Saturday, Oct. 15

8:00 am–6:00 pm | Room TBA

Sputum Bowl Preliminaries

Renee Wunderley

Renee Wunderley BS RRT-NPS/Presiding

Teams from the AARC State Societies compete in the preliminary competitions. The top four teams will advance to the Finals on Monday evening, October 17, along with the Student Sputum Bowl finalists.

8:30 am–10:55 am

Opening Session

8:30 am–10:00 am | Room TBA

AARC Awards Ceremony

This ceremony recognizes the "doers" in the profession, from students to long-established practitioners. Be there and applaud your peers. Today it's them; tomorrow it could be you!

10:05 am–10:55 am | Room TBA

Keynote Address

TBA

11:00 am–11:00 am | Room TBA

Opening of Exhibit Hall

Frank R Salvatore JrBrian K Walsh

Frank R Salvatore Jr MBA RRT FAARC/Co-Presiding
Brian K Walsh PhD RRT FAARC/Co-Presiding

The 2017/2018 AARC President-Elect and the current AARC President open the Exhibit Hall. As the "Gold Standard" of all respiratory care meetings, AARC Congress 2016 presents to you all the manufacturers and suppliers in the industry. The Exhibit Hall offers attendees an opportunity to see, touch, and manipulate the latest technology in the field and have clinical conversations with manufacturer representatives. Don't miss this great opportunity!

11:30 am–12:00 pm | Room TBA

Orientation for First-time Attendees

Ira M Cheifetz

Ira M Cheifetz MD FCCM FAARC

Are you a first-time attendee with unanswered questions about who to see, where to go, and what to expect from your first AARC Congress? If so, then attendance at this presentation is a MUST for you! This presentation provides first-time attendees with an overview of the entire AARC Congress and includes suggestions on how to maximize your time, not only at the educational session but also at the exhibits and peripheral activities as well.

12:05 pm–12:35 pm | Room TBA

Presenting An OPEN FORUM Abstract

Teresa A Volsko

Teresa A Volsko MHHS RRT FAARC, Akron OH

This presentation will introduce the neophyte research presenter to the customs, roles, and experience of presenting at an OPEN FORUM Session. The stages of an OPEN FORUM presentation including poster set-up, interacting with participants and moderators, presenting at the podium, and participating in moderated audience discussions will be addressed. Expectations for Editor's Choice and Poster Only presentations will be reviewed.

1:00 pm–1:35 pm | Room TBA | Education

Seeing the Unseen? Evaluating Online Instructors

Monica Schibig

Monica Schibig MA RRT-NPS CPFT, Columbia MO

In this age of distance education it is imperative that the quality of instruction endures. Central to this endeavor is thorough and effective evaluation of online faculty. This presentation provides key elements for reliable and comprehensive assessment of the delivery, attributes, and instructor/student interactions of online courses.

1:00 pm–1:35 pm | Room TBA | Sleep Medicine

Sleep Anatomy: Assuring Quality Sleep in the ICU

Karsten Roberts

Karsten Roberts MS RRT-ACCS RCP, Stanford CA

How often do ICU therapists think about patients? sleep? Critical care clinicians must be able to recognize how sleep affects weaning mechanical ventilation, optimization of ventilator breath synchrony, risks of delirium, and overall patient outcomes. The lecturer will describe how clinicians must give thoughtful consideration to the differences between sedation and quality sleep, as well as, defining the role RTs have in assuring quality sleep.

1:00 pm–1:35 pm | Room TBA | Management

Helping Patients Find the Right Support Community to Meet Their Needs

Garry W Kauffman

Garry W Kauffman RRT MPA FAARC FACHE, Winston Salem NC

This presentation will provide the essential elements included in a business plan, a template for attendees to utilize to manage their projects/business plans, and a checklist that attendees can use to ensure that their business planning process results in a successful outcome. The template and checklist will be provided as attachments for registered attendees.

