Respiratory Care 2009

The Gold Standard in Respiratory Care Meetings

55th International Respiratory Congress

Advance Program

Sunday, December 6

8:30 am – 9:20 am

AARC Annual Business Meeting

Timothy R Myers RRT-NPS, AARC President/Presiding

The official Annual Meeting of your professional association. The 2010 AARC Officers, Board of Directors, and House of Delegates officers are installed. Reports from the AARC leadership are presented. The meeting concludes with the address of the 2009/2010 President, Timothy R Myers, RRT-NPS.

8:00 am – 6:00 pm

Covidien logo
32nd National Competition
Sputum Bowl® Preliminaries

Deborah J Hendrickson RRT Presiding

Teams from the AARC state affiliates compete in the preliminary competitions. The top four teams will advance to the Finals on Monday evening, Dec. 7, along with the Student Sputum Bowl finalists. The Sputum Bowl Preliminaries and Finals are supported by an unrestricted educational grant from Covidien.

9:30 am – 10:20 am

Bruce Rubin

Bruce K Rubin

36th Donald F Egan Scientific Memorial Lecture

This lecture provides an overview of in-depth information about dynamic aspects of pulmonary physiology, pulmonary medicine, or clinical respiratory care. The lectureship is extended to a recognized world-class participant in the area of interest—investigator, clinician, or academician.

Air and Soul: The Science and Practice of Aerosol Therapy

Bruce K Rubin MD MEngr MBA FAARC, Richmond VA

Many medications are delivered by aerosol, and both the variety of drugs administered and the types of aerosol device available are rapidly growing in number. This lecture reviews the history of aerosol therapy, discusses patient, drug, and device factors that can influence the success of aerosol therapy, and identifies trends that will drive the science of aerosol therapy in the future.

10:30 am – 11:15 am

Pediatric Acute Lung Injury

To Recruit or Not To Recruit?

Brian K Walsh MBA RRT-NPS FAARC, Boston MA

Lung recruitment maneuvers remain one of the more controversial management approaches for pediatric patients with acute lung injury. What do the available data support? What are the various approaches to lung recruitment maneuvers? This presentation will address these questions while reviewing the relevant pathophysiology.

Enjoy the holiday lights along the River Walk at night.

10:30 am – 11:20 am

Empowering Patients: Teaching Patients How To Find Accurate Information

Jody Lester MA RRT, Boise ID

Patients are increasingly taking a more active role in decisions about their health care. This presentation will examine the rationale, advantages, disadvantages and processes of teaching patients how to access information.

10:30 am – 11:30 am

Professor’s Rounds: Inhalation Injuries—What You Should Know to Protect Patients and Yourself

Professor: J Michael Jaeger MD PhD, Charlottesville VA
Presenter: Charles G Durbin Jr MD FAARC, Charlottesville VA

Inhalation injuries occur in a variety of different circumstances. Progress of lung injury is predictable and appropriate respiratory support improves survival. In this presentation, a case of toxic chemical exposure will be described and potential helpful respiratory treatments will be discussed.

10:30 am – 11:30 am

Mobilizing Critically Ill Patients

Supported by an unrestricted educational grant from

Rehabilitations Starts in the ICU

Dale M Needham MD PhD, Baltimore MD

It has become commonplace in North America for mechanically ventilated ICU patients to be kept in bed, heavily sedated. However, there is an increasing body of evidence that early mobilization—even while still intubated and ventilated—along with minimization of sedation leads to more rapid recovery and fewer long-term complications. This presentation reviews this topic and provides practical guidance for making it happen in your ICU.


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. Sixteen Open Forum Symposia will be presented during the four days of Respiratory Care 2009. See the OPEN FORUM pages for symposium sessions, abstracts titles and authors.

10:30 am – 11:35 am

Five Things I Learned This Year About…Part I

Jump start each Congress day with a concentrated briefing on what is new and important! These high-yield sessions will highlight key developments in the field for leaders, researchers, and educators as well as for clinicians who work “in the trenches” of respiratory care. Each presentation, focused on a specific subject or practice area, will be given by a recognized expert in that area who will list and summarize what he or she considers the most important developments and issues to have emerged during the last 12 to 18 months.

10:30 am – 11:00 am

Five Things I Learned This Year About Mechanical Ventilation

Richard M Kallet MS RRT FAARC, San Francisco CA

This presentation brings the attendee up-to-date on key aspects of this rapidly-evolving field, based on research results and other developments over the last 18 months.

