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The AARC Congress is approved for all the hours of continuing education credit (CRCE) you need to maintain your state license, up to 24 units.

21st Phil Kittredge Memorial Lecture
8:30 A.M.–9:20 A.M.
Colleen Schabacker BA RRT Cookeville TN/Chairing

	James Fink

A Dose of Reality
James B Fink MSc RRT FAARC
Mountain View CA
Many of us entered Respiratory Care or Allied Health with a concept of how our training has prepared us to contribute as a member of the health care team only to find that the “team” is unwilling or unable to accept our contributions or value our skills. How we deal with this “Dose of Reality” is the difference between a frustrating uninspiring dead-end job and a fulfilling exciting multidimensional career. We will review some unsettling revelations of respiratory care over the past 35 years, from an activist’s perspective on why and how the professional and profession may fail or continue to evolve. The topic will include a critical analysis of the emerging role of the respiratory therapist and why we, as individuals and a profession, most likely get what we deserve.

Role of Pet Scan in the Patient with Pulmonary Disease
9:30 A.M.–10:25 A.M.

Role of PET Scan in Patients with Pulmonary Disease
Juan Armondo Garcia MD, VA Lung Mass Clinic, San Antonio TX
Reviews the role of the PET scan in patients with both lung mass and pulmonary disease. The participants will learn how these scans can help evaluate these patients. The presentation will also cover the rational approach for the evaluation of these masses and disease entities.

Mechanical Ventilation in Austere Environments
9:30 A.M.–10:55 A.M.

9:30 A.M.–10:10 A.M.
Mechanical Ventilation in Mass Casualty Care
Richard D Branson MSc RRT FAARC, University of Cincinnati Medical Center, Cincinnati OH
Describes the scenarios expected from a natural or man-made disaster and the types of patients likely to require mechanical ventilation, the types of lung injury likely to occur and the severity of respiratory failure. Participants will understand the likely disaster scenarios, understand the type of lung injury likely to be encountered and the type of equipment necessary to meet the needs.

	Jay Johannigman

10:15 A.M.–10:55 A.M.
Mechanical Ventilation of War Casualties via Air – The CCAT Experience
Jay Johannigman MD, University of Cincinnati , Medical Center, Cincinnati OH
Describes the challenges of providing mechanical ventilation to casualties with particular reference to multiple movement of patients. This includes by helicopter to aid station, aid station to aircraft, and prolonged fixed wing transport. The complications of small space and need to operate in alternative light sources to avoid enemy detection will also be reviewed. Participants will understand the challenges of transporting the critically ill mechanically ventilated patient under combat conditions, the issues of altitude flight and the challenges of our current military missions.

Benchmarking—What’s All the Fuss
9:30 A.M.–10:55 A.M.

9:30 A.M.–10:10 A.M.
Pitfalls in Benchmarking
Richard M Ford RRT FAARC, University of California at San Diego Medical Center
Describes the traps a manager can fall into regarding the use of purchased benchmarking services.

10:15 A.M.–10:55 A.M.
AARC Benchmarking Project
Robert L Chatburn RRT FAARC, Case Western Reserve University, Cleveland OH
Reviews the AARC Benchmarking project.

Asthma Goes Back to School
9:30 A.M.–11:30 A.M.

	Tower of the Americas

9:30 A.M.–10:05 A.M.
Asthma Management by RTs: A Metropolitan School Model
Harold N Finn CRT, Respiratory Consulting Services Inc, Williamston NC
Producing better outcomes by using RTs to incorporate clinical asthma management into an existing asthma education program in the 14th largest school system in the nation.

10:10 A.M.–10:45 A.M.
Benefits of Asthma Education for Students Who Have Asthma and Those Who Don’t
Kathryn Stiffler RRT-NPS AE-C RPFT, Mary Washington Hospital, Fredericksburg VA
Raising the level of awareness is essential for success for all students.

10:50 A.M.–11:30 A.M.
Athletes with Asthma: What Can We Do?
Robert J Grabko RRT RPFT, Fairview Southdale Hospital, Edina MN
A review of the unique and individual needs of athletes with
asthma. When properly managed the athletes can expect to attain their performance goals.

Clinical Blood Gases 2006
9:30 A.M.–12:00 P.M.
William J Malley MS RRT CPFT, Pittsburgh PA/Chairing
Supported by an unrestricted educational grant from

9:30 A.M.–10:00 A.M.
Regulatory Update for 2005
Lawrence J Crolla PhD, Loyola University Medical Center, Maywood IL
An update on the changes in the CLIA regulations that will affect blood gas laboratories, how to meet the new requirements and how to comply with the new Equivalent Quality Control requirements from a co-author of CLIA ’88 Implementation Guidelines.

