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Wednesday, December 10

Tracks: Professional, General
19th ANNUAL PHIL KITTREDGE MEMORIAL LECTURE
8:30 am – 9:20 am • Rooms N249-251
Thomas J Kallstrom RRT FAARC/Chairing
Supported by an unrestricted educational grant from Masimo
This lecture provides a critical and incisive evaluation of an aspect of clinical respiratory care of emerging or increasing importance.

Robert L Chatburn RRT FAARC
University Hospital of Cleveland, Cleveland OH
Advancing Beyond the Average: The Seven Levels of Achievement

Tracks: Professional, General
AGENCY UPDATES
9:30 am – 10:25 am • Room N254
David C Shelledy PhD RRT – AARC President
Michael T Amato – ARCF Chairman
Ian J Gilmour MD – CoARC Chairman
Pamela L Bortner MBA RRT – NBRC President
Reports from the four agencies representing and advancing the profession in all areas.

Tracks:
Open Forum #9 — VENTILATORS & MECHANICAL VENTILATION: PART 1
9:30 am – 11:25 am • Rooms N231, 233, 235
Presented by the Journal RESPIRATORY CARE
The results of scientific studies are presented. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand the information presented.

• Use of the Sensormedics 3100B High Frequency Oscillator Results in Improved Oxygenation Index at 24 Hours After Device Initiation—Tom Nelson RRT, Charlotte NC
• Using Ventilator Derived RSBI And TI/TTOT As Indicators for Successful Liberation from Mechanical Ventilation—Brian Timon RRT, Houston TX
• Effect of Oxygen Flow on Performance of a BiPap Ventilator—Mark J Sollars RRT, Boston MA
• Bedside Visual Comparison of Ventilator Circuit Humidity—Jodette A Brewer RRT, San Diego CA
• Ventilator Self-Triggering Masquerades As Brainstem Activity– A Case Report—Charles G Durbin Jr MD, Charlottesville VA
• A New Strategy for Adult Burn and Trauma Patients Failing Conventional Mechanical Ventilation: High Frequency Oscillatory Ventilation—Kim M Whitford RRT-NPS, Phoenix AZ
• High Frequency and Conventional Ventilation: Impact of Lung Volume Recruitment Strategies on Pathophysiologic Outcomes and Inflammatory Responses in an Animal Model of Respiratory Distress Syndrome—Patricia Meyers RRT, St Paul MN
• Bench Testing the Viasys Corpak Pulmanex Pulmonary Assist Circuit—Mark Rose RRT, Dallas TX
• Differences in Intrapulmonary Conditions Between Conventional Ventilation and High Frequency Ventilation—Karel Roubik PhD, Prague, Czech Repulic
• Survey of Canadian Hospitals Using the Sensormedics 3100B High-Frequency Oscillatory Ventilator: A Descriptive Study—Catherine Burke-Tremblay RRT RRCP, Oakville, Ontario, Canada
• Use of Noninvasive Positive Pressure Ventilation in the Emergency Room to Prevent Subsequent Intubation: An Exceptional Case—Michael A Gentile RRT, Durham NC
• Pressure-Time Product As an Indicator of Inspiratory Work in a Lung Model During Different Inspiratory Flow Demands in the Respironics Esprit‘, Puritan Bennett 7200ae‘ and Siemens Servoi‘—Robert L Joyner Jr PhD RRT, Salisbury MD
• Clinical Implementation of the NIH Acute Respiratory Distress Syndrome Network’s (ARDS-Net) Low Tidal Volume (VT) Protocol Reduces Hospital Mortality Compared to Historical Controls—Richard H Kallet MS RRT, San Francisco CA
• Ability to Maintain Lung Protective Ventilation Goals Using the NIH Acute Respiratory Distress Syndrome Network’s (ARDS-net) Low Tidal Volume (VT) Protocol During Clinical Management of Acute Lung Injury (ALI)— Richard H Kallet MS RRT, San Francisco CA
• Ability To Achieve Lung-Protective Ventilation Goals When Different Modes Are Used with the NIH ARDS Network (ARDS-Net) Protocol During Clinical Management of Acute Lung Injury— Richard H Kallet MS RRT, San Francisco CA
• Sustained Elevation in Pulmonary Dead-Space-to-Tidal Volume Ratio (VD/VT) Characterizes Non-Survivors with Acute Respiratory Distress Syndrome— Richard H Kallet MS RRT, San Francisco CA
• A Comparison of Assist Control Volume Ventilation, Pressure Control Ventilation, and Adaptive Pressure Ventilation During an Air Leak Syndrome (ALS) in a Lung Model—David Chapa CRT, San Antonio TX
• A Comparison of Total Patient Work of Breathing (TPWOB) Between Endotracheal (ETT) and Tracheostomy (TT) Tubes During Pressure Support Ventilation (PSV) in a Spontaneously Breathing Lung Model—Brandi A Blackburn CRT, San Antonio TX

Tracks: Diagnostics, Rehab
Open Forum #10—PULMONARY DIAGNOSTICS
9:30 am – 11:25 am • Rooms N237, 239, 241
Presented by the Journal RESPIRATORY CARE
The results of scientific studies are presented. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand the information presented.

