Sunday, Nov. 10

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7:30 a.m.–8:30 a.m. | La Nouvelle Orleans Ballroom | General

AARC Annual Business Meeting

Karen Schell DHSc RRT RRT-NPS RPFT AARC President/Presiding

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Karen Schell

This is the official 2019 Annual Business Meeting of the AARC. Reports from AARC leadership are presented. 2020 AARC officers, Board of Directors, and officers for the House of Delegates are installed. The meeting concludes with an address from 2019-2020 AARC President, Karen Schell.

8:00 a.m.–6:00 p.m. | TBA | General

Sputum Bowl Preliminaries

Thomas Lamphere RRT RPFT FAARC/Presiding

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Thomas Lamphere

Student teams from the AARC State Societies compete in the preliminary competitions. The top four teams will face off in the Finals on Monday, November 11th.

8:40 a.m.–9:30 a.m. | La Nouvelle Orleans Ballroom | Clinical Practice

7th Thomas L Petty Memorial Lecture

What Would Dr. Tom Think of COPD Today?

Barry Make MD, Denver CO

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Barry Make

Early in his career, Dr. Petty investigated the pathology of emphysema and airway disease in cigarette smokers. Later in his career, he was a proponent of the definition of COPD that incorporates airflow obstruction on spirometry and deemphasized emphysema and chronic bronchitis. This session will present the most recent information on the myriad effects of cigarette smoking including those not associated with airflow obstruction. The latest understanding of the effects of cigarette smoking are leading to deconstruction of the current definition of COPD.

9:40 a.m.–10:25 a.m. | Theater B | General

Adult Acute Care Section Meeting

Carl Hinkson MSc RRT FAARC/Presiding

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Carl Hinkson

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and participate.

9:40 a.m.–10:25 a.m. | Theater A | General

Neo-Peds Section Meeting

Brad Kuch MHA RRT FAARC/Presiding

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Brad Kuch

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and participate.

10:00 a.m.–11:55 a.m. | 280–282 | General

Open Forum — Poster Discussions #5

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

10:00 a.m.–11:55 a.m. | 275–277 | General

Open Forum — Poster Discussions #6

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

10:30 a.m.–12:25 p.m. | Clinical Practice

Call to Action: Professional Resilience!

10:30 a.m.–11:05 a.m. | 278–279

Battling Burnout in Respiratory Care

Andrew Miller BS RRT, Durham NC

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Andrew Miller

Respiratory care is often a high stress, demanding career that frequently results in burnout. This lecture will discuss the prevalence, causes, and how burnout effects patient outcomes. Data from across the care continuum will be shared and discussed.

11:10 a.m.–11:45 a.m. | 278–279

Terminal Extubation and Preventing Compassion Fatigue

Carl Hinkson MSc RRT FAARC, Marysville WA

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Carl Hinkson

The withdrawal of life support is an integral part of the work for respiratory therapists working in the ICU. Despite how common the practice is, very few respiratory therapists receive adequate training regarding this practice. This presentation will cover mechanics of terminal extubation, how to communicate with families, and tips on self-care to prevent compassion fatigue.

11:50 a.m.–12:25 p.m. | 278–279

How to Handle Disruptive Behavior

Andrew Miller BS RRT, Durham NC

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Andrew Miller

Disruptive behavior is a problem in health care and is a major contributor to burnout. This lecture will discuss what defines disruptive behavior, causes of disruptive behavior, and their effect on worker morale. Strategies to combat disruptive behavior will be discussed.

10:30 a.m.–11:45 a.m. | Neonatal/Pediatrics

ECMO: The Personnel and Personal Side

10:30 a.m.–11:05 a.m. | Theater A

Developing an ECMO Program: The Personnel Perspective

Ira Cheifetz MD FAARC, Durham NC

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Ira Cheifetz

While much is often discussed about advances in the care of the ECMO patient, one of the most important aspects of success is the development and support of the team. Whether starting a new ECMO program or advancing an established program, success depends on the people from leadership to bedside staff. This presentation will review key lessons from a personnel perspective in forming a cohesive, high-performing team. The team is always greater than the sum of the parts.

