The Gold Standard in Respiratory Care Meetings

2007 AARC Respiratory Congress
Advance Program


Mechanical Ventilation Course and Workshops

Friday, November 30, 2007
Orlando World Center Marriott Resort

Open Forum

Learn from noted experts on mechanical ventilation
This is a great opportunity for you to maximize your attendance at the International Respiratory Congress. To be held the day before the Congress begins.

  • Attendance is limited to 150 attendees.
  • Pre-registration required. Deadline: November 9.
  • Registration fee is separate from the Congress registration.
  • This course runs concurrently with the Asthma Certification Preparation Course. You may only register for one.
  • Approved for 6.5 units of Continuing Respiratory Care Education (CRCE) credit.

Some of the most noted experts on mechanical ventilation in the respiratory care community will conduct the course and workshops. They will update participants on the current state-of-the-art thinking on mechanical ventilation. Specifically, the course will

  • review basic principles of mechanical ventilatory support;
  • review recent advances in the evidence-base for strategies of mechanical ventilatory support;
  • provide hands-on workshops on newer technologies for providing mechanical ventilatory support.

Who Should Attend
Therapists, physicians, nurses and other health professionals providing mechanical ventilatory support.


8:00–8:30 A.M.
Nomenclature, Design Principles, and Respiratory Mechanics

  • Breath delivery algorithms
  • Mode design and logic
  • Respiratory system mechanics (incl Pes)
  • Equation of motion

8:30–9:00 A.M.
Lung Protection Tradeoffs in Acute Respiratory Failure

  • Concept of ventilator-induced lung injury
  • Leaving some alveoli closed
  • Permissive hypercapnia/hypoxemia
  • Air hunger

9:00–9:30 A.M.
Long Inspiratory Time and Other Recruitment Strategies

  • Theory
  • Prone
  • Sigh breaths, spontaneous breaths, biologic variability, RMs
  • Available systems (PCIRV, APRV)
  • Supporting data

9:30–10:00 A.M.
Management of Obstructive Airway Disease

  • Lung protective considerations
  • Intrinsic PEEP
  • Role of NIV

10:00–10:30 A.M.

10:30–11:00 A.M.
High-Frequency Ventilation

  • Theory
  • Available systems (3100b, jets, pulsator)
  • Supporting data
  • Applications

11:00–11:30 A.M.

  • Surfactants
  • Humidification
  • Aerosols (incl antibiotics)
  • Therapeutic gases (heliox, NO)
  • Positioning devices
  • Tracheal gas insufflation

11:30–12:00 Noon
Management of the Ventilator Withdrawal Process

  • Recognizing withdrawal potential
  • Role of the SBT
  • Managing patients who fail the SBT
  • Role of NIV

12:00–1:00 P.M.
Lunch (on your own)

1:00–1:45 P.M.
Workshops 1–4 (1st cycle)

1:50–2:35 P.M.
Workshops 1–4 (2nd cycle)

2:40–2:55 P.M.

3:00–3:45 P.M.
Workshops 1–4 (3rd cycle)

3:50–4:35 P.M.
Workshops 1–4 (4th cycle)


1. Noninvasive Ventilation Techniques

2. Feedback Algorithms

3. Patient-Ventilator Interactions

4. High Frequency Oscillatory Ventilation (HFOV)


Neil R MacIntyre MD FAARC
Duke University Medical Center
Durham NC

Massachusetts General Hospital
Boston MA

Michael A Gentile RRT FAARC
Duke University Medical Center
Durham NC

John D Davies MA RRT FAARC
Duke University Medical Center
Durham NC



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