• Comparison of Standard Versus Modified Expiratory Techniques During Spirometry—Bill Pruitt MBA RRT CPFT, Mobile AL
• Comparison Between Bayer Diagnostics Rapidlab 865 Arterial Blood Gas Analyzer and Novametrix Noninvasive Cardiac Output Monitor (NICO)—Sally Whitten RRT, Portland ME
• From Turkish Medical Professionals’ Perspectives: Is There a Need for Pulmonary Function Diagnostics Program in Turkey?—Arzu Ari MS CRT CPFT, Istanbul, Turkey
• Use of Corticosteroids at the Time of Methacholine Challenge Testing—Jeffrey N Haynes RRT RPFT, Nashua NH
• Gender Differences in Cardiorespiratory Responses During Standardized Arm Cranking and Task-Specific Pushing-Pulling—Rammohan V Maikala PhD, Hopkinton MA
• Development of a United Kingdom Inter-Laboratory Quality Assurance Scheme—Alan J Moore, Birmingham, United Kingdom
• Applicability of Caucasian Prediction Equations for Spirometry Interpretation in North Indian Patients— Ashutosh N Aggarwal MD, Chandigarh, India
• Office Spirometry Predicts Risk for Obesity Hypoventilation Syndrome in Patients with Suspected Obstructive Sleep Apnea—Susan Edwards CRT, French Camp PA
• A Proposed Spirometric Index for Evaluating Patients with Decreased FEV1—Alexander B Adams MPH RRT FAARC, St Paul MN
• Effect of Nitrogen Washout Studies Using 100% O2 on Patients Having Severe COPD— John W Earl RRT, White River Junction VT

Tracks: Subacute Care
IS THERE STILL A PLACE FOR THE RT IN LONG TERM CARE?
9:30 am – 10:25 am • Rooms N259, 261

The Role of the RT in Long Term Care
Terry Volsko RRT FAARC, Advanced Health Systems, Hudson OH
This presentation will describe the professional role of the respiratory therapist in long term care. The application of therapist driven protocols from oxygen therapy to ventilator weaning protocols will be discussed. The role the respiratory therapist plays in the development of outcome indicators and outcomes monitoring in the subacute and long-term care will be discussed.

Tracks: Critical Care, Pediatrics, Continuous Care
HELIOX: WHY, WHEN, WHERE & HOW
9:30 am – 11:40 am • Room N256

9:30 am – 10:10 am
Heliox in Non-Intubated Patients: Rationale and Evidence
Michael R Anderson MD, Rainbow Babies and Childrens Hospital, Cleveland OH
This lecture reviews the physical properties of helium-oxygen mixtures and their physiologic effects when breathed. It discusses the diseases and situations in which heliox therapy may be considered and the available data for its effectiveness in non-intubated patients.

10:15 am – 10:55 am
Heliox in Intubated Patients: Rationale and Evidence
Ira Cheifetz MD FAARC, Duke University Medical Center, Durham NC
This presentation discusses the application of helium-oxygen mixtures in intubated, mechanically ventilated patients. It reviews the published literature on both physiologic measures and outcomes.

11:00 am – 11:40 am
Practical Aspects of Heliox Delivery
Melissa K Brown RRT-NPS, University of California Medical Center, San Diego CA
This lecture is a practical discussion on the effect heliox has on the functioning of equipment utilized in most intensive care environments. Reviewed will be which ventilators will function with heliox and what you will need to know before setting them up on your patient. How to add heliox with NPPV and how heliox will effect the nebulization of medication. Also, how to utilize heliox with other therapies such as HFOV and INO will be covered.

ADULT ACUTE CARE SECTION MEMBERSHIP MEETING
11:40 am – 12:10 pm • Room N256
Nicholas Widder RRT/Presiding
Whether or not you are a member of the Adult Acute Care Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.

Tracks: Diagnostics, Critical Care
ADVANCES IN IMAGING AND BRONCHOSCOPY TECHNIQUES
9:30 am – 11:40 am • Rooms N255, 257

9:30 am – 10:10 am
How to Skin a CAT
Eric J Stern MD, University of Washington School of Medicine, Seattle WA
A practical, highly visual review of how CT scanning can assist in the diagnosis and management of pulmonary disease. Explains this sometimes confusing technology in a manner that clinicians can understand, and relate it to their everyday practice. This presentation demonstrates the exciting things that can be done with newly available CT machinery and data manipulation, including 3-D reconstruction, animation, and virtual bronchoscopy.