11:10 a.m.–11:45 a.m. | Theater A

ECMO from a Patient and Her Family: The Personal Perspective

Lindsey Tew, Newton Grove NC

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Lindsey Tew

While much is written and presented about ECMO, little attention has been paid to the patient and family perspective. What is it like to be awake and cannulated on ECMO with ARDS and sepsis? An amazing young woman and her mother will share their ECMO journey. The patient is truly at the center of everything we do.

10:30 a.m.–12:25 a.m. | Management

From Good to Great: Changing Respiratory Care Clinical Practice

10:30 a.m.–11:05 a.m. | Theater C

Why Change is Necessary — A Department Leader’s Perspective

David Vines PhDc RRT FAARC, Winfield IL

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David Vines

Leading a respiratory care department through both evolutionary change and revolutionary change is challenging. This session will include the perspective of a clinical department leader responsible for creating change within an organization.

11:10 a.m.–11:45 a.m. | Theater C

Why Change is Necessary — A Medical Director’s Perspective

Sara Mirza MD MS, Chicago IL

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Sara Mirza

Physicians rely on competent respiratory therapists to assess and treat complex patients with respiratory compromise. This session will discuss respiratory care department changes from the perspective of a physician and department medical director.

11:50 a.m.–12:25 p.m. | Theater C

Why Change is Necessary — A Clinical Supervisor’s Perspective

Andrew Klein MS RRT AEC, Chicago IL

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Andrew Klein

Managing during times of change in a respiratory care department can be challenging. This session will include the perspectives from a bedside clinical supervisor who led staff through changes being made in a respiratory care department.

10:30 a.m.–12:25 p.m. | Clinical Practice

Pulmonary Hypertension Update

This program is supported by an independent educational grant from Actelion Pharmaceuticals, a Janssen Pharmaceutical Company of Johnson & Johnson, and United Therapeutics.

10:30 a.m.–11:05 a.m. | 286–287

Pathophysiology and Clinical Manifestations of PH

TBA

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TBA

The pathophysiology of pulmonary hypertension is not always completely identified, but the two main mechanisms are: increased pulmonary vascular resistance and increased pulmonary venous pressure. The signs and symptoms of pulmonary hypertension, in its early stages, might not be noticeable for months or even years. As the disease progresses, symptoms become worse.

11:10 a.m.–11:45 a.m. | 286–287

PAH: A Patient’s Perspective

Paul Miniter MS, Yardley PA

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Paul Miniter

PAH is a rare disease and not all causes are known. While PAH can affect people at any age, the average patient is diagnosed in their late 40s. And although anyone can develop PAH, it affects almost 4 times as many women as men.

11:50 a.m.–12:25 p.m. | 286–287

The Emerging Role of the Respiratory Therapist in PAH

Tonya Zeiger RRT CPFT, Jacksonville FL

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Tonya Zeiger

The Scientific Leadership Council of the Pulmonary Hypertension Association (PHA) has been actively developing an accreditation initiative for PH treating programs across the nation in order to improve the overall quality of care and outcomes of patients with PAH. In this effort, the PH Care Center Program was developed by the PHA to identify the PH programs with the infrastructure and experience to best manage the disease.

10:30 a.m.–11:45 a.m. | Clinical Practice

Pulmonary Rehab 2019 and Beyond

10:30 a.m.–11:05 a.m. | 265–266

Pulmonary Rehabilitation: The 2019 Guidelines

Brian Carlin MD FAARC, Sewickley PA

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Brian Carlin

This session will focus on the recently released guidelines for pulmonary rehabilitation with emphasis on how to integrate the recommendations into your rehabilitation practice.

11:10 a.m.–11:45 a.m. | 265–266

Pulmonary Rehab and Telehealth: What Should We Be Doing?

Brian Carlin MD FAARC, Sewickley PA

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Brian Carlin

This session will look at the introduction of telehealth technologies into the management and evaluation of patients who are undergoing pulmonary rehabilitation. Strategies to integrate this technology into the practice of pulmonary rehabilitation will be discussed.

10:30 a.m.–12:25 p.m. | Adult Acute Care

What about the Diaphragm?

10:30 a.m.–11:05 a.m. | Theater B

Ventilator-Induced Diaphragm Dysfunction: What is the Evidence?

Eddy Fan MD PhD, Toronto ON

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Eddy Fan

The impact of mechanical ventilation on the diaphragm is a growing concern in the literature. This lecture will describe the current knowledge regarding diaphragm function during mechanical ventilation and areas of future study.