11:05 am – 11:35 am

Five Things I Learned This Year About Airway Clearance

Carl F Haas MLS RRT AE-C FAARC, Ann Arbor MI

This presentation brings the attendee up-to-date on key aspects of this rapidly-evolving field, based on research results and other developments over the last 18 months.

10:30 am – 11:55 am

The Fractal Nature of the Lung

10:30 am – 11:10 am

Redefining the Lung – The Basics of Fractal Geometry

April L Gochberg MA RRT, Cincinnati OH

The presenter will introduce the learner to the language of fractal geometry. Through advanced computer graphics the fractal nature of the lungs can be visualized, making the leap from the Euclidean geometry paradigm to the fractal geometry paradigm painless.

11:15 am – 11:55 am

Implications on Diagnosis and Treatment in the Fractal Lung Model

April L Gochberg MA RRT

Introduces the learner to the studies being conducted using the fractal geometry model. Studies encompass early tissue remodeling in asthma and COPD, deposition of drugs, and fetal growth.

Enjoy traditional mariachi music with your dinner.

10:30 am – 12:05 pm

Leading Through Tumultuous Times

10:30 am – 10:50 am

To Use or Not To Use: That is the Question

Douglas S Laher MBA RRT, Cleveland OH

This presentation will discuss the FDA stance, financial impact, and published studies regarding the reuse of disposable equipment. He will also discuss the ethical issues involved along with the impact of cross-contamination and hospital acquired infections.

10:55 am – 11:15 am

How To Get a “Yes” When the Economics Say “No”

Ken Thigpen RRT FAARC, Jackson MS

The presenter will discuss the importance of adequately evaluating literature as well as technology in making sound decisions and using that information to get approval from institution administration.

11:20 am – 11:40 am

How To Make Your Therapist Indispensable

Colleen L Schabacker BA RRT FAARC, Cookeville TN

This presenter will discuss strategies for demonstrating to hospital administration and nursing staff how important respiratory therapists are in the patient care arena.

11:45 am – 12:05 pm

Cost-Cutting Strategies

Karen J Stewart MS RRT FAARC, Charleston WV

This presentation will discuss the different strategies for containing costs by eliminating waste and adding value within one’s institution.

10:30 am – 12:10 pm

Long-Term Mechanical Ventilation

10:30 am – 11:00 am

Long-Term Care Across the Disciplines: Pediatrics-Education-Adults

Gene Gantt RRT, Livingston TN

Long-term care is most often thought of as care for the elderly. It is important for practitioners from various disciplines of respiratory care to appreciate the full extent of LTC and how it can fit into their own practice.

11:05 am – 11:35 am

Translation, Adoption, and Validation of the Severe Respiratory Insufficiency Questionnaire for Patients Receiving Home Mechanical Ventilation

Heidi Markussen RN SMN, Oslo, Norway

The overriding purpose of home mechanical ventilation is to improve the patient’s quality of life. For this purpose, an appropriate questionnaire is required. This presentation will discuss utilizing this questionnaire to assess QOL issues in your patients.

11:40 am – 12:10 pm

Emergency Preparedness in Long-Term Care Ventilation Support Units

Larry W Goldman RRT, Towson MD

This presentation will review the methodology, equipment, and supplies to address emergency preparedness. Additional considerations are staff training, availability of back-up equipment and supplies, and oxygen.

Get a unobstructed view of San Antonio from atop the Tower of the Americas.

11:20 am – 12:00 noon

Neonatal/Pediatric Section Membership Meeting

Section Chair/Presiding

11:20 am – 12:00 noon

What You Need To Know About Measuring Hypoxemia

Thomas R Lamphere RRT, Sellersville PA

Hemoglobin is the essential molecule in blood responsible for carrying oxygen to hypoxic organs and tissues. New devices can now provide accurate measurements of oxygenation. This presentation will describe the methods of invasive and noninvasive measurement of oxygenation.

12:30 pm - 2:25 pm

Respiratory Care Open Forum #5
Ventilation and Ventilators—Part 1

Poster and oral presentations. Clinicians present the results of their scientific studies. Click Open Forum number for titles and authors presenting their findings.

12:30 pm - 2:25 pm

Respiratory Care Open Forum #6
Case Reports That Matter

Poster and oral presentations. Clinicians present the results of their scientific studies. Click Open Forum number for titles and authors presenting their findings.