10:15 am – 10:55 am
Interventional Bronchoscopy
Gerard A Silvestri MD, Medical University of South Carolina, Charleston SC
This presentation reviews the procedures that can be performed, and the previously untreatable conditions that can be managed, using currently available techniques of flexible and rigid bronchoscopy. The use of lasers, airway stents, and other techniques has greatly improved our ability to control airway obstruction and other problems associated with advanced lung cancer, and have had an important impact on the quality of life that can be achieved for these patients.

11:00 am – 11:40 am
Practical Radiology for the RT in the ICU
Eric J Stern MD
Now that our ICUs have digital imaging monitors a few steps from the patient’s bedside, respiratory therapists need to know more about this aspect of management than ever before. This presentation is a practical, easy to understand review of what the clinician in the ICU needs to know about portable chest X-rays and other imaging studies commonly used with patients. It summarizes how to read a chest X-ray from the therapist’s perspective and provides examples of many conditions the practitioner needs to be aware of and recognize.

DIAGNOSTIC SECTION MEMBERSHIP MEETING
11:40 am – 12:10 pm • Rooms N255, 257
Catherine M Foss RRT FPFT/Chairing
Whether or not you are a member of the Diagnostic Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.

Tracks: Diagnostics, Education
NEW TEACHING METHODOLOGY
9:30 am – 12:00 noon • Room N253

9:30 am - 10:55 am
Systematic Instructional Design - Implications for RC Faculty
Keith B Hopper PhD RRT, Southern Polytechnic State University, Marietta GA
Most respiratory care instructors teach as they were taught, using dusty tools and techniques of 19th century factory mentality school reform. The dominant mode of instruction is teacher-centered and lecture-based. Mastery of subject content isn’t enough. Systematic Instructional Design is a linking discipline that applies research and methods to the design, delivery, refinement and evaluation of instruction. The presenter will address these components as well as provide resources for the RC instructor and provide “lessons learned” in the corporate ID realm.

11:00 am - 12:00 noon
Online Simulation in Asthma Management for Inner City Children
Keith B Hopper PhD RRT
Presenter’s institution partnered with Atlanta’s ZAP Asthma organization in the development of an interactive online simulation to train young inner city asthmatics to manage their disease. Incorporates the principles and methodology of systematic instructional design and include project history, incorporation of branching-logic methodology, political and financial aspects of the project, project evaluation and community impact.

Tracks: Acute, Diagnostics, Continuous Care
AEROSOL DELIVERY: NEW DEVELOPMENTS AND PRACTICAL APPLICATIONS
9:30 am – 12:00 noon • Rooms N249-251
Supported by an unrestricted educational grant from Monaghan Medical.

9:30 am – 10:20 am
How Aerosol Delivery is Measured in the Laboratory
Jolyon Mitchell PhD, Trudell Medical Aerosol Laboratory, London Ontario Canada
A review of the principles of aerosol generation, deposition, and quantitation, and how these are applied in the design and evaluation of new devices.

10:25 am – 11:10 am
Current and Future Aerosol Delivery Devices
Joseph L Rau PhD RRT FAARC, Georgia State University, Atlanta GA
We are in the midst of an explosion of new approaches and devices for administering aerosols to patients. This presentation describes the devices now available and provides a preview of others soon to be introduced.

11:15 am – 12:00 noon
Cost-Effective Aerosol Delivery in Acute Care
Russell Acevedo MD FAARC, Crouse Hospital, Syracuse NY
This presentation draws on current aerosol delivery technology and available data from published studies on clinical effectiveness in discussing the practical, cost-effective application of aerosol delivery in the acute care hospital.

Tracks: Transport, Neonatal, Pediatric
ADVANCES IN NEONATAL/PEDIATRIC TRANSPORT
9:30 am – 12:05 pm • Rooms N232, 234, 236

9:30 am – 10:05 am
Advanced Practice and Improving Service in the Pediatric Intensive Care Unit
Greg Schears MD, Mayo Clinic, Rochester MN
This presentation will describe the advance practice of transport respiratory therapy and the improvements in response time plus the addition of inter-hospital pediatric trauma care.

10:10 am – 10:45 am
High Frequency Ventilation in Transport
David Blackney RRT, Sutter Childrens Hospital, Sacramento CA
This presentation will describe the use of Bronchotron high frequency in transport and will discuss an approved (FDA) high frequency ventilation system that can also deliver nitric oxide.

10:50 am – 11:25 am
Continuous Quality Improvement to Improve Transport Services
Dawn Filippa RRT EMT-P, Life Star Flight, Hartford CT
Describes a system for continuous quality improvement to improve services to patients and meet Emergency Medical Transport ALA guidelines.

11:30 am – 12:05 pm
ACLS and Critical High Risk OB Transport
Ami Metts RN, Memorial Hospital, Colorado Springs CO
Describes how ACLS factors into a high-risk maternal transport when the baby delivers in transport.