11:10 a.m.–11:45 a.m. | Theater B

Mechanisms of Diaphragm Injury

L Felipe Damiani MSc PhDc PT, Santiago

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L Felipe Damiani

There are various mechanisms of diaphragm injury discussed in the literature including atrophy, excessive effort, and eccentric contractions. This lecture will describe these mechanisms of injury and the current evidence (or lack of evidence) to support these concepts.

11:50 a.m.–12:25 p.m. | Theater B

Diaphragm Protective Ventilation

Thomas Piraino RRT, Beamsville ON

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Thomas Piraino

Ventilator-induced diaphragm dysfunction is a growing concern in the literature. Various methods exist for monitoring patient effort, but minimal studies have used this information to adjust ventilation. This lecture will discuss the concept of diaphragm protective ventilation and present possible values to monitor for targeting an approach to ventilation that aims to protect the diaphragm.

10:30 a.m.–11:05 a.m. | 272–273 | Education

Engaged Students Become Engaged Professionals

Lisa Trujillo DHSc RRT, Ogden UT

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Lisa Trujillo

Have you ever taken a moment to consider what specifically you are passionate about? What brings you joy and satisfaction, or is meaningful to you, or makes an impact in some way? This lecture will explore personal growth that comes from being engaged in service and advancing your education to getting involved in your professional organization and how this leads to learning opportunities, personal ownership, and satisfaction in your profession.

10:30 a.m.–11:05 a.m. | 267–268 | Clinical Practice

Pre-Hospital Management of Airway and Respiratory Injuries: Lessons of Military Transports

Josh O’Sullivan RRT USAF

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Joseph Maddry

The prolonged wars in Southwest Asia have provided extensive experience in prehospital management of severe injuries and transport of patients to definitive care. This paper will review injuries seen in the prehospital setting, specifically airway injuries and respiratory distress, and their treatment during transport to treatment facilities.

11:10 a.m.–12:25 p.m. | Education

Integrating Research into Your Education Program

11:10 a.m.–11:45 a.m. | 272–273

What Should the Goal Be?

Lynda Goodfellow RRT AE-C FAARC, Peachtree City GA

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Lynda Goodfellow

Respiratory therapy education programs remain at different levels for both entries to practice and for advancement once a practitioner has clinical experience. The didactic knowledge learned within these programs on evidence-based medicine and research should build in level and provide a baseline within each level of education. This lecture will discuss the recommended education to be provided at each education level and how to integrate these into your program successfully.

11:50 a.m.–12:25 p.m. | 272–273

How to Find a Clinical Research Partner

Natalie Napolitano MPH RRT FAARC, Philadelphia PA

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Natalie Napolitano

Many education programs nationally incorporate research into their curriculum. Unfortunately, many may have difficulty finding appropriate research mentors for their students. Having a few research partners for your program can assist in alleviating this problem. Finding a research partner can be challenging and working together on the expectations of the course is important for success.

11:10 a.m.–11:45 a.m. | 267–268 | Adult Acute Care

Chronic Lung Disease, Hypoxia, and Air Travel

Jon Inkrott RRT RRT-ACCS, Orlando FL

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Jon Inkrott

The ascent to altitude is associated with hypobaric hypoxia. In patients with chronic lung disease these changes are exaggerated. What are the risks of air travel or aeromedical transport of patients with baseline hypoxemia? What is the HAST and how is it performed? Titrating oxygen for air travel will be described and is important for patient safety.

11:50 a.m.–12:25 p.m. | 267–268 | Adult Acute Care

High Altitude Physiology Impact on the Patient with Respiratory Disease

Dario Rodriquez MSc RRT FAACP, Union KY

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Dario Rodriquez

Ascent to altitude and the resultant decrease in barometric pressure is associated with hypoxia and altitude related illness. This includes high altitude pulmonary edema, cerebral edema, joint pain, and upper airway discomfort. One mitigation strategy is cabin altitude restriction (maintenance of barometric pressure > 600 mm Hg). These factors will be discussed and the impact of changes in barometric pressure on equipment function will be reviewed.