1:00 pm–2:15 pm

My Journey With Cystic Fibrosis

Mark W Mangus Sr

1:00 pm–1:35 pm | Room TBA | Clinical Practice

From Professional To Caregiver: My Journey With Cystic Fibro

Mark W Mangus Sr BSRC RRT RPFT FAARC, San Antonio TX

After 12 years in practice as an RT and two years working with children hospitalized for treatment of cystic fibrosis (CF) the speaker found himself face to face with the disease, discovered in his daughter, at the age of four months. This lecture chronicles his years of living with and management of a child with CF, the two lung transplants that followed, and his challenge to support her decision to become a respiratory care professional. The tribulations and triumphs of life with CF and lung transplantation and her ultimate professional choice will be discussed as well as the challenge of respiratory care intervention and management - performed both as a professional in the acute care setting and as a parent in the home.

Kimberly F Escamilla

1:40 pm–2:15 pm | Room TBA | Clinical Practice

Using Motivational Interviewing Techniques to Improve Patient Care

Kimberly F Escamilla BSRC RRT, Austin TX

The speaker chronicles her journey growing up and contending with cystic fibrosis (CF), its impositions and limitations, as well as the course that led to transplantation. The speaker will relate her experience of life-long treatment and navigating the path through transplantation and the difficulties that resulted in the need for a second transplantation. She will chronicle the tribulations and triumphs of her life with CF and now 12 years post-transplant, including her five years' experience as an RT, despite the risks and difficulties of such a choice. Her story will surely inspire those who attend this presentation.

1:00 pm–2:55 pm

What Am I Doing Wrong? Strategies To Improve PFT Quality

Katrina Hynes

1:00 pm–1:35 pm | Room TBA | Pulmonary Function

Spirometry - It's Not Just "Take a Deep Breath and Blow"

Katrina Hynes MHA RRT RPFT, Rochester MN

Spirometry is often considered a simple lung function test. However, getting it right requires patient cooperation, but also an astute level of testing skills by the technologist/therapist.

Jeffrey M Haynes

1:40 pm–2:15 pm | Room TBA | Pulmonary Function

Pause for the Cause… Remediating Professional Underperformance Through a Hospital and School Collaboration

Jeffrey M Haynes RRT RPFT FAARC, Nashua NH

Diffusing capacity is a common pulmonary function test used to evaluate gas exchange in patients with lung disease. Although simple to perform, there are numerous variables that can affect the quality of the results.

Matthew O'Brien

2:20 pm–2:55 pm | Room TBA | Pulmonary Function

Lung Volumes - The Tale of Three Measurements

Matthew O'Brien MS RRT RPFT, Madison WI

Lung volumes can be measured using three different techniques. All have unique characteristics that, if not attended to, can yield poor test results.

1:00 pm–3:35 pm

Adult Acute Care Spotlight • Bringing the ABCDEF Bundle to the Bedside

Neil Macintyre

1:00 pm–1:35 pm | Room TBA | Adult Critical Care

ABCDEF An Overview

Neil Macintyre MD, Durham NC

The ABCDEF Bundle has been shown to reduce the duration of ventilation and improve outcomes in mechanical ventilation. The individual components of the bundle will be reviewed and a discussion of the implementation provided. Results from implementation and impact on outcomes will be reviewed.

Lori Conklin

1:40 pm–2:15 pm | Room TBA | Adult Critical Care

Choice of Sedation - Managing Pain, Anxiety, and Delirium

Lori Conklin MD, Charlottesville VA

Pain relief and patient comfort are important goals in the care of the ventilated patient. However, excess sedation is associated with immobility, secretion retention, and delirium. Choosing the right medication and monitoring sedation using a validated scale is critical. Monitoring sedation and delirium will be reviewed.

Rick Kallet

2:20 pm–2:55 pm | Room TBA | Adult Critical Care

From Patient to Respiratory Care Professional: My Journey with Cystic Fibrosis and Lung Transplantation

Rick Kallet RRT, San Francisco CA

Over two decades of data have demonstrated that daily spontaneous breathing trials represent the optimum method for liberating the patient from ventilation. Coordinating the SBT with a spontaneous awakening trial maximizes success and speeds ventilator termination. This lecture will discuss coordination by respiratory care and nursing to improve outcomes.

Carl Hinkson

3:00 pm–3:35 pm | Room TBA | Adult Critical Care

From Professional to Caregiver: My Journey with Cystic Fibrosis and Lung Transplant as Both Parent and Professional

Carl Hinkson RRT, Auburn WA

Early mobility has been demonstrated to reduce delirium and maintain muscle strength. Early mobility is a challenge for the staff, but data suggests improved satisfaction of both patient and staff when appropriately implemented. This lecture will review the data on outcomes and detail the processes.