12:30 pm - 5:05 pm

25th New Horizons Symposium

Airway Management: Current Practice and Future Directions

1:00 pm – 1:40 pm

Effectively Communicating with Your Physician Partners

Robin Kidder RRT AE-C, St Louis MO

It is a well known fact that communication within the health care team is one of the most integral components for providing safe, high quality care to our patients. This presentation will offer respiratory therapists valuable tools for gaining support and synergy through effective communication with physicians.

1:00 pm – 1:45 pm

Ventilator Bundles—Why Is That My Job?

Paul F Nuccio RRT FAARC, Boston MA

This presentation will begin by defining the term “bundle,” followed by a description of the history and science of “vent bundles,” a discussion of what it takes to implement a successful bundle program, and exploration of the relationship between the ventilator bundle and VAP along with an explanation of why the RT should play a key role in any ventilator bundle program.

1:00 pm – 2:55 pm

Controversies in Neonatal Mechanical Ventilation

1:00 pm – 1:25 pm

Hypercapnia in the Neonate: Does it Really Matter?

Kathleen M Deakins RRT-NPS, Cleveland OH

What are the clinical effects of hypercapnia in the neonate? How might large swings in arterial carbon dioxide tensions have detrimental effects? The short- and long-term effects of hypercapnia will be reviewed.

1:30 pm – 1:55 pm

Volume vs. Pressure Ventilation: Does the Mode Matter?

Martin Keszler MD, Georgetown DC

Do you ventilate neonates in your ICU with volume or pressure ventilation? Does the mode really matter? This presentation will review the available data and attempt to address the clinical controversy.

2:00 pm – 2:25 pm

Can You Define “Optimal” Oxygenation in the Mechanically Ventilated Neonate?

Kathleen M Deakins RRT-NPS

Balancing oxygenation in the mechanically ventilated infant can be challenging. What is the optimal oxygenation range and how can it be achieved? This presentation will provide a comprehensive review of this clinically relevant topic.

2:30 pm – 2:55 pm

CPAP: Does the Technique Matter?

Martin Keszler MD

Although CPAP is used routinely in most neonatal ICU, the techniques and approaches vary widely. Is there an optimal approach? Are there data to support the various techniques? What does the future hold? This session will address these clinically relevant questions and others.

Enjoy indoor shopping for crafts and souveniers at El Mercado.

1:00 pm – 2:35 pm

Respiratory Home Care: Issues and Solutions

1:00 pm – 1:45 pm

Providing Quality Home Care Despite Decreasing Reimbursement

Louis M Kaufman RRT-NPS FAARC, Olney MD

This presentation will review the most recent changes in Medicare reimbursement for respiratory home care. The presenter will provide examples of novel strategies for optimum utilization of limited resources.

1:50 pm – 2:35 pm

Standardization for Respiratory Home Care Products

Robert W McCoy RRT FAARC, Apple Valley MN

This will discuss of the 2 standards-setting agencies for home respiratory products and the process used to establish ASTM guidelines.

1:00 pm – 3:15 pm

Oxygen—Make It, Breathe It, Drink It

1:00 pm – 1:30 pm

Oxygen Concentrators—Performance Differences

Robert L Chatburn RRT-NPS FAARC, Cleveland OH

This presentation describes current oxygen concentrator technology. How are available devices and systems different? Can they provide the same amount of oxygen regardless of size? Is there a limit to functionality associated with minute ventilation?

1:35 pm – 2:05 pm

Making Oxygen from Solid Materials

Kevin Ward MD, Richmond VA

The presentation will describe the making of oxygen from a solid material. The mechanism and potential applications are in the near future.

2:10 pm – 2:40 pm

Optimizing Oxygen Delivery During Mechanical Ventilation Without Compressed Gas

Dario Rodriquez Jr. SMSgt, Cincinnati OH

Most mechanical ventilators require pressurizing from bulk gas supplies. This presentation will describe how to maximize oxygen delivery during mechanical ventilation using a portable concentrator.

2:45 pm – 3:15 pm

Non-Pulmonary Oxygen Delivery

Kevin Ward MD

Oxygen isn’t just for breathing anymore. Drinking oxygen and intravenously administering oxygen are possibilities. Can oxygen be delivered orally or intravenously to improve tissue

Boat tours of the River Walk are available with or without dinner.

1:00 pm – 3:50 pm

Pulmonary Rehabilitation from Scratch

1:00 pm – 1:30 pm

Approaching Administration: What Data Is Needed and Why

Mary K Hart RRT, Dallas TX

Will enable attendees to determine if their hospital should take advantage of the new CMS guidelines for pulmonary rehabilitation and start such a program. Will discuss data needed for administration to justify a decision to launch a new program.