11:50 a.m.–12:25 p.m. | Theater A | Neonatal/Pediatrics

Novel Approaches to Aerosol Medication Delivery to Pediatric Patients

Bruce Rubin MBA MD MHA, Henrico VA

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Bruce Rubin

Inhaled medications are vital to the care of patients with pulmonary disease and new medications are entering the market at a rapid pace. In addition, there is increasing interest in administering non-pulmonary medications via inhalation in an effort to avoid systemic exposure. With this constant change, it can be difficult for the pediatric therapist to maintain knowledge of currently available therapies. This presentation will focus on newly available medications and "non-traditional" medications delivered via inhalation.

11:50 a.m.–12:25 p.m. | 265–266 | Clinical Practice

The Role of the Respiratory Therapist in the Pain Clinic

Daryl Smith MD, Denver CO

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Daryl Smith

The modern pain specialist does regional blocks of both outpatients and inpatients. Several of these blocks affect lung dynamics temporarily. Many of these patients can only tolerate these blocks with short term NIV managed by a RT. Therapists need to become members of the pain treatment team. They bring a special skill set to aid patients with chronic lung diseases receiving regional pain blocks.

12:30 p.m.–1:00 p.m. | 267–268 | General

Surface to Air Transport Section Meeting

Olivia Kaullen BHS RRT RRT-NPS/Presiding

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Olivia Kaullen

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and participate.

12:30 p.m.–1:00 p.m. | 265–266 | General

Post Acute Care Section Meeting

Adam Mullaly BHS RRT AE-C/Presiding

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Adam Mullaly

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and participate.

12:30 p.m.–2:25 p.m. | 280–282 | General

Open Forum — Poster Discussions #7

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

12:30 p.m.–2:25 p.m. | 275–277 | General

Open Forum — Poster Discussions #8

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

1:00 p.m.–1:45 p.m. | Theater C | General

Management Section Meeting

Kim Bennion MSHS RRT CHC/Presiding

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Kim Bennion

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and participate.

1:00 p.m.–1:45 p.m. | 272–273 | General

Education Section Meeting

Georgianna Sergakis PhD RRT FAARC/Presiding

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Georgianna Sergakis

Section members meet to determine their needs and priorities, as well as how to use AARC resources to accomplish them. All Congress attendees, including section non-members, are invited to attend and participate.

1:45 p.m.–4:20 p.m. | Clinical Practice

2019 COPD Symposium

This program is supported by an independent education grant from AstraZeneca and Mylan Specialty.

1:45 p.m.–2:20 p.m. | 278–279

COPD Review: Update on GOLD 2019

Brian Carlin MD FAARC, Sewickley PA

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Brian Carlin

This presentation will be covering research that has contributed to GOLD guideline updates and changes in practice for our COPD patients, bringing RTs from acute care to post-acute care together to learn about best practices and management strategies for this patient population.

2:25 p.m.–3:00 p.m. | 278–279

Misdiagnosis in Chronic Obstructive Pulmonary Disease

Gail Drescher MA RRT RRT-ACCS, Riva MD

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Gail Drescher

Proper assessment and the ability to recommend appropriate treatment are important skills for all respiratory therapists. Learn about issues that lead to the misdiagnosis of COPD, including diagnostic problems and conditions that may mimic this disease. Additional topics include: the inclusion of COPD in 30-day readmission penalties, coding in COPD, and potential adverse events from improper diagnosis and treatment. Find out how misdiagnosis impacts both clinical and financial outcomes.

3:05 p.m.–3:40 p.m. | 278–279

The Effects of Comorbid Conditions on COPD Outcomes

Lanny Inabnit MS RRT, Concord NC

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Lanny Inabnit

COPD is the third leading cause of death by disease in the U.S. and continues to be a burden on the health care system. Patients with COPD often have other comorbid conditions that lead to early readmissions and increased length of stay. This leads to a tremendous cost burden. Practitioners need to be able to recognize the effect that these comorbid conditions can have. The presenter will outline the most prevalent comorbidities in patients with COPD and discuss the suggested outcome effects of these.

3:45 p.m.–4:20 p.m. | 278–279

How to Optimize Aerosol Drug Delivery in COPD

Arzu Ari PhD RRT FAARC, Round Rock TX

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Arzu Ari

Previous research has shown that there is a gap in health care providers’ practice when prescribing inhalation delivery devices for the management of COPD. This presentation will review the current aerosol delivery devices used for the treatment of patients with COPD and provide strategies and recommendations to optimize aerosol drug delivery in this patient population.

