidelines—Melani L Murphy MBA, Newark DE
  • Analysis of Respiratory Care Practitioners’ Absenteeism With Two Distinctly Different Schedule Systems: Permanent Versus Intragale—Gary Gradwell, Philadelphia PA
  • Evaluation and Implementation of a Rapid Response Team—Brian Glynn, Philadelphia PA
  • Development and Use of a Medical Staff Approved Rapid Response Team Protocol—Sheryle Barrett RRT, Boynton Beach FL

1:00 P.M.–3:00 P.M.
Ever Wonder Why They Call Them the Golden Years?
1:00 P.M.–1:30 P.M.
Communication Skills Used in Educating the Geriatric Patient
Mary K Hart RRT, Dallas TX
Learn tips on how to communicate effectively with geriatric patients. As patient educators, modifying how we, as respiratory therapists, present information to the elderly patient can greatly enhance their commitment and compliance to health care.

1:30 P.M.–2:00 P.M.
What Does the Future Look Like?
Helen M Sorenson MA RRT FAARC
San Antonio TX

With the growing number of people living longer, respiratory therapists will play an important role in managing their health care. This presentation will discuss the future growth of the aging population, illness, and disease.

Visit 200 exhibitors.

2:00 P.M.–2:30 P.M.
The New Rubik’s Cube: Medicare Part D
Mary K Hart RRT
Understanding Medicare Part D is difficult. This presentation will review Medicare’s drug program and offer suggestions on how respiratory therapists can help educate patients about this health care program.

2:30 P.M.–3:00 P.M.
The Perils of Post-Operative Recovery in Elderly Patients
Helen M Sorenson MA RRT FAARC
Age-related decremental changes in physiology and depressed immune systems place elderly patients at risk for post-operative complications. Participants will be able to identify strategies to reduce risk for pulmonary complications in older patients undergoing surgery.

1:30 P.M.–3:40 P.M.
Airway Clearance: Physiology, Pharmacology, Techniques, and Practice
1:30 P.M.–2:10 P.M.
Drugs and Airway Clearance
Ruben D Restrepo MD RRT, San Antonio TX
How do sympathomimetics and anticholinergics affect mucous secretion and airway clearance? When should sympathomimetics be used to enhance airway clearance? Should anticholinergics be used to decrease mucus? Do mucolytics and mucokinetics work? What is their role in managing patients with lung disease?

2:15 P.M.–2:55 P.M.
High Frequency Assisted Airway Clearance
Robert L Chatburn RRT-NPS FAARC
Cleveland OH

Is intrapulmonary percussive ventilation helpful for airway clearance? If so, in what patients? What are the risks? What is the evidence to support use of the vest devices? Are there meaningful differences in the different HFCWO devices on the market? Are any of these cost-effective? Which patients are appropriate, and what are the risks?

3:00 P.M.–3:40 P.M.
Physical Therapy for Airway Clearance
Timothy R Myers RRT-NPS FAARC
Cleveland OH

This presentation lists the various physical measures that have been used to facilitate airway clearance and reviews the evidence supporting their effectiveness. Included are conventional chest physiotherapy, forced expiratory technique, autogenic drainage, PEP, and flutter.

Cheer for your favorite team.

1:00 P.M.–3:50 P.M.
Pediatric ARDS
1:00 P.M.–1:40 P.M.
State of the Art 2007
Michael R Anderson MD, Cleveland OH
The care of the pediatric patient with acute respiratory distress syndrome has improved dramatically with an associated improvement in mortality. Much has been learned from the multicenter studies in the adult population. This presentation will overview the changes in the care of pediatric patients with ARDS over the past decade.

1:45 P.M.–2:25 P.M.
High-frequency Oscillatory Ventilation
John Arnold MD, Boston MA
High-frequency ventilation remains a mainstay in the care of the pediatric ARDS patient. This presentation will overview the rationale for the use of oscillatory ventilation in pediatrics. A review of the available laboratory and clinical data will be provided.

2:30 P.M.–3:10 P.M.
High-frequency Jet Ventilation
Donna Hamel RRT RCP FAARC, Durham NC
High-frequency jet ventilation has long been used in the neonatal population for acute respiratory failure. More recently, the use of this modality has been increasing in the pediatric population. This presentation will overview the rationale for jet ventilation in pediatric patients with acute lung injury.