1:35 pm – 2:05 pm

Medical Direction for Pulmonary Rehabilitation: Qualifications and Requirements

Brian W Carlin MD FAARC, Pittsburgh PA

This presentation will enable attendees to determine whether their hospital should take advantage of the new CMS guidelines for pulmonary rehabilitation and start such a program. The presenter will discuss data needed for administration to justify a decision to launch a new program.

2:10 pm – 2:40 pm

Establishing Medicare Procedure Codes for Pulmonary Rehabilitation

Gerilynn L Connors RRT FAACVPR, Falls Church VA

This presentation will review the accepted procedure codes and descriptions required to bill Medicare for pulmonary rehabilitation activities.

2:45 pm – 3:15 pm

Establishing a Relationship with a Fiscal Intermediary

Brian W Carlin MD FAARC

Once the decision is made to launch a new pulmonary rehabilitation program, it will be necessary to establish a relationship with a Medicare fiscal intermediary. This lecture will discuss how to identify the appropriate intermediary and determine the best way to submit claims.

3:20 pm – 3:50 pm

Hiring and Training Staff: What Knowledge, Skills and Attributes Are Necessary

Debra Koehl MS RRT-NPS AE-C, Indianapolis IN

This presentation will review the education and experience requirements for respiratory therapists interested in working in a pulmonary rehabilitation program.

1:00 pm – 4:15 pm

The New CoARC: Symposium for Key Program Faculty

The Commission on Accreditation for Respiratory Care (CoARC) believes transparency and open communication are of utmost importance as it assumes its role as an independent accreditor. 2010 will be a year of transition as new accreditation standards are implemented under the new CoARC. This symposium is designed to facilitate a smooth, seamless transition for education programs by clearly explaining changes and improvements in accreditation process. All program faculty members will want to take advantage of this valuable learning opportunity.

1:00 pm – 1:45 pm

Complying with the New CoARC Accreditation Standards

Thomas Smalling PhD RRT RPFT RPSGT FAARC, Bedford TX

Attendees will be provided with an overview of the proposed new accreditation standards and its implications for programs and the profession. The presenter will highlight the review process that occurred in developing the new standards. The presenter will focus on the most significant differences between the current and new standards. The anticipated transition period in 2010 from the current standards to the new standards will also be discussed.

1:50 pm – 2:35 pm

A Preview of the New CoARC Annual Reporting Tool


Attendees will be provided with a preview of CoARC’s new Web-based annual reporting tool, E-Accreditation, which assists programs in their collection of annual program data and outcomes data. The presenter will demonstrate the features of the new software and discuss the differences between this and the previous reporting tool. The proposed implementation plan will also be discussed.

2:40 pm – 3:25 pm

Assessing Program Resources under New CoARC Standards

Stephen Mikles EdS RRT FAARC, Clearwater FL

This presentation will provide a comprehensive review of resource assessment as defined in the new CoARC Standards. The focus of the presentation will be utilitarian in nature, using the surveys and the resource assessment matrix found on the CoARC web site to illustrate how to successfully conduct and document the assessment of program resources. Examples of both good and bad assessments will be used to illustrate key concepts.

3:30 pm – 4:15 pm

Conducting Site Visits under New CoARC Standards

Gregory Paulauskis PhD RRT FAARC, Great Falls MT

This presentation focuses on how to prepare for an accreditation site visit under the new CoARC; topics will be presented from the perspective of the department chair, dean, and key program faculty. General topics include planning ahead to ensure participation by key individuals; gathering and organizing essential documentation; and preparing your students, faculty, and administrators for the site visit.

Market Square is home of family-owned cafes, working artists and the largest Mexican market north of the Rio Grande.

1:45 pm – 3:00 pm

Building Your Simulation Toolbox

1:45 pm – 2:20 pm

Student Simulations: Part 1—Creating Objectives and Realistic Scenarios

Julianne Perretta MSEd RRT-NPS, Baltimore MD

Those attending will be able to: describe the differing uses, formats and limitations of simulations; identify key components of an effective simulation; state the importance of creating simulation objectives using the ABCD format; and establish ground rules for participation.

2:25 pm – 3:00 pm

Student Simulations: Part 2—Debriefing To Assess Learning Outcomes

Julianne Perretta MSEd RRT-NPS

Those attending will be able to: discuss the importance of debriefing as part of a simulation to ensure that intended learning outcomes have occurred; review a simulation video and practice debriefing; and define the concept of learner framing during the debriefing process.