1:45 p.m.–5:00 p.m. | Neonatal/Pediatric

New Horizons: Pediatric Respiratory Support

1:45 p.m.–2:20 p.m. | 286–287

Neonatal Respiratory Distress — The Golden Hour

Craig Wheeler MS RRT RRT-NPS, Boston MA

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Craig Wheeler

Early use of ventilation, both invasive and noninvasive, along with surfactant administration, has an important impact on outcomes. Oxygen administration may also impact response and long-term complications. This lecture will evaluate best practices in the first hour of life.

2:25 p.m.–3:00 p.m. | 286–287

Pediatric and Neonatal High Flow Nasal Cannula

Rob DiBlasi RRT RRT-NPS FAARC, Shorline WA

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Rob DiBlasi

High flow nasal oxygen has altered the landscape of respiratory support in neonates and pediatrics. Patient comfort and development of end expiratory pressure are impacted by flow in L/kg which also impacts safety. When is HFNC indicated in these populations and in which patients?

3:05 p.m.–3:40 p.m. | 286–287

Ventilator Liberation in the PICU

Christopher Newth MD, Los Angeles CA

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Christopher Newth

Ventilator liberation and spontaneous breathing trials have become a standard of care in adults. Ventilator liberation in pediatrics and assessing weaning readiness has nuances that require additional considerations. This lecture will describe the current best practices for ventilator liberation in pediatrics.

3:45 p.m.–4:20 p.m. | 286–287

Inhaled Pulmonary Vasodilators in the NICU and PICU

Brian Walsh PhD RRT RRT-NPS, Lynchburg VA

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Brian Walsh

Both aerosolized pulmonary vasodilators and inhaled nitric oxide have a role in the neonatal and pediatric ICU. Delivery during NIV and invasive ventilation are possible, but the devil is in the details. When can these inhaled therapies be used, and what are the advantages and disadvantages of each?

4:25 p.m.–5:00 p.m. | 286–287

The Role of High Frequency Ventilation in Neonatal and Pediatrics

Jordan Rettig MD, Boston MA

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Jordan Rettig

High frequency ventilation has found the greatest utility in neonates and pediatrics. Recent studies in adults have found no advantages in adults. What is the best practice evidence for high frequency ventilation in the neonatal and pediatric ICU?

1:45 p.m.–3:40 p.m. | Neonatal/Pediatric

Pediatric Protocols

1:45 p.m.–2:20 p.m. | Theater A

Management of Pediatric Asthma

Ariel Berlinski MD FAARC, Little Rock AK

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Ariel Berlinski

Asthma exacerbation is a common reason for hospitalization in the pediatric population. Management of asthma through protocol driven care can improve efficiency and reduce length of stay. This presentation will review current evidence related to pediatric asthma and discuss key components of a pediatric asthma management protocol.

2:25 p.m.–3:00 p.m. | Theater A

Management of Bronchiolitis

Dave Crotwell RRT RRT-NPS FAARC, Kirkland WA

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Dave Crotwell

This session is designed to review the protocol for the management of bronchiolitis and its evolution of change over the past ten years, how it has impacted the workflow, management, and outcomes of these patients.

3:05 p.m.–3:40 p.m. | Theater A

Instituting a Nitric Oxide Initiation and Weaning Protocol

Heather McKelvy MHA RRT RRT-NPS, Menlo Park CA

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Heather McKelvy

Use of inhaled nitric oxide weaning protocols has been advocated in the pediatric population. This lecture will cover one institutions’ experience and timeline towards the development of a Nitric Oxide Initiation and Weaning protocol. Purpose of the initiative, including team members’ roles, data collection, and education will be presented.

1:45 p.m.–3:00 p.m. | Theater C | Management

You Were Born to Learn to Lead

Megan Koster RRT FAARC, Boise ID

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Megan Koster

Can you learn to lead? Yes! Effective and efficient leaders simply understand, embrace, and evolve their leadership identity to emphasize strengths and minimize weakness. Agendas, goals, challenges, and change are all navigable given the correct set of tools. This talk will exemplify how to identify, develop and hone those tools and skills required to successfully weather change by utilizing frameworks through which anyone, yes anyone, can build a leadership identity capable of success.

2:25 p.m.–3:00 p.m. | Theater C | Education

Doing More with Bedside Data — A Mechanical Ventilation Focus

Brian Walsh PhD RRT RRT-NPS, Lynchburg VA

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Brian Walsh

To err is human. Medical errors have become the 3rd leading cause of death in the U.S. With the advent of ventilator-associated events, could we leverage computers to help alert or predict who will have a VAE? The presenter will review the literature on computer-aided mechanical ventilation to help improve the quality of mechanical ventilation.

1:45 p.m.–2:20 p.m. | 272–273 | Education

Gen Z Goes to College: Characteristics, Traits, and Learning Preferences of Our Youngest Generation of Students

Bill Galvin MSEd RRT FAARC, Havertown PA

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Bill Galvin

Generation Z are now entering college and will bring with them a unique set of traits and characteristics. What motivates them? What do they like/dislike? How do they learn? More importantly, what are their learning preferences? This presentation will address the characteristics of students born in the mid-1990s. It will identify their unique interests, needs, likes, and desires. It will identify their learning preferences and teaching/learning strategies to make education meaningful and effective for them.

1:45 p.m.–2:20 p.m. | 265–266 | Clinical Practice

Key Determinants of Successful Weaning in Long-Term Care

Gene Gantt RRT FAARC, Livingston TN

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Gene Gantt

What does it take to achieve successful weaning in the long-term care setting? This lecture will provide information on protocols for weaning success and methods to achieve desired outcomes.

1:45 p.m.–2:20 p.m. | Theater B | Adult Acute Care

Mechanical Power and Ventilator-Induced Lung Injury

Bill LeTourneau MA RRT RRT-ACCS, Rochester MN

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Bill LeTourneau

Does the recent introduction to the concept of mechanical power and focusing on the dynamic properties of tidal ventilation bring us closer to identifying a dangerous threshold index that indicates unsafe mechanical ventilation? This lecture will describe the concept of mechanical power and how it may be used to guide safe mechanical ventilation.

1:45 p.m.–2:20 p.m. | 267–268 | Education

High-Fidelity Simulation in the Transport Environment

Jennifer Watts RRT RRT-NPS C-NPT, Romeoville IL

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Jennifer Watts

The transport environment remains an unpredictable place to provide care. By instituting the use of high-fidelity simulation within this environment, the “what-ifs” become easier to mitigate when caring for the transport patient.

2:25 p.m.–3:00 p.m. | 272–273 | Education

Student Anxiety Is Real: The Benefits of Mindfulness Exercises in Class

Jennifer Anderson EdD RRT RRT-NPS, Wichita Falls TX

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Jennifer Anderson

Students today experience a tremendous amount of stress and anxiety. Anxiety can make it difficult for students to concentrate and learn. Mindfulness helps students be present in the moment, not to dwell on the past, or worry about the future. Attend this presentation to learn how to help students be better prepared to learn.

2:25 p.m.–3:00 p.m. | 265–266 | Clinical Practice

Using RCPs to Reduce Readmissions by Managing Complex Cardiopulmonary Patients in a Skilled Nursing Facility

Victoria Florentine RRT CPFT AE-C, Fair Oaks CA

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Victoria Florentine

Readmission reduction is THE hot topic in the post-acute world. Two patient populations with the highest risk of readmission are CHF and COPD, but respiratory therapists have yet to take the lead to address the issue. In Northern California, a respiratory company partnered with a 160-bed SNF to tackle the problem head on. The results prove that respiratory care practitioners are the key to stemming the tide of readmissions in this medically complex patient population.

2:25 p.m.–3:00 p.m. | Theater B | Adult Acute Care

Noninvasive Ventilation Outside of the ICU for Acute Respiratory Failure: Is It Safe?

Robert Kacmarek PhD RRT FAARC, Boston MA

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Robert Kacmarek

Noninvasive ventilation (NIV) is commonly used to treat acute respiratory failure, but where should it be utilized? Is it safe to use this modality outside of the emergency TBA or ICU? This lecture will examine the evidence and practical considerations regarding NIV outside of the ICU.