Tracks: Professional, General
AARC LEADERSHIP INSTITUTE
9:30 am – 12:05 pm • Rooms N240, 242

9:30 am – 10:05 am
Leadership: The Times, They Are Changing
Charlie G Brooks Jr MEd RRT FAARC, University Medical Center, Lebanon TN
The speaker will present an overview of the current healthcare climate and the changes that are ongoing within it. He will share some practical and methodical ways of meeting the ever-moving targets facing today’s leadership.

10:10 am – 10:45 am
Mentoring the Next Generation of Leaders
Anna Parkman PhD MBA RRT, University of Charleston, Charleston WV
Different generations often learn and respond in different fashions, driven by varying stimuli. The speaker will offer practical instruction for developing new leaders and keeping everyone on the same page.

10:50 am – 11:25 am
Forging Relationships through Advocacy and Collaboration
George Gaebler MSEd RRT FAARC, University Hospital, Syracuse NY
This program will relate the impact of advocacy and collaboration to professional success for individuals as well as organizations. The speaker will provide witnessed examples that have resulted from these types of efforts.

11:30 am – 12:05 pm
Effective Leadership – Sharing the Vision
Ruth Krueger RRT, Sioux Valley Hospital, Sioux Falls SD
Once we know where we want to go, how do we engage those around us to help reach our goals? The speaker will share practical ways of fostering the “buy-in” of others in obtaining the desired results.

Tracks: Professional, General
PARTNERS IN PROGRESS: NLHEP AND RTs IMPACT HEALTH CARE
9:30 am – 12:00 pm • Room N252
Gretchen Lawrence RRT FAARC/Chairing

9:30 am – 9:35 am
Program Update and Welcome
Gretchen Lawrence RRT FAARC

9:35 am – 10:25 am
Programs, Public Awareness, and Politics: RTs Lead the Way
Dennis Doherty MD, University of Kentucky Chandler Medical Center, Lexington KY
Dr. Doherty will describe how NLHEP-based model programs influence the way care is delivered and how to effectively get the NLHEP message to the public.

10:25 am - 11:15 am
Simple Spirometry: Modifying the Test Without Mucking Up the Results
Paul Enright MD, University of Arizona, Tucson AZ
Dr. Enright will describe the NLHEP/ATS initiative to bring high-qualtiy spirometry testing to the Primary Care Physicians office and the role the respiratory therapist must play in this process.

11:15 am – 12:00 pm
Rising to the Occasion: Respiratory Therapist as Resource for the Primary Care Physician
Dale Mayers RRT, Saint Mary’s Hospital, Grand Junction CO
This presentation will describe the development and implementation of a spirometry program for Primary Care Physician offices using the respiratory therapist as a consultant.

Tracks: Continuing Care and Rehabilitation, Professional
YOUR LUNG HEALTH
10:00 am – 12:00 pm • Room N245
Margaret F Traband MEd RRT/Chairing
A special program designed for people with pulmonary disease and their families. All conventioneers are welcome.

10:00 am - 10:10 am
Welcome and Introductions

10:10 am – 10:40 am
I Don't Get Any Respect: Living with COPD
Patrick J Dunne MEd RRT FAARC, Fullerton CA

10:40 am – 11:10 am
Health Care May Be Hazardous to Your Health: How to Avoid Medical Mistakes
Kevin Shrake MA RRT FAARC, Dallas TX

11:10 am – 11:40 am
An Apple a Day Keeps the Doctor Away: Healthy Living Tips for Those with Respiratory Diseases
Helen M Sorenson MA RRT FAARC, San Antonio TX

11:40 am – 12:00 pm
Questions for the Panel

12:00 pm
Tour of the Exhibit Hall

Tracks: Management, General
RESPIRATORY CARE COSTS
10:30 am – 11:25 am • Rooms N259, 261

Cost and Cost Effectiveness in RC
Gordon D Rubenfeld MD MSc, Harborview Medical Center, Seattle WA
Although cost effectiveness is a major focus in respira-tory care today, its concepts, definitions and implications are often either unknown or misunderstood by many in the field. This presentation explains the true costs involved in respiratory care and discusses what is required for cost savings and cost effectiveness.

MANAGEMENT SECTION MEMBERSHIP MEETING
11:25 am – 11:55 am
Karen J Stewart MS RRT/Chairing
Whether or not you are a member of the Management Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.

Tracks: Management, Education, General
ASTHMA EDUCATOR CERTIFICATION
10:30 am – 11:25 am • Room N254

The First Year: What Have We Learned?
Susan Blonshine RRT RPFT FAARC, TechEd Consultants, Mason MI
Summarizes the certification program after its first year of implementation, including participation by RTs.

EXHIBITS – THE BUYING SHOW!
11:00 am – 4:00 pm • North Hall
Your opportunity to negotiate purchases of products and equipment right on the show floor. Free airline tickets to the 2004 Congress in New Orleans will be awarded.