1:55 pm – 2:35 pm

Infection Control in Respiratory Care

Cheryl Hoerr RRT CPFT MBA FAARC, Rolla MO

Minimizing the risk of hospital-acquired infection (HAI) should be a top priority for every health care worker. Proper procedure, rigorously followed, can help reduce infection in patients as well as health care workers and family members. This lecture will briefly discuss screening of high risk patients, enforcement of universal standard precautions, and extensive employee education, and compliance monitoring and reporting programs.

2:45 pm – 5:00 pm

Issues To Consider in the Management of COPD

2:45 pm – 3:15 pm

Medication Adherence and COPD

Ruben D Restrepo MD RRT FAARC, San Antonio TX

This lecture reviews the most relevant factors that affect adherence to medications in patients with COPD.

3:20 pm – 3:50 pm

Pharmacoeconomics and COPD

John Tovar PharmD, San Antonio TX

This presentation summarizes the most current data on the impact of pharmacoeconomics in the management of COPD.

3:55 pm - 4:25 pm

Exacerbations and COPD

Marcos I Restrepo MD, San Antonio TX

This lecture summarizes the most important interventions in the management of exacerbations of COPD.

4:30 pm - 5:00 pm

2009 COPD Medication Update

Antonio Anzueto MD, San Antonio TX

This presentation provides the most up-to-date information on medications used in the management of COPD.

3:00 pm – 3:55 pm

Pediatric Disaster Response: Is America Prepared?

Michael R Anderson MD, Cleveland OH

Tremendous attention has been paid to the preparation for natural disasters and terrorist attacks. However, most of this attention has been directed toward the adult population. But what about infants and children? What ventilators would be used? Are primary responders trained for pediatrics? What about pediatric dosing for antivirals and antidotes? These and other questions will be addressed in this honest appraisal of pediatric disaster preparedness. Is America really prepared?

3:00 pm - 4:55 pm

Respiratory Care Open Forum #7
Ventilation and Ventilators––Part 2

Poster and oral presentations. Clinicians present the results of their scientific studies. Click Open Forum number for titles and authors presenting their findings.

3:00 pm - 4:55 pm

Respiratory Care Open Forum #8
Diagnostics: Knowing Before Acting

Poster and oral presentations. Clinicians present the results of their scientific studies. Click Open Forum number for titles and authors presenting their findings.

3:15 pm – 3:55 pm

Starting an Inpatient OSA Screening Program

Harold Oglesby RRT, Savannah GA

Screening for OSA has expanded beyond the sleep lab. This presentation describes the planning and implementation process of setting up an inpatient OSA screening program.

4:00 pm – 5:05 pm

Research Roundtable

4:00 pm – 4:30 pm

Why Do We Need Research in Respiratory Care?

John D Davies MA RRT FAARC, Durham NC

Why do we need research? Isn’t clinical experience sufficient? This presentation will describe the importance of respiratory therapy clinicians’ participation in research.

4:35 pm – 5:05 pm

How To Get Started in Respiratory Care Research

Robert L Chatburn RRT-NPS FAARC, Cleveland OH

This presentation will show the interested neophyte how to get started doing research. Topics covered will be: the importance of finding a mentor, how to select your first project, basic skills required, and practical tips for conducting and publishing the study.

4:15 pm – 5:00 pm

Role of the Respiratory Therapist in Pediatric Shock and Resuscitation

Michael R Anderson MD, Cleveland OH

The optimal management of the infant or child with shock involves a multidisciplinary approach. The respiratory therapist is an essential member of this team. This presentation will review the pathophysiology of shock and will emphasize the optimal resuscitation and management goals of pediatric shock.

4:20 pm – 5:00 pm

Respiratory Care Management of ALS: An Emerging Need

Lee Guion MA RRT, San Francisco CA

Most hospital-based RTs and pulmonologists are unfamiliar with motor neuron disease and how to manage its symptoms. Techniques for avoiding unnecessary pulmonary complications and enhancing quality of life in this patient population will be discussed. Newly revised American Academy of Neurology 2009 Practice Parameters for the management of ALS will be summarized.

4:20 pm – 5:00 pm

Education Section Membership Meeting

Lynda T Goodfellow EdD RRT FAARC, Section Chair/Presiding

© American Association for Respiratory Care. Photos Courtesy of the San Antonio Convention & Visitors Bureau.