2:25 p.m.–3:00 p.m. | 267–268 | General

Aeromedical Transport of Casualties with ARDS

Brandon Blake RRT, USAF

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Brandon Blake

This lecture will describe the injuries requiring mechanical ventilation during aeromedical transport in a war zone. Data on the impact of lung protective ventilation on outcomes in patients with and without ARDS will also be presented. Lifesaving interventions required during aeromedical transport will be listed in terms of frequency and severity.

3:05 p.m.–5:00 p.m. | Adult Acute Care

Airway Management

3:05 p.m.–3:40 p.m. | 267–268

Placing Artificial Airways: Endotracheal Tubes and Supraglottic Airways

Eddy Fan MD PhD, Toronto ON

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Eddy Fan

This presentation will discuss different choices and approaches to placing artificial airways during routine airway management and what to do when things go awry.

3:45 p.m.–4:20 p.m. | 267–268

Airway Assessment: Predicting the Difficult Airway

Carl Hinkson MS RRT FAARC, Marysville WA

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Carl Hinkson

This presentation will cover how clinicians can utilize a comprehensive airway assessment to anticipate problems encountered during airway management and implement tools and strategies to prevent complications from intubation.

4:25 p.m.–5:00 p.m. | 267–268

How Patent Is Your Patient’s Airway? Managing Partially Occluded Endotracheal Tubes

John Emberger RRT FAARC CPHQ, Bear DE

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John Emberger

Partial obstructions of the endotracheal tube can both create a life threatening situation and masquerade as respiratory failure causing longer length of stay on the ventilator. This lecture will discuss the devices that are available to detect and manage partial ETT obstructions as well as images and graphics of situations with partial occlusions.

3:05 p.m.–4:20 p.m. | Clinical Practice

Managing Non-CF Bronchiectasis (NCF-BE)

3:05 p.m.–3:40 p.m. | 265–266

Home Management of Non-CF Bronchiectasis (NCF-BE) Among the COPD Community

Zach Gantt RRT, Livingston TN

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Zach Gantt

This topic will explain the evolution of therapies and the most current pharmacological, therapy, and self-management skills to comprehensively manage comorbid NCF-BE in the COPD community.

3:45 p.m.–4:20 p.m. | 265–266

Measures, Metrics, and Outcomes in Non-CF Bronchiectasis (NCF-BE) in the COPD Community

Dan Easley BHS, Apollo PA

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Dan Easley

This topic will explain how to implement screening, measure data, and track outcomes that will assist in managing NCF-BE patients, and how to use those outcomes to create protocols for COPD patients using technology to drive the plan of care.

3:05 p.m.–4:20 p.m. | Theater B | Adult Acute Care

PRO/CON — NIV vs. HFNC for Hypercapnic COPD Exacerbation: NIV is Superior

Pro: Dean Hess PhD RRT FAARC, Danvers MA
Con: Thomas Piraino RRT, Beansville ON

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Dean HessThomas Piraino

An exacerbation of COPD represents a challenge for the care team. In the face of hypercarbia, improved ventilation and rest of the respiratory muscles is paramount. NIV is far superior at achieving this goal compared to HFNC.

3:05 p.m.–3:40 p.m. | 272–273 | Education

The Intersection of Education, Clinical Practice, and Research

Dave Burnett PhD RRT AE-C, Kansas City KS

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Dave Burnett

Respiratory therapists and program faculty are discovering opportunities to work within a variety of settings. Although respiratory therapists may flourish in the education, clinical, or research environment, they can also thrive in all three at once. This presentation will discuss how to successfully bring together education, clinical practice, and research experiences into the same setting.

3:05 p.m.–4:20 p.m. | Management

Strategic Onboarding and Succession Planning: A Win-Win for Everyone!

3:05 p.m.–3:40 p.m. | Theater C

Onboarding New Respiratory Care Services Leadership

Margie Pierce MS RRT CPFT, Philadelphia PA

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Margie Pierce

New leadership onboarding can prove challenging; therefore, key elements of identifying, growing, and onboarding new leaders is imperative to reduce the loss of respiratory care leadership knowledge and strategic positioning. Join this industry expert as she presents key concepts and stresses the need for formal, strategically implemented succession planning for long-term respiratory care viability.

3:45 p.m.–4:20 p.m. | Theater C

Succession Planning: Developing Future RT Leaders

Cheryl Hoerr MBA RRT FAARC, Rolla MO

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Cheryl Hoerr

Succession planning is simply the process of developing your people. Many RT departments do not have a strategic plan for identifying and preparing therapists to advance in the department or organization. A lack of succession planning can lead to department chaos when key people decide to move on. Come to this session and discover proven techniques to improve your department's succession planning.

10:00 a.m.–11:55 a.m. | 280–282 | General

Open Forum — Poster Discussions #9

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

10:00 a.m.–11:55 a.m. | 272–277 | General

Open Forum — Poster Discussions #10

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

3:45 p.m.–4:20 p.m. | Theater A | Neonatal/Pediatric

Pediatric VAE — Where Are We Now?

Kathleen Deakins MHA RRT FAARC, Chardon OH

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Kathleen Deakins

The CDC has moved to monitoring Pediatric VAE instead of VAP. This presentation will review the definition, incidence, and factors that may reduce the impact of pediatric VAE.

3:45 p.m.–5:00 p.m. | 272–273 | Education

Hot Topics from the World of Higher Education: What RC Faculty “Need to Know”

Bill Galvin MSEd RRT FAARC, Havertown PA

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Bill Galvin

Higher education is undergoing considerable change. Issues include: changing demographics, funding, campus safety, student unrest, and questions related to mission realignment and degree creep. These issues and more will reshape the higher education landscape. This session will provide an opportunity to learn more about the impact of these issues, and to discuss experiences related to these issues with colleagues.

4:25 p.m.–5:00 p.m. | 278–279 | Adult Acute Care

Generational Perspectives: Are We Listening to Understand?

Tammy Stucki RRT RRT-ACCS, St George UT

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Tammy Stucki

Generational differences have been well defined in the literature. However, join this unique presentation from the perspective of a “Gen X” presenter as she shares the stage with a “Millennial.” They will share ideas about what millennials really want from their manager and provide unique suggestions for retaining millennials in an organization's workforce.

4:25 p.m.–5:00 p.m. | Theater C | Management

Home Monitoring of High-Risk Opioid Patients — Isn’t That Just Overkill?

Kim Bennion MSHS RRT CHC, Murray UT

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Kim Bennion

Respiratory therapy is in a unique position to lead CQI projects. Join the presenter as she describes their alarming findings at three hospitals regarding high-risk opioid patients. She will share the protocol and other tools to create, implement, and describe the value of such a process, so that you can get a jump ahead in approaching your leadership regarding this innovative, lifesaving “patient at home” monitoring.

4:25 p.m.–5:00 p.m. | Theater A | Neonatal/Pediatric

Patients Should Be Extubated 24/7

Stephen Hepditch BS RRT RRT-NPS, Durham NC

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Stephen Hepditch

Hospitals operate 24/7 but staffing levels and available services change when the sun goes down. This discussion will debate the relative merits of extubating patients when they are ready, regardless of the time of day.

4:25 p.m.–5:00 p.m. | 265–266 | Clinical Practice

A Primer in Home Oxygen Therapy Equipment and Delivery Devices for Hospital Respiratory Therapists

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

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Mark W. Mangus

Providing oxygen therapy within the hospital involves use of equipment and delivery adjuncts that are quite different from providing oxygen therapy in the home. Home oxygen therapy poses challenges and limitations not encountered by hospital RTs. A better understanding of the capabilities and limitations of home oxygen therapy equipment and its adjuncts can help bridge the gap and transition from hospital to home for patients requiring continued and long-term oxygen therapy.

4:25 p.m.–5:00 p.m. | Theater B | Adult Acute Care

Inhaler Effort: Too Fast or Too Slow? Measuring Peak Inspiratory Flow is the Only Way to Know!

Adam Mullaly BHS RRT AE-C, Bryn Mawr PA

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Adam Mullaly

There are currently 9 different types of inhalers used to deliver asthma/COPD medications, all with varying levels of resistance. Evidence suggests that optimal peak inspiratory flow effort using these inhalers is important for effective medication delivery, and that sub-optimal peak inspiratory flow efforts may, in fact, contribute to unnecessary hospital admissions. Should we all be evaluating peak inspiratory flow (PIF) efforts?


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