1:00 pm–2:15 pm

Pediatric Asthma in 2016

Alexandre T Rotta

1:00 pm–1:35 pm | Room TBA | Neonatal/Pediatric

Challenges of Self-Treatment of Respiratory Diseases By the Patient

Alexandre T Rotta MD, Cleveland OH

The support of the pediatric patient with status asthmaticus can be one of the most challenging aspects of clinical respiratory care. This presentation will address the challenges of mechanically ventilating pediatric patients with near-fatal asthma, including an evidence-based approach to the choice of invasive vs. noninvasive strategy, choice of ventilatory mode, use of PEEP, assessment of dynamic hyperinflation, and other potential management pitfalls.

Bruce Rubin

1:40 pm–2:15 pm | Room TBA | Neonatal/Pediatric

Hailing Frequencies Open: Using Social Media to Reach COPD Patients

Bruce Rubin MD, Richmond VA

The support of the pediatric patient with status asthmaticus can be one of the most challenging aspects of clinical respiratory care. This presentation will address recent advances in the pharmacologic management of pediatric patients with severe asthma. Thoughts for future pharmacologic breakthroughs will be discussed.

1:00 pm–4:55 pm

Year in Review

Thomas Piraino

1:00 pm–1:35 pm | Room TBA | Adult Critical Care

Reassigning Clinic Access for New Efficiency: Non-Traditional Roles of the RT in Accountable Care Organizations

Thomas Piraino RRT FCSRT, Beamsville Ontario

This presentation will review the important literature related to non-invasive ventilation published in 2016.

Dario Rodriquez

1:40 pm–2:15 pm | Room TBA | Clinical Practice

The Strengths and Limitations of Bronchial Challenge Tests

Dario Rodriquez MS RRT RPFT FAARC, Union KY

This presentation will review the important literature related to intra- and inter-hospital transport published in 2016.

Brian Carlin

2:20 pm–2:55 pm | Room TBA | Sleep Medicine

Sleep Apnea

Brian Carlin MD, Sewickley PA

This presentation will review the important literature related to sleep apnea published in 2016.

Rajiv Dhand

3:00 pm–3:35 pm | Room TBA | Clinical Practice

Aerosol Therapy

Rajiv Dhand MD, Knoxville TN

This presentation will review the important literature related to aerosol therapy published in 2016.

Eddy Fan

3:40 pm–4:15 pm | Room TBA | Adult Critical Care

Mechanical Ventilation

Eddy Fan MD, Toronto Canada

This presentation will review the important literature related to mechanical ventilation published in 2016.

Dana Evans

4:20 pm–4:55 pm | Room TBA | Neonatal/Pediatric

Respiratory Support of the Premature Infant

Dana Evans MHA RRT-NPS, Chesterfield MO

This presentation will review the important literature related to respiratory care of the premature infant published in 2016.

1:40 pm–2:15 pm | Room TBA | Education

Using Motivational Interviewing Techniques To Improve Patien

Sarah L Varekojis

Sarah L Varekojis PhD RRT FAARC, Columbus OH

It is necessary for many of the patients respiratory therapists care for to provide some self-care and to make some modifications to their lifestyle as part of their disease management. Making changes to health-related behaviors is hard, and when patients do not make the necessary changes, the consequences can be significant for both the patient and the facilities where they receive care. Motivational interviewing is a technique that can help respiratory therapists be more effective in helping patients make important changes.

1:40 pm–2:15 pm | Room TBA | Sleep Medicine

Respiratory Care Practitioners in Sleep Medicine: A New Fron

Iris Selim

Iris Selim BS RRT, Riverside CA

This lecture will discuss the potential roles of respiratory therapists in the sleep center which may include managing complex patients as part of in-laboratory polysomnography. This can also involve developing expertise as case managers to care for patients in the ambulatory setting. This lecture will also discuss the process of transitioning into these roles within sleep medicine including exploring opportunities, receiving necessary education and training, and credentialing. Finally, sleep medicine is rapidly evolving to embrace concepts of team-based care and use of various telehealth technologies. This lecture will discuss where the respiratory care practitioner may fit in this evolving field and recognizing potential opportunities.