10:00 A.M.–10:30 A.M.
ABGs in the Elderly: Why, When and What They Mean
Helen Sorenson MA RRT CPFT FAARC, University of Texas Health Science Center, San Antonio TX
Discusses reasons why ABGs are important in the elderly patient population, describes why point-of-care testing is increasing, especially for the geriatric population and explains some of the problems associated with establishing normal ABG reference ranges in the older population.

10:30 A.M.–11:00 A.M.
Cord Blood Gases: Utilization and Legal Ramifications
Lawrence J Crolla PhD
Explains how cord blood gases are used to determine umbilical artery acid-base analysis and therefore define or classify asphyxia, how the routine measurement of umbilical cord blood gases after every delivery can help answer questions about the possibility of birth asphyxia years after the delivery, and why some insurance companies are requiring cord pH/gases on all newborns.

11:00 A.M.–11:30 A.M.
CSI (Crime Scene Investigation): Respiratory Style
William J Malley MS RRT CPFT, Western Pennsylvania Hospital, Pittsburgh PA
Looks at actual or potential case studies associated with blood gas or electrolyte disorders and potential criminal implications. Laboratory data and other crime scene clues will be provided in case studies and participants will attempt to determine the cause of death or hospitalization. Important diagnostic principles will be weaved within each case study.

11:30 A.M.–12:00 P.M.
Panel Discussion
Lawrence J Crolla PhD, Helen Sorenson MA RRT CPFT FAARC and William J Malley MS RRT CPFT

More Help for Pulmonary Rehab Patients
9:30 A.M.–11:10 A.M.

9:30 A.M.–10:20 A.M.
Teaching Activities of Daily Living
Lucy Aguirre-Kelley OT, Baylor University Medical Center, Dallas TX
Demonstrates proper techniques and body mechanics in performing activities of daily living for patients participating in pulmonary rehabilitation.

10:20 A.M.–11:10 A.M.
Out of Control
Lucy Aguirre-Kelley OT
Simple techniques that work at relieving stress in long term care patients.

Sleep Diagnostics and Contemporary Issues
9:30 A.M.–11:25 A.M.
Thomas Smalling MS RRT RPFT RPSGT, Stony Brook NY/Chairing

9:30 A.M.–9:55 A.M.
Treatment of Sleep Disorders
Russell Rozensky RRT RPSGT CPFT, Stony Brook University, Stony Brook NY
Provides an overview of the different treatment modalities of treating the most common sleep disorders. Included will be CPAP, BiPAP, oral appliances, oral surgery and medications along with the overall success rates of each.

10:00 A.M.–10:25 A.M.
Credentialing vs Competency: What’s the Difference?
Thomas Smalling MS RRT RPFT RPSGT, Stony Brook University, Stony Brook NY
Discusses the differences between the term “credentialing” and the term “competency” as they apply to professional practice within the context of sleep disorders testing. This presentation also discusses the goals of credentialing and competency in sleep and provides an overview of the state of credentialing and competency for the field.

10:30 A.M.–10:55 A.M.
Credentialing in Sleep: The Role of ABSM and BRPT
Thomas Smalling MS RRT RPFT RPSGT
Provides an overview of the American Board of Sleep Medicine and the Board of Registered Polysomnographic Technologists organizations. Participants will learn the eligibility criteria and exam matrix for each exam. Participants will also learn about the clinical and didactic requirements needed to sit for the exams.

11:00 A.M.– 11:25 A.M.
Sleep Scoring
Russell Rozensky RRT RPSGT CPFT
Provides an overview of the AASM and R & K rules for staging and scoring sleep studies. The participants will review real samples, as well as a real “running study” for demonstration purposes and will be shown an overview of the most common types of artifact and various ways to correct them.

And Now a Word from Our Sponsors...
9:30 A.M.–11:00 A.M.
Colleen Schabacker RRT, Cookeville TN/Chairing
Manufacturers present their products in this 20-minute free-for-all format.

9:30 A.M.–9:50 A.M.
IngMar Medical

9:50 A.M.–10:10 A.M.
Life Pulse High Frequency Ventilator
J Bert Bunnell ScD, Bunnell Incorporated, Salt Lake City UT

10:10 A.M.–10:40 A.M.
Non-Invasive Pulse Co-Oximetry
Gary L Clawson PhD RRT RPFT, Masimo, Irvine CA

10:40 A.M.–11:00 A.M.
Infant Flow SiPAPTM
Kerry Ross, VIASYS Healthcare, Yorba Linda CA

11:00 A.M.–11:20 A.M.
Pulmonetic Systems Inc
Angela King BS RPFT RRT-NPS, Minneapolis MN

Innovations in Respiratory Support Without Intubation
9:30 A.M.–11:45 A.M.