Tracks: Professional, General
HOW DID WE GET HERE AND WHERE ARE WE GOING? 
PART 1: THE BIG PICTURE
1:00 pm – 2:25 pm • Rooms N249-251
What if there were no respiratory therapists and no AARC? What if American healthcare had developed more like one of the systems in Europe instead of the way it has? How would mechanical ventilation be practiced if there were no microprocessors? And what would life be like for patients with COPD if management and concepts of prognosis were the same as they were 50 years ago? This 3-part symposium takes a global view of present day respiratory care in the context of its development over the past several decades, and offers some projections for what may happen to the profession and the diseases it helps to manage during the next 20 years.

1:00 pm – 1:25 pm
From Horse and Buggy to HMO: Health Care in America
John R Walton MS RRT FAARC, Integrated Health Services, Burbank IL
The United States has the most capable, sophisticated, and costly health care system in the world. This presentation traces the history of American healthcare, both scientifically and socially, and highlights both its unique aspects and its current challenges. Although no one can know the future, a thorough familiarity with today’s situation in the context of how it developed may permit some reasonable scenarios for the coming years to be proposed.

1:30 pm – 1:55 pm
From TB Sanitarium to Today’s ICU: Pulmonary and Critical Care Medicine
David J Pierson MD FAARC, Harborview Medical Center, Seattle WA
When the AARC was founded 55 years ago there was no specialty of pulmonary medicine, and modern critical care could not even be imagined. These fields developed very differently in the United States as compared to the rest of the world. This presentation describes the birth of pulmonology and tells how its practitioners came also to do most of the critical care in America. It charts the development of the various educational, credentialing, and organizational aspects of the field, and what may lie ahead in this era of hospitalists and healthcare reform.

2:00 pm – 2:25 pm
From Cylinder Jockeys to Clinical Problem Solvers: The Respiratory Care Profession
Patrick J Dunne MEd RRT FAARC, Healthcare Productions, Fullerton CA
Today’s respiratory therapist has knowledge, skills, and a place in the healthcare system that is very different from those of the oxygen technicians and inhalation therapists of the past. This presentation traces the birth and development of a profession, including clinical, educational, credentialing, organizational, economic, and political aspects. From the perspective of this history it also speculates on what the future of respiratory care may bring.

Tracks: Management, Diagnostics
ATS LAB ACCREDITATION: WHAT DOES IT DO FOR YOU?
1:00 pm – 2:25 pm • Room N256

1:00 pm – 1:40 pm
ATS Laboratory Registration
Neil MacIntyre MD FAARC, Duke University Medical Center, Durham NC
Participants will understand the goals and advantages of the ATS registration process. Preliminary data from laboratories across the United States will be shared and future directions will be discussed.

1:45 pm – 2:25 pm
Pulmonary Function Predicted Equations
Paul L Enright MD, University of Arizona College of Medicine, Tucson AZ
There is a move within ATS toward a national standardized predicted set for pulmonary function tests. The pros and cons of this scenario will be discussed and the background of the development on the NHANES Equations will be presented.

Tracks: Management
WHAT MANAGERS NEED TO KNOW TODAY TO MANAGE FOR TOMORROW
1:00 pm – 2:40 pm • Rooms N255, 257

1:00 pm – 1:30 pm
Overcoming Barriers in Protocol Administration
Richard M Ford RRT FAARC, University of California, San Diego CA
There may be benefits to be gained through the implementation of protocol programs. We will examine the impact of protocols on employee’s perception of the workplace, recruitment/retention, patient satisfaction, and fiscal operations.

1:35 pm – 2:05 pm
Use of Relative Value Units to Insure Proper Staffing
Sam J Price RRT, Woodland Heights Medical Center, Lufkin TX
This presentation will provide a demonstration of the use of RVUs to determine proper staffing levels in a small or large department. Allows a manager to explain fluctuations in staffing levels when the number of procedures don’t appear to change. RVUs allow for inclusion of fixed-time and non-productive time as well as variable productive time.

2:10 pm – 2:40 pm
Does One Size Fit All? “Cradle to Grave” Ventilators
John Salyer MBA RRT FAARC, Seattle Childrens Hospital, Seattle WA
The advantages and disadvantages of buying one ventilator for all patient types will be explored. Can one ventilator really be the best for all?

Tracks: Home Care, Diagnostics, Education
SO YOU WANT TO GET INVOLVED IN SLEEP MEDICINE?
1:00 pm – 4:45 pm • Room N254

1:00 pm – 1:55 pm
Sleep Medicine: A Growing Opportunity for Respiratory Therapists
Thomas R Smalling MS RRT RPFT RPSGT, SUNY, Stony Brook NY
This will present an overview of the scope of practice and credentialing required to become a polysomno-graphic technologist.

2:00 pm – 2:55 pm
Sleep/Wake Disorders
Russell E Rozensky RRT CPFT RPSGT, SUNY, Stony Brook NY
Speaker will present a description of the various sleep disorders according to the ASSM classifications and discuss the various treatment modalities including positive airway pressure, surgical and non-surgical alternatives.