1:40 pm–2:15 pm | Room TBA | Management

Respiratory Care Practitioners in Sleep Medicine: A New Frontier

Zach Gantt

Zach Gantt RRT, Livingston TN

Do respiratory therapists really understand the difference between disease management and population health? Understanding and standardizing these models is key to starting either type of program. This lecture will discuss the difference in these two care management categories and key metrics between the two that differentiate one from the other.

2:20 pm–2:55 pm | Room TBA | Education

Optimizing Patient Communication

Lutana Haan

Lutana Haan MHS RRT RPSGT, Boise ID

This presentation is based on key concepts from Fran London's book that received the American Journal of Nursing Book of the Year Award 2010, titled "No Time to Teach." Learn specific strategies to optimize your patient interactions to better educate your patients.

2:20 pm–2:55 pm | Room TBA | Clinical Practice

Sleeping on the Other Side of the Bed: Spousal Involvement in CPAP Adherence

Jane M Martin

Jane M Martin BA LRT CRT, Miami FL

Support communities done right - online, in person, or through social media - can be a great source of ongoing information and support for individuals with COPD and other chronic lung diseases. There are increasingly more websites and forums focused on COPD, more than the busy RT has time to research. The COPD Foundation offers a range of community options to meet a variety of patient needs, as well as new resources to help you, the lung health professional, build and promote solid, sustainable patient communities in your hometown.

2:20 pm–2:55 pm | Room TBA | Management

Respiratory Compromise in the Neurorespiratory Patient

Garry W Kauffman

Garry W Kauffman RRT MPA FAARC FACHE, Winston Salem NC

Understanding and applying the principles of high reliability has been documented to provide the highest level of patient safety. This presentation will provide a review of the principles of high reliability, strategies to achieve high reliability, and concrete examples that the attendee can utilize in their departmental operations to maximize patient safety.

2:20 pm–2:55 pm

Outcome-Based Sleep Medicine

Jessica Schweller

2:20 pm–2:55 pm | Room TBA | Sleep Medicine

PAP Compliance-How Do We Compare?

Jessica Schweller MS RRT RN CNP, Columbus OH

PAP therapy compliance has been a hot topic for years as more insurance companies require compliance for continued therapy. How does compliance rate for your clinic and what does compliance really mean? Does being compliant improve patient outcomes? This lecture will explore the importance of PAP compliance and the implications associated with non-adherence to therapy.

2:20 pm–3:35 pm

Tell Me Something I Should Know About Pediatric ARDS

2:20 pm–2:55 pm | Room TBA | Neonatal/Pediatric

Defining Pediatric ARDS

After many years of relying on adult-based definitions for ARDS, the PALICC group has developed a definition and criteria for pediatric ARDS. This presentation will review the definition and criteria as well as associated clinical outcomes.

3:00 pm–3:35 pm | Room TBA | Neonatal/Pediatric

Choice of Sedation - Managing Pain, Anxiety, and Delirium

Although 6 ml/kg is well established as the standard management approach to adults with ARDS, the optimal tidal volume for pediatric ARDS remains uncertain. This presentation will review the available medical literature and provide thoughts regarding tidal volume targets for pediatric ARDS patients requiring invasive mechanical ventilation.

3:00 pm–3:35 pm | Room TBA | Education

Coordinating Spontaneous Breathing and Spontaneous Awakening Trials

Monica Schibig

Monica Schibig MA RRT-NPS CPFT, Columbia MO

The RT's role in today's health care arena is far more critical-thinking focused than task oriented. New graduates and seasoned practitioners that are transitioning to a higher acuity or more progressive hospital are faced with the challenge of meeting these new standards and elevated expectations. This presentation reveals how a partnership between the hospital and local school faculty can assist these individuals in advancing their knowledge and skills to move forward confidently and competently in their new role.

3:00 pm–3:35 pm | Room TBA | Clinical Practice

Challenges of Self-Treatment of Respiratory Diseases By the

Nancy Johnson

Nancy Johnson RRT-NPS, Cleveland OH

With the increase in availability of devices/gadgets sought and bought by the patient there are challenges in determining whether they're appropriate, they have evidence

3:00 pm–3:35 pm | Room TBA | Pulmonary Function

Pharmacologic Agents for, Moderate Sedation

Jeffrey M Haynes

Jeffrey M Haynes RRT RPFT FAARC, Nashua NH

The diagnosis of asthma often hinges on the results of a bronchial challenge test. This talk will focus on the strengths and limitations of commonly used challenge tests.