9:30 A.M.–10:00 A.M.
High Flow Nasal Cannula in Neonatal and Pediatric Patients
Douglas Petsinger RRT, Children’s Healthcare of Atlanta, Atlanta GA
High flow humidified oxygen via nasal cannula has gained popularity in the recent years. A review of the literature and case presentations shed light on the new technology.

10:05 A.M.–10:35 A.M.
Critical Factors in Managing Work of Breathing in NICU Patients Receiving nCPAP
Khris O’Brien RRT, Children’s Hospital of Wisconsin, Milwaukee WI
The new options for nCPAP therapy help reduce the inspiratory and expiratory work of breathing and increase patient comfort. A review of the past, present and future of nCPAP devices will assist in product selection and optimizing patient care.

10:40 A.M.–11:10 A.M.
All Pressures Are Not Created Equal
Sherry Courtney MD, Schneider Children’s Hospital, Manhasset NY
All CPAP generators operate differently. The advantages and disadvantages of the various CPAP devices will be described.

11:15 A.M.–11:45 A.M.
Nasal Cannula, Oxygen Delivery and More
Michael Tracy RRT, University Hospital, Cleveland OH
How much O2 are you really delivering through that nasal cannula? A look at the determination of FiO2 delivery by this commonly used device. Delivery of CPAP and specialty gases is possible.

	El Mercado

Dyspnea
9:30 A.M.–12:00 P.M.

9:30 A.M.–10:00 A.M.
The Physiologic Basis of Dyspnea
Kieran J Killian MD, McMaster University, Ontario Canada
Reviews the theories of dyspnea and the underlying neurologic basis of breathing perception.

10:05 A.M.–10:30 A.M.
The Perception and Language of Dyspnea
Virginia Carrieri-Kohlman MD, University of California at San Francisco
Relates how disturbances in chest mechanics and derangements in blood gases influence the perception and language used to describe dyspnea and its implications for clinical practice.

10:35 A.M.–11:00 A.M.
How Is Dyspnea Measured?
Kieran J Killian MD
Reviews the various laboratory and clinical tools used to quantify the perception and intensity of dyspnea and comments on their relative reliability and possible clinical utility.

11:05 A.M.–11:30 A.M.
Evaluation and Treatment of Dyspnea in the COPD Patient
Virginia Carrieri-Kohlman MD
Describes how dyspnea is managed in patients with COPD, chronic restrictive diseases and cancer in the sub-acute and out-patient settings.

11:35 A.M.–12:00 A.M.
The Treatment of Dyspnea in the Acute Care Setting
Kieran J Killian MD
Discusses the treatment of dyspnea in the acute care setting with emphasis on the mechanically-ventilated patient.

The Business and Economics of Providing Home Oxygen
10:30 A.M.–11:55 A.M.

10:30 A.M.–10:55 A.M.
Home Oxygen: An Historical Review
Joseph S Lewarski BS RRT, Inogen Inc, Eastlake OH
Providing home oxygen services typically represents 50% or more of a home care company’s annual revenue. While reimbursement for this modality continues to be challenged, home care providers are being forced to seek new ways to remain competitive. This presentation will review the financial drivers of home oxygen, specifically reimbursement and other material changes that have occurred over the recent years.

11:00 A.M.–11:25 A.M.
Activity Based Costing Applied to Home Oxygen
Thomas Williams MBA RRT, Strategic Dynamics, Scottsdale AZ
By all accounts, the demand for home oxygen services will continue to increase in spite of threatened cuts in reimbursement. Although the clinical benefits are irrefutable, purchasing the optimal systems to provide this therapy is a difficult decision. This presentation will present a novel mathematical model to help evaluate and determine the actual costs when contemplating purchase of a particular home oxygen system.

	Patrick Dunne

11:30 A.M.–11:55 A.M.
The Future of Home Oxygen
Patrick J Dunne MEd RRT FAARC, HealthCare Productions, Fullerton CA
Reimbursement, patient demand, physician demand and new technology all play a role in the future of home oxygen. In particular, recent technological advances have the potential to alter the traditional business model as smaller, lighter-weight battery operated portable concentrators are introduced. This presentation will provide an overview of new equipment dynamics that could potentially offer RTs a new opportunity to provide this needed service.

Agency Updates
11:00 A.M.–11:55 A.M.
Thomas V Hill PhD RRT, Athens GA/Chairing
The leadership of the AARC, ARCF, CoARC and NBRC will join the attendees to discuss the latest professional, research, accreditation and credentialing issues facing respiratory care.

The State of the Respiratory Care Profession
John Hiser MEd RRT FAARC, AARC President
Michael T Amato, ARCF Chairman
Becki L Evans MS RRT, CoARC Chairman
Robert A May MD, NBRC President

NPPV in Palliative Care
11:00 A.M.–11:55 A.M.
NPPV: An Important Adjunct to Palliative Care
Paul F Nuccio RRT FAARC, Brigham and Women’s Hospital, Boston MA
Describes the benefits of utilizing non-invasive ventilation during the end-of-life care process. Also discusses the current literature related to NPPV in palliative care and describes the interpersonal interactions between the respiratory therapist and the patient/family.

Shock! Identification, Assessment and Treatment of Children
1:00 P.M.– 2:25 P.M.

1:00 P.M.–1:25 P.M.
Shock! Recognizing It in the Pediatric Interfacility Transport Setting
Bradley A Kuch RRT-NPS, Children’s Hospital of Pittsburgh PA
It has been reported that the incidence of shock is greater than 40% in children requiring interfacility transport with an associated four-fold increase in mortality. The AHA’s Pediatric Advanced Life Support course stresses early identification and rapid resuscitation of patients with shock. We introduce the transport therapist to pediatric shock, its epidemiology and how it relates to the patients we treat and describe the importance of rapid assessment and early intervention in the overall outcomes of our patients.

	Shekhar Venkataraman

1:30 P.M.–1:55 P.M.
Early Goal Directed Interventions in the Treatment of Pediatric and Neonatal Shock
Shekhar T Venkataraman MD, Children’s Hospital of Pittsburgh, Pittsburgh PA
Introduces the new ACCM-PALS treatment guidelines for rapid reversal of neonatal and pediatric shock. Covers the appropriate stepwise administration of therapeutic interventions that are indicated in patients who present with shock. Information presented will aid the RT in understanding the proper treatment regimens used to reverse the clinical cascade of physiologic processes that lead to uncompensated shock and ultimately death.

2:00 P.M.–2:25 pm
Case Reviews: Pediatric and Neonatal Shock
Shekhar T Venkataraman MD & Bradley A Kuch RRT-NPS
Presents an assortment of neonatal and pediatric shock scenarios that commonly occur in the interfacility transport setting. Each will include a patient presentation, assessment and review of the interventions that are indicated. Intent is to familiarize the RT with the rapid identification and treatment of shock in this patient population.

National Tuberculosis Curriculum Consortium
1:00 P.M.–2:20 P.M.

1:00 P.M.–1:30 P.M.
A Multidisciplinary TB Approach to Education and Technology
Lynda T Goodfellow EdD RRT FAARC, Georgia State University, Atlanta GA
Introduces the NTC consortium whose goals are to strengthen TB education in the US by increasing access to education and training opportunities.

1:30 P.M.–2:20 P.M.
TB Education Portal and TB Competencies
Lynda T Goodfellow EdD RRT FAARC and
Thomas A Barnes EdD RRT FAARC, Boston MA
The TB education portal is a web-based gateway created to organize the digital resources and services created by the NTCC. This presentation will introduce the web-portal as an interactive instructional resource and tool for educators, clinicians and managers. A list of core competencies to incorporate into TB education will also be reviewed.

Permissive Ventilation
1:00 P.M.–2:50 P.M.

1:00 P.M.–1:30 P.M.
Protecting the Lung: Why and How?
Neil R MacIntyre MD FAARC, Duke University Medical Center, Durham NC
Provides an overview of the rationale behind lung protective ventilatory strategies based upon the available medical literature.

1:35 P.M.–2:10 P.M.
Permissive Hypoxemia
Ira M Cheifetz MD FAARC, Duke University Medical Center, Durham NC
Describes the role of permissive hypoxemia as a relatively new lung protective strategy. The potential risks and benefits of permissive hypoxemia will be discussed with an emphasis on the physiology of oxygen delivery.

2:15 P.M.–2:50 P.M.
Permissive Hypercapnia
Alexandre T Rotta MD, Driscoll Children’s Hospital, Corpus Christi TX
Provides a rationale for the use of permissive hypercapnia as a lung protective strategy and an in-depth review of the implications of permissive hypercapnia on the non-pulmonary organ systems.

Continuing Issues in Homecare