3:00 pm – 3:55 pm
Regulatory Issues for Sleep Disorder Centers
Suzanne Bollig RR RPSGT, Hayes Medical Center, Hayes KS
A discussion of the differences between sleep centers and sleep laboratories.

4:00 pm – 4:45 pm
Panel Discussion
Suzanne Bollig RR RPSGT, Russell E Rozensky RRT CPFT RPSGT, and Thomas R Smalling MS RRT RPFT RPSGT

Tracks: Home Care, Management
HOT TOPICS IN HOME CARE:
HIPAA AND COMPETITIVE BIDDING
1:00 pm – 2:35 pm • Rooms N259, 261

1:00 pm – 1:45 pm
Competitive Bidding
Scott L Bartow MS RRT FAARC, Sentara Home Care Service, Chesapeake VA
Competitive bidding may change the way home oxygen is delivered in the U.S. The AARC position statement will be explained and competitive bidding’s impact on the home healthcare business will be explored.

1:50 pm – 2:35 pm
HIPAA and the Home Care Therapist
Martin J Bryson RRT, Apria Healthcare, Lake Forest CA
This presentation will provide the audience with one company’s approach to the HIPAA compliance issue as it relates to company staff and Business Associate Agreements.

HOME CARE SECTION MEMBERSHIP MEETING
2:40 pm – 3:10 pm • Rooms N259, 261
Joseph Lewasrski RRT/Presiding
Whether or not you are a member of the Home Care Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.

Tracks: Neonatal/Pediatrics, Critical Care
CURRENT CONCEPTS IN NEONATOLOGY AND PEDIATRICS
1:00 pm – 3:35 pm • Rooms N240, 242

1:00 pm – 1:35 pm
The Use of Pulmonary Mechanics and Waveforms in the NICU
Steven M Donn MD, Mott Childrens Hospital, Ann Arbor MI
The speaker will discuss the use of pulmonary mechanics in the Neonatal Intensive Care Unit, and will discuss the role of mechanics and graphics for weaning as well as surfactant therapy and aerosol administration.

1:40 pm – 2:15 pm
Therapist Driven Protocols: Keys to Successful Implementation in the Neonatal-Pediatric Population
Timothy R Myers RRT, Rainbow Babies and Childrens Hospital, Cleveland OH
Speaker will review the evidence and current strategies for effective implementation of therapist-driven protocols in the neonatal-pediatric population.

2:20 pm – 2:55 pm
Update on the Management of RDS
Steven M Donn MD
This program discusses the management of respiratory distress of the newborn and will evaluate and review the literature on surfactant therapy, ventilation strategies, nitric oxide, and post extubation management.

3:00 pm – 3:35 pm
Resuscitation and Airway Management in the Pediatric Population
Michael Anderson MD, Rainbow Babies and Childrens Hospital, Cleveland OH
This presentation will review proper protocols for pediatric resuscitation. The speaker will also review current trends and techniques in airway management of the pediatric patient.

NEONATAL-PEDIATRIC SECTION MEMBERSHIP MEETING
3:35 pm – 4:05 pm • Rooms N240, 242
Timothy R Myers RRT/Presiding
Whether or not you are a member of the Neonatal-Pediatric Section, you are welcome to attend. Your participation can make a difference in the future of your area of interest in the profession.

Tracks: International, General
INTERNATIONAL RESPIRATORY CARE
1:00 pm – 4:55 pm • Room N253

1:00 pm – 1:55 pm
Respiratory Therapy in China
Lynn Beaton RRT, British Columbia Childrens Hospital, Richmond British Columbia Canada
I was the only RT that traveled with a team of Neonatal physicians from Canada to lecture in several cities in China. The magnitude of the number of patients these hospitals see in just a 24-hour time frame in relationship to the manpower was overwhelming from a North American perspective. To facilitate education a new program was formed with a partnership between Shanghai Childrens Hospital of Fudan University and the Canadian Neonatal Network.

2:00 pm – 2:55 pm
Respiratory Therapists Breathing Hope in Third World Countries
Katie Sabato MS RRT, Childrens Hospital, Oakland CA
This presentation documents the profound effects RCPs can make in third world countries; contrasting the maximal success accomplished by 2 RTs who independently and successfully introduced mechanical ventilation to Belize to the struggles encountered in Africa where health care is worse than anywhere on the globe. Highlights will include how RTs can become involved in medical missionary groups.

3:00 pm – 3:55 pm
Winning Hearts Around the World
Wesley A Flener CRT, Lincare Home Health, Louisville KY
My presentation will entertain, inspire, and motivate all professionals in the medical community. I will share my humorous experiences from around the world: China, Russia, the U.S. and especially New York City. Humor has been used to help heal in hospitals, orphanages, nursing homes, firehouses, police precincts and the busiest streets in the world.