3:00 pm–3:35 pm | Room TBA | Sleep Medicine

Sleeping on the Other Side of the Bed: Spousal Involvement I

Jody Lester

Jody Lester MA RRT, Boise ID

The impact of OSA extends beyond the individual. Patients with OSA are likely to view their disorder as a burden for their spouses. The purpose of this presentation is to more fully understand CPAP adherence by considering the perspectives of both the patient and their spouse. Evidence will be discussed with emphasis on recommendations and implications for interventions to improve CPAP adherence.

3:00 pm–3:35 pm | Room TBA | Management

Who's Liable?

Laura Hartman Anthony DeWitt

Laura Hartman BS RRT-NPS, St Petersburg FL
Anthony DeWitt JD MS RRT FAARC Opelika AL

In an increasingly litigious society, medical providers and the institutions they work for are in a vulnerable state. If proper policies are not in place and providers are not aware of their responsibilities, the consequences can bring harm to patients and jeopardize the practice of providers. As the scope of respiratory therapy has expanded, policies need to protect therapists. This lecture will help to identify potential shortcomings of policies, and how to amend them to ensure proper coverage for the institution.

3:15 pm–5:10 pm | Room TBA

Sunrise, Sunset: Onboarding, Managing Up, and Managing Out

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

3:15 pm–5:10 pm | Room TBA

Open Forum Poster Discussion #2 O2 Therapy, Home Care

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

3:40 pm–4:15 pm | Room TBA | Education

Disease Management vs. Population Health Management: Is There Really a Difference?

Lutana Haan

Lutana Haan MHS RRT RPSGT, Boise ID

Are you wondering how simulation is paid for? The cost of simulation and how to budget for this expensive learning opportunity will be discussed. The speaker will share what they found other simulation centers were doing and ultimately what their center has done to fund simulation. Additionally, how outside users such as Respiratory are charged for the use of the simulation center.

3:40 pm–4:15 pm | Room TBA | Clinical Practice

High Reliability Principles to Maximize Patient Safety

Michael W Hess

Michael W Hess BS RRT, Bethlehem PA

Recent efforts to reduce COPD-related readmissions and improve access to telehealth have led to a number of innovative programs to improve patient education. This presentation covers the experience of creating and administrating an RT-operated COPD support/education group on Facebook, including the rationale of using social media and the results of a survey on the impact of the group on patient-perceived knowledge and quality of life.

3:40 pm–4:15 pm | Room TBA | Sleep Medicine

Hypoventilation Syndromes: Is Bi-Level Enough?

Jessica Schweller

Jessica Schweller MS RRT RN CNP, Columbus OH

From obesity hypoventilation to overlap syndrome, hypoventilation syndromes can be difficult to diagnose and treat. When is bi-level therapy inadequate and what other treatment modalities should be used? This lecture will define the various types of hypoventilation syndromes and discuss when treatment should go beyond just bi-level therapy.

3:40 pm–4:15 pm | Room TBA | Management

Capnography in the Neonatal- Pediatric Population

Bob Miller

Bob Miller BS RRT, Tampa FL

The presentation will entail details of a new department leader's 15 month inspirational journey to revitalizing, re-tooling, and rebuilding a respiratory department in a 500-bed acute-care tertiary facility that was in great need of direction and leadership. The new procedures included: Implementation of therapist-driven protocols; investments in advanced technologies to provide efficient and effective therapies despite corporate supply chain restraints; expansion of the scope of clinical practice to include higher level invasive procedures; and, staffing replenishments with additions of over 20 new FTE positions to facilitate a new focus on an optimal disease management, and a patient-centric care model of delivering care.

3:40 pm–4:15 pm | Room TBA | Neonatal/Pediatric

Understanding Airway Graphics for the Bedside Clinician

Craig Smallwood

Craig Smallwood RRT, Boston MA

Often the forgotten vital sign, capnography can have a valuable role in the respiratory monitoring of the neonatal and pediatric population. This presentation will review the concepts of time and volume-based capnography and discuss potential clinical applications. Available data supporting the use of capnography will be reviewed.