3:10 P.M.–3:50 P.M.
Surfactant Replacement Therapy: Beyond RDS
Steven M Donn MD, Ann Arbor MI
Describes findings of surfactant administration to prevent chronic lung disease. Reviews the use of surfactant replacement therapy to treat meconium aspiration syndrome.

Asthma and COPD—Part 2

Supported by an unrestricted educational grant from IKARIA
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 among investigators and observers; posters expand on the information presented.

  • The Effects of Ramelteon on Breathing During Sleep in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)—Sherry Wang-Weigand
  • Improved Asthma Management by Providing Twice-a-Day In-School Preventive Medication—Denise Rebel RRT, Dallas TX
  • Comparison and Evaluation of Asthma Educator Certification Exam Scores Between Respiratory Therapists and Nurses—Susan Blonshine RRT, Mason MI
  • The Inter-Tester Reliability Among the Members of a Multidisciplinary Team for an Activity of Daily Living Assessment Tool for Patients With Chronic Lung Disease—Mary Hart RRT, Dallas TX
  • Improving Asthma Disease Management and Reducing Costs With Education—Mark Voisin MHS, Houma LA
  • Acute Asthma Protocol: Utilizing a Team Approach to Decrease Length of Stay—Suzanne Iniguez RRT, Houston TX
  • Impact of Inpatient Asthma Care Plan on Readmission Rates and Length of Stay—Frances Busta, Cleveland OH
  • Impact of COPD Care Plan on Readmission Rates and Length of Stay—Frances Busta, Cleveland OH
  • A Kiwanis Sponsored Pilot Asthma Screening Program for Children in Cleveland—Robert Cohn MD, Cleveland OH
  • Dane County Asthma Coalition Emergency Department Project—Joan Misustin, McFarland WI
  • Pharmacokinetics of (R,R) - and (S,S) - Formoterol Following Single and Multiple Doses of Arformoterol Inhalation Solution and Racemic Formoterol Dry Powder Inhaler in Subjects With COPD—Jahnavi Kharidia PhD, Marlborough MA
  • Using Proportional Assist Ventilation to Wean a Patient With Severe COPD: A Case Report—Micheal Kragten RRT, Seattle WA
  • Case Study: Pulmonary Rehabilitation in a Patient With LAM/Tuberous Sclerosis Complex—Susan Farrell RRT CPFT AE-C, Falls Church VA
  • Adding Excitement Into Pulmonary Rehabilitation Maintenance Exercise With “Lung Games”—Leah Junk RRT, Falls Church VA

2:00 P.M.–3:55 P.M.
Into the Looking Glass: Monitoring the ICU
2:00 P.M.–2:30 P.M.
Volumetric Capnography—What’s It All About?
Michael A Gentile RRT FAARC, Durham NC
Volumetric capnography is a valuable tool to monitor your patient’s cardiorespiratory status. This presentation will define and describe volumetric capnography and its use to respiratory therapists.

2:35 P.M.–3:05 P.M.
Esophageal Manometry and Transpulmonary Pressure: What and Why?
Patrick Johnson RRT, Ontario Canada
Esophageal balloon provides valuable information to bedside clinicians. This presentation will describe esophageal pressures and decisions based on these measurements.

Take advantage of discounts at “The Buying Show”.

3:10 P.M.–3:55 P.M.
Electrical Impedance Tomography
John Arnold MD, Boston MA
Electrical impedance tomography is a new and innovative way to monitor patients on mechanical ventilation. This presentation will describe the theories behind electrical impedance tomography and clinical significance.

1:55 P.M.–2:40 P.M.
Evidence-Based Medicine in Respiratory Care: Experience with an Educational Course
Michael Anders PhD, Little Rock AR
At the conclusion of the presentation, the participants will be able to recognize: the relevance of knowledge regarding evidence-based medicine to the development and maintenance of patient-driven protocols and clinical practice guidelines, and the value of knowledge regarding efficient information retrieval and critical appraisal of best available scientific evidence in the care of individual patients.

2:00 P.M.–3:40 P.M.
Can We Prevent Bronchopulmonary Dysplasia?
2:00 P.M.–2:30 P.M.
Is There a Silver Bullet in the Medications We Use To Prevent BPD?
David A Kaufman MD, Charlottesville VA
Most of the attention on the prevention of chronic lung disease has been focused on ventilatory strategies. This presentation will review the pharmacologic agents that have been used in an attempt to minimize chronic lung disease in the neonatal population. Surfactant, inhaled medications, inhaled gases, caffeine, and steroids will be reviewed.

2:35 P.M.–3:05 P.M.
To Ventilate or Not To Ventilate—You Can’t Handle the Answer
Sherry E Courtney MD, New Hyde Park NY
Should premature infants be ventilated or not? This presentation will attempt to determine what (if any) respiratory management strategies work best in preventing chronic lung disease. This presentation will review the use of nasal CPAP, high flow nasal cannula, and strategies to limit the use of positive pressure ventilation.

3:10 P.M.–3:40 P.M.
Decisions and Events That Are Out of Our Control
David A Kaufman MD
Despite the high-technology aspects of the neonatal intensive care setting, many factors remain out of the clinician’s control. This presentation will overview special aspects of the care of the premature infant. Gestational age, socioeconomic factors, maternal care including prenatal steroids, and the birth of premature infants in the community hospital setting will be discussed in relation to their influence on the development of bronchopulmonary dysplasia.

2:00 P.M.–5:15 P.M.
Management of a Sleep Center
2:00 P.M.–2:35 P.M.
So: You Are Managing a Sleep Center
Glen Roldan RPSGT, Antioch CA
Many managers have sleep laboratories under their direction. This presentation will discuss procedural differences, personnel issues, safety issues, and development of a sleep laboratory from the bottom up.

2:40 P.M.–3:15 P.M.
YIKES! The Accreditation Group Is Coming
Glen Roldan RPSGT
There are growing requirements for sleep disorder centers to be accredited by outside agencies for reimbursement. This presentation will discuss the process of preparing for accreditation of your sleep center.

Earn up to 24 hours of CRCE at Congress sessions.

3:20 P.M.–3:55 P.M.
Reimbursement Landscape for the Sleep Center
Andrew DesRosiers MS RRT RPSGT, Boston MA
This presentation will discuss the past and current trends in reimbursement as they pertain to CMS and CPT coding issues. The discussion will also look at potential future scenarios involving the sleep market from a diagnostic and home care provider perspective in order to gain a better understanding of managing a sleep center or HME business to improve profit margins or patient care.

4:00 P.M.–4:35 P.M.
Maintaining QA for the Sleep Center
Andrew DesRosiers MS RRT RPSGT
This presentation will cover the different methods that can be used to help maintain data for internal documentation and training.

4:40 P.M.–5:15 P.M.
Marketing Your Sleep Lab on a Shoestring Budget
Karen Allen CRT RPSGT, Billing MT
Sleep lab/center marketing budgets usually limit funds that are needed to continuously remind the public of the consequences of sleep disorders and the services available at a sleep disorder lab/center. Appreciation of how to market with little or no funds will help participants identify and act on “opportunities,” which will reap the benefit of increased awareness and positive publicity for the sleep testing facility.

Ventilators/Ventilation/Applications—Part 3

Supported by an unrestricted educational grant from IKARIA
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 among investigators and observers; posters expand on the information presented.

  • A Comparison of Heliox Consumption in Three Ventilators—Melissa K Brown RRT-NPS, La Mesa CA
  • Volume Accuracy With the Use of Heliox in Mechanical Ventilation—Amy E Gibbs RRT, Little Rock AR
  • The Effect of a Hyperbaric Environment on the Servo 900C’s Delivered Tidal Volume—Ernesto Lopez RRT, Seattle WA
  • Quality Improvement in Mechanical Ventilation Assessment—Mary E Nash RRT, Boston MA
  • The Choice of Mechanical Ventilation in Kidney Transplant Recipients With Severe Respiratory Failure Caused by Pulmonary Infection: Invasive or Noninvasive?—Yuan Qing Zhan MD, Beijing, China
  • Effects of Tidal Volume Delivery Using Smooth Internal Bore Tubing vs Wide Bore Corrugated Tubing for NPPV: A Bench Study—Susan R Ogrinc, Cleveland OH
  • Room Air Entrainment due to Loss of Circuit Flow During Noninvasive Ventilation—John S Emberger RRT, Newark DE
  • A Comparison of Average Tube Compensation Airway and Carinal Pressures in a Simulated Spontaneously Breathing Model for Three Mechanical Ventilators—David A Grooms RRT, Norfolk VA
  • Comparison of Hand Ventilators in Delivering Nitric Oxide—Stanley M Baldwin MBA, Loma Linda CA
  • The Effects of Patient Circuit Design on AutoPEEP and Delivered Minute Ventilation—Martha Lemin RRT, Cleveland OH
  • Post-Operative Mechanical Ventilation in Oncological Surgical Intensive Care Unit: Review of Institute of Health Improvement Adverse Event Criteria—Clarence Finch MBA MHA RRT, Houston TX
  • Evaluation of Operating Times of the LTV-1000 External Lithium Ion Battery—Dario Rodriquez RRT SMSgt USAF, Cincinnati OH
  • Volumetric Diffusive Respirator in a Patient With Chemical Burns Combined With Prone Positioning—Felix Khusid RRT-NPS RPFT, Brooklyn NY

2:40 P.M.–4:05 P.M.
Implementing Lung Disease Prevention Programs in Pulmonary Rehabilitation
2:40 P.M.–3:20 P.M.
Implementing Lung Disease Prevention Programs in Pulmonary Rehabilitation
Debbie Koehl MS RRT-NPS AE-C
Indianapolis IN

The presentation describes how to incorporate health prevention programs into pulmonary rehab programs.

3:25 P.M.–4:05 P.M.
Optimizing Your Resources in Your Pulmonary Rehab Program
Debbie Koehl MS RRT-NPS AE-C
Tight budgets are the rule for most pulmonary rehabilitation programs. This presentation shares strategies to optimize staffing to stay within your budget.

4:25 P.M.
Continuing Care-Rehabilitation Section Meeting
Debra M Koehl MS RRT-NPS AE-C/Chairing
Whether or not you are a member of the Continuing Care-Rehabilitation Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.

Praise your peers.

2:45 P.M.–3:45 P.M.
The Effective Respiratory Therapy Preceptor
The Role of the Respiratory Therapist as a Preceptor for New Graduate RTs in the Acute Care Setting
Kimberly Clark MBA RRT-NPS, Charlotte NC
Newly graduated respiratory therapists are the future of the profession. The influence, support, and guidance offered by experienced respiratory therapists are essential to the orientation process to increase the competence, confidence, and retention of newly graduated respiratory therapists. The presentation will address the development and implementation of a preceptor program in a large, urban trauma center.

2:45 P.M.–5:10 P.M.
Role of Respiratory Therapy in an Emergency Management Program
2:45 P.M.–3:30 P.M.
A Hospital’s Perspective to Emergency Management
Andrew McGuire EMT-P, Danbury CT
The presenter will discuss historical perspectives of emergency management, review the Joint Commission Standards on Emergency Management, discuss development of a hospital emergency management program, explain importance of community partnerships/regional planning initiatives relating to emergency management, and discuss training and education of emergency planners/responders.

3:35 P.M.–4:20 P.M.
Emergency Management: The Respiratory Manager’s Role To Ensure the Proper Use of Respiratory Therapy and Its Resources Before the Disaster Occurs
Frank Salvatore Jr RRT FAARC, Danbury CT
The presenter will review potential disaster scenarios that show why respiratory therapy needs to be involved in the pre-planning and preparation stages of disaster preparedness, cover the human resource issues that may be faced by a department director during a disaster, and explain the steps taken to get involved in both the hospital’s disaster preparedness committee as well as statewide planning.

4:25 P.M.–5:10 P.M.
Emergency Management: You Have the People and the Plan, Now What? Clinical Considerations in Emergency Management
David Bunting MS RRT EMT-I, Danbury CT
The speaker will explain the steps to identify which equipment to consider for your facility when disaster planning, explain how to maintain competency in “stockpiled” equipment to ensure proper use when disaster happens, explain how to find the proper space to deliver effective care in your facility during a disaster, and explain steps to return to normal department function after a disaster.

Earn 6.7 CRCE credits at the Mechanical Ventilation Course & Workshops prior to the Congress.

3:05 P.M.–5:05 P.M.
Capnography Innovation and Trends
3:05 P.M.–3:35 P.M.
ETCO2 -PaCO2 Gradient; Why Don’t They Match (And What Does It Mean)
Michael A Gentile RRT FAARC, Durham NC
Often there is a question or concern when ETCO2 and PaCO2 are significantly different. This presentation reviews the rationale for the difference and its interpretation.

3:35 P.M.–4:05 P.M.
Capnography Trends in Procedural Sedation
Jim Fielder RRT-NPS, Bellevue WA
There is increased awareness of ventilation management issues during short duration procedures. Often respiratory therapists are asked to assist or educate. Capnography is an important tool beginning to be adopted during these procedures to give the earliest indication of airway compromise.

4:05 P.M.–4:35 P.M.
Post Operative Pain Management and Capnography—The New RT Frontier
Harold Oglesby RRT, Savannah GA
Use of opiates to control pain especially with patient-controlled analgesia pumps is under more scrutiny. The recent recommendation from the Anesthesia Patient Safety Foundation was to evaluate continuous monitoring of oxygenation and ventilation. This presentation describes how such a program was implemented through a respiratory therapy department.

4:35 P.M.–5:05 P.M.
Role of Capnography in Rapid Response Teams
Michael R Jackson RRT-NPS CPFT, Boston MA
A significant number of calls are associated with respiratory. Capnography can be used to assess a patient’s ventilation status quickly.

3:40 P.M.–4:20 P.M.
Surviving Sepsis Campaign: What Does It Mean to Respiratory Therapists?
Charles G Durbin Jr MD FAARC
Charlottesville VA

The Surviving Sepsis Campaign aims to reduce mortality due to severe sepsis by 25% by 2009. This partnership of the Society of Critical Care Medicine, the European Society of Intensive Care Medicine, the International Sepsis Forum, and the Institute for Healthcare Improvement has attracted a great deal of attention, both positive and negative, and its effects are being felt in hospitals throughout the country. This presentation will review the origins, rationale, and evidence base for the Surviving Sepsis Campaign and will place this important initiative into perspective for those working in respiratory care.


Hear exceptional lectures by experts in their field.

3:45 P.M.–5:00 P.M.
Mechanical Ventilation Modes to Reduce Lung Injury in the Neonate
3:45 P.M.–4:20 P.M.
Noninvasive Ventilatory Support
Sherry E Courtney MD, New Hyde Park NY
The trend toward increased use of noninvasive ventilatory support in an attempt to reduce lung injury in the neonate continues. This presentation will review the medical literature that supports this trend. Additionally, recent advances in technology and patient-device interfaces will be discussed.

4:25 P.M.–5:00 P.M.
Invasive Ventilatory Support
Donald M Null Jr MD, Salt Lake City UT
Even under the best of circumstances, mechanical ventilation can induce lung injury. This presentation will overview the pathophysiology of secondary lung injury in the neonatal population. Additionally, invasive mechanical ventilatory strategies that attempt to minimize the development of lung injury in the neonatal population will be discussed.

3:50 P.M.–5:05 P.M.
Pediatric Asthma
3:50 P.M.–4:25 P.M.
Inner City Asthma: Challenges and Opportunities
Carolyn M Kercsmar MD, Cincinnati OH
Topics to be covered include: inner city asthma triggers; challenges facing the inner city asthmatic and care team; new medications and strategies: new hope or same old story?; and mortality and morbidity, yesterday and tomorrow.

4:30 P.M.–5:05 P.M.
Toddler Pulmonary Function
Carolyn M Kercsmar MD
The speaker will examine the ATS/ERS standards for pulmonary function (primarily spirometry) testing in children: Are the results reliable for diagnosis and follow-up? What data (FEVO.5, PEFR, etc.) are most reliable in this age group? What strategies can be used for achieving useful data? What’s been published; what needs to be done? Should IOS be used in this population instead of spirometry?

3:55 P.M.–4:55 P.M.
So You Think You Are a Superstar
Dawn Filippa RRT EMT-P and
Patrick Dowd RRT-NPS EMT, Hartford CT

The presentation will be an interactive comprehensive case review of unusual clinical scenarios encountered by a busy air-medical program. Utilizing the most modern Audience Response System software, the lecture participants will be able to participate in the presentation through a series of decision-making opportunities. The results of the audience decisions will be displayed throughout the lecture and incorporated into the educational session.

4:05 P.M.–5:00 P.M.
Differential Diagnosis of Acid-Base Disturbances: Does an RT Need To Know?
William J Malley MS RRT CPFT FAARC, Pittsburgh PA
The importance of determining the underlying causes of acid-base disturbances for respiratory therapists will be emphasized. The most common cause of respiratory and metabolic acidosis and alkalosis disorder will be explored using brief, light-hearted clinical examples.

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