4:00 pm – 4:55 pm
Panel Discussion

Tracks: Professional, General
NATIONAL LUNG HEALTH EDUCATION PROGRAM (NLHEP) WORKSHOPS
1:00 pm – 5:00 pm • Room N252
Afollow-up to the NLHEP program on Wednesday morning. These workshops will allow you to go home and implement the NLHEP’s goals in your community.

Tracks: Acute Care, Home Care, Continuing Care
Open Forum #11 — VENTILATORS & MECHANICAL VENTILATION: PART 2
2:00 pm – 3:55 pm • Rooms N231, 233, 235
Presented by the Journal RESPIRATORY CARE
The results of scientific studies are presented. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand the information presented.

• The Utilization of Airway Pressure Release Ventilation for Lung Recruitment During Secondary ARDS—Joseph Groller RRT, Allentown PA
• Safety and Efficacy of MMV/ATC for the Weaning of Post-Operative Open-Heart Patients: A Pilot Study—Kenton Clay RRT, Allentown PA
• Experience with High Frequency Oscillatory Ventilation in the Management of Adult Surgical/Trauma Patients with ARDS—Stuart M Lowson MD, Charlottesville VA
• A Case Study: the Role of IPV in the Recruitment of a Totally Atelectatic Lung During Mechanical Ventilation—Ken Hargett RRT, Houston TX
• The Use of a Hard Board Underneath Adult Patients During High Frequency Oscillatory Ventilation—John Davies MA RRT, Durham NC
• High Frequency Oscillatory Ventilation in the Adult Population: A Case Series—John Davies MA RRT, Durham NC
• Selection Criteria for Non-Invasive Ventilation (NIV) as a means of Avoiding Intubation in Patients with Acute Respiratory Failure—Tate Bennett RRT, Durham NC
• High Frequency Oscillatory Ventilation in Sickle Cell Crisis-Acute Chest Syndrome—Stephen Hepditch RRT, Durham NC
• Comparison of Two Methods to Measure Physiologic Dead-Space-to-Tidal Volume Ratios (VD/VT)—Richard H Kallet MS RRT, San Francisco CA
• Determination of A Target Group of Adult ARDS Patients for High Frequency Oscillatory Ventilation (HFOV)—Karel Roubik MSc PhD, Prague, Czech Republic
• Improved Compliance with a Low Tidal Volume Ventilation Strategy in ALI/ARDS—Parul Shah RRT, Falls Church VA
• Tubing Circuit Compliance Compensation: A Physician Orderable Setting or Not—Joel Brown RRT, Wilmington DE
• Safety and Tolerance of High-Frequency Chest Wall Oscillation (HFCWO) in Hospitalized Critical Care Patients—Scott Brierley RRT, Phoenix AZ
• Ventilator Induced Lung Injury May Be Amplified by a Prior Insult— Alexander B Adams MPH RRT FAARC, St Paul MN
• A Vertical Pleural Pressure Gradient Develops in Experimental Ventilator Induced Lung Injury— Alexander B Adams MPH RRT FAARC, St Paul MN
• Clinical Meaning of Rapid Cuff Pressure Rising in Chest Wall Pressure Monitor—Tetsuo Miyagawa PhD RRT RCET, Yokohama, Japan
• Using Compliance to Determine Appropriateness of the Low Tidal Volume Ventilation Strategy—John H Boynton Jr RRT, Dallas TX

Tracks: Home Care, Continuing Care, Long Term Care
Open Forum #12 — RC OUTSIDE THE HOSPITAL:
HOME CARE; LTAC
2:00 pm – 3:55 pm • Rooms N237, 239, 241
Presented by the Journal RESPIRATORY CARE
The results of scientific studies are presented. Abstracts with a similar focus are clustered into a symposium to encourage discussions and interactions among investigators and observers; posters expand the information presented.

• The Effect of Tubing Length on Delivered Oxygen Flow—Joseph Koss MS RRT FAARC, Indianapolis IN
• The Transition of a Small and Challenging Pediatric Patient Home via the Pulmonetics LTV 1000 Ventilator—Cynthia C White RRT-NPS, Charlottesville VA
• A Clinical Comparison of Portable Oxygen Systems: Continuous Flow Compressed Gas vs. Oxygen Concentrator Gas Delivered with an Oxygen Conserving Device—Joseph Lewarski RRT, Mentor OH
• Continuous Oxygen Monitoring Demonstrates Many COPD Patients Have Oxygen Overprescribed—Randal Barnette RRT, Nashville TN
• Impact of a Patient Information Program on Utilization and Satisfaction with Home Respiratory Care Services—Ed Hoisington RRT, Cleveland OH
• Decreasing the Readmission Rate and Acute Hospital Length of Stay For COPD Patients (DRG – 88): Lutheran Hospital COPD Community Reintegration Program—Douglas S Laher RRT, Cleveland OH
• Weaning in Long Term Acute Care: Physician-Directed vs Protocol-Directed Management—Wendy Woods Dedrick RRT, Denver CO
• Mandatory Reassessment of Home Oxygen Patients at Three Months: The Ontario, Canada Experience—Michael Pohanka, Toronto, Ontario, Canada
• Respiratory Care from Hospital to Home in Japan—Toru Tsuda MD PhD, Kitakyushu City, Japan
• Comparison of the Helios Portable Oxygen System Dose Setting to the Spirit Portable Oxygen System Dose Setting with Exercising Patients—Robert McCoy RRT, Burnsville MN
• Clinical Evaluation of Cheyne-Stokes Respiration During Sleep in Patients with Chronic Heart Failure—Guo Xiheng, Beijing, China
• Does Accurate Night by Night Positive Pressure Therapy Influence Quality of Life Outcomes for Obstructive Sleep Apnoea (OSA) Patients?—Melanie Marshall, Bognor Regis, United Kingdom
• Does Proactive Intervention Influence Quality of Life Data in Patients with Obstructive Sleep Apnoea (OSA)?—Melanie Marshall, Bognor Regis, United Kingdom

Tracks: Professional, General
HOW DID WE GET HERE AND WHERE ARE WE GOING? PART 2: THE MACHINES AND TECHNIQUES
3:00 pm – 4:40 pm • Rooms N249-251

3:00 pm – 3:30 pm
From Iron Lungs to Machines that Think: Ventilators for Critical Care
Richard D Branson RRT FAARC, University of Cincinnati Medical Center, Cincinnati OH
With the birth of the intensive care unit came advances in ventilator technology that made it possible to fully support respiratory function in critically ill patients. What were the really important breakthroughs of the last 40 years? This presentation charts the landmarks in the remarkable history of ICU ventilators, leading to present day machines and likely future developments that may take ventilatory support to a level unimagined just a few years ago.

3:35 pm – 4:05 pm
From Atomizers to Space-Age Gizmos: Aerosol Therapy
James B Fink MS RRT FAARC, Aerogen Inc., Mountain View CA
The clinical use of therapeutic agents in aerosol form is one of the foundations of respiratory care. This presentation traces the history of the devices and techniques of aerosol therapy and the science behind their use during the last half century, and calls on some important recent developments to forecast how aerosol medicine is likely to change in the next decade or two.

4:10 pm – 4:40 pm
From the Pickwick Papers to Auto-Titrating CPAP: Breathing and Sleep
Paul A Selecky MD FAARC, Hoag Memorial Hospital-Presbyterian, Newport Beach CA
The knowledge that sleep-disordered breathing could cause clinical disease and premature death was unsuspected by both the health care profession and the public just 30 years ago. Now the diagnosis and management of sleep apnea comprise one of the fastest growing areas of health care. This presentation describes the recognition, description, and therapy of breathing disorders during sleep as they have evolved since the 1970s, and postulates where this burgeoning field is likely to go in the coming years.

Tracks: Diagnostics, Rehabilitation
EXERCISE TESTING AND TRAINING IN PULMONARY REHABILITATION
3:00 pm – 4:55 pm • Room N256

3:00 pm – 3:35 pm
Exercise Testing: What’s New in 2003?
Brian W Carlin MD, Allegheny General Hospital, Pittsburgh PA
This presentation will include basic testing and review the newer methods of exercise testing.

3:40 pm – 4:15 pm
Exercise Training for Patients with COPD
Neil R MacIntyre MD FAARC, Duke University Medical Center, Durham NC
This presentation will discuss methods for exercise testing in patients with lung disease.

4:20 pm – 4:55 pm
Exercise Testing Interpretation
Brian Carlin MD and Neil MacIntyre MD FAARC
The panel will discuss various cases of exercise tests and examine the pitfalls involved with performance and interpretation.

Tracks: Management, Professional
MOVING TOWARD EVIDENCE-BASED PRACTICE IN YOUR DEPARTMENT
3:30 pm – 4:55 pm • Rooms N232, 234, 236

3:30 pm – 4:10 pm
Evidence-Based Practice: Where to Begin
Robert Dickerson MSHSA RRT, Iowa Lutheran Hospital, Des Moines IA
The underlying concepts of evidence-based practice will be described. Types of appropriate outcome measures used in respiratory care will be discussed.

4:15 pm – 4:55 pm
Integrating Evidence-Based Practice into Performance Improvement Activities
Robert Dickerson MSHSA RRT
This presentation will identify sources of clinical information that can be accessed and used to develop evidence-based practice protocols. Steps for accessing relevant PUBMED and Cochrane databases will be demonstrated.

Tracks: Neonatal
WEANING INFANTS FROM MECHANICAL VENTILATION
4:00 pm – 4:50 pm • Rooms N255, 257

Weaning Infants: Art, Science or Magic?
Steven M Donn MD, Mott Childrens Hospital, Ann Arbor MI
This presentation will discuss the appropriate interventions and strategies for the infant with respiratory distress syndrome.

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