3:40 pm–4:55 pm

Evaluation of Dyspnea and Upper Airway Disorders

Michael J Morris

3:40 pm–4:15 pm | Room TBA | Pulmonary Function

Dyspnea and Upper Airway Disorders in Adults

Michael J Morris MD, San Antonio TX

This presentation will discuss the role of the respiratory therapist in evaluating unusual causes of dyspnea in the adult patient with a specific focus on evaluating for potential upper airway disorders.

Kent L Christopher

4:20 pm–4:55 pm | Room TBA | Pulmonary Function

A Transformational Journey to Survival in a Value-Based Health Care System

Kent L Christopher MD, Denver CO

This presentation will specifically focus on inducible laryngeal obstruction and how the respiratory therapist and pulmonary function technician play an integral role in the evaluation of patients with these disorders.

3:40 pm–4:55 pm

Moderate Sedation for the Respiratory Therapist

Thomas Fuhrman

3:40 pm–4:15 pm | Room TBA | Adult Critical Care

Pharmacologic Agents For, Moderate Sedation

Thomas Fuhrman MD RRT FCCP, Largo FL

This lecture will discuss the roles, expectations and competencies of the respiratory therapist during moderate sedation. It also addresses a general overview of scope of practice for the RT in moderate sedation. Attend this lecture and here from a respiratory therapist turned anesthesiologist speak on this important role for RTs.

Lori Conklin

4:20 pm–4:55 pm | Room TBA | Adult Critical Care

Monitoring During Moderate Sedation

Lori Conklin MD, Charlottesville VA

Moderate sedation can have several adverse consequences for the patient if the patient is not properly monitored. The lecture will discuss several monitoring technologies and which one offers the best outcomes for patients receiving moderate sedation.

4:20 pm–4:55 pm | Room TBA | Clinical Practice

Reassigning Clinic Access for New Efficiency: Non-Traditiona

Vernon Pertelle

Vernon Pertelle MBA RRT FACHE, Oceanside CA

The needs of the patient come first. This is the crux of managing the care of the complex pulmonary patient throughout the continuum of care. In today's modern era, timely access and connectivity is playing a greater role in how patients are cared for in various care environments. Telehealth and specialized RTs in coordination with mid-level providers help to identify and define "quality healthcare interventions" that help to enhance clinical access to services that historically were not covered with reimbursement. These are essential themes for future success of the role of the RT.

4:20 pm–4:55 pm | Room TBA | Clinical Practice

Respiratory Compromise in the Neurorespiratory Patient

Lee Guion

Lee Guion MA RRT FAARC, San Francisco CA

Breathing disorders are often recognized as the leading cause of complications and mortality in a patient with neurorespiratory disease. The RT plays a vital role in caring for this patient population. Understanding why these patients are prone to pulmonary complications and how they are treated/prevented can greatly improve their quality and even length of life.

4:20 pm–4:55 pm | Room TBA | Management

Sunrise, Sunset: Onboarding, Managing Up, and Managing Out

Anthony DeWitt

Anthony DeWitt JD MS RRT FAARC, Opelika AL

With the dramatic changes and challenges within the health care industry, what is seen as the most important element of success and failure is the ethics, behaviors, quality, and professionalism of the employees. This presentation will focus on how managers can make the best hiring decisions, how to manage employees individually without losing the common expectations of the department and organization and, as necessary, how to best ?manage out? the employee who can?t fulfill the demands of the position.

4:20 pm–4:55 pm | Room TBA | Neonatal/Pediatric

Understanding Airway Graphics for the Bedside Clinician

Robert L Chatburn

Robert L Chatburn MHHS RRT-NPS FAARC, Cleveland OH

Optimization of patient-ventilator synchrony has been associated with improved clinical outcomes. This presentation will review the concepts to promote a better understanding of patient-ventilator interactions and will discuss strategies to improve patient-ventilator synchrony.

4:20 pm–4:55 pm

Congenital Heart Disease

Nancy Johnson

4:20 pm–4:55 pm | Room TBA | Neonatal/Pediatric

A New Adult Problem

Nancy Johnson RRT-NPS, Cleveland OH

As outcomes for infants and children with congenital heart disease continue to improve, adult-based clinicians now need to manage these complex patients. This presentation will review outcomes for patients with congenital heart disease, rationale for transitioning care, and implications for adult practitioners. Potential challenges and benefits will be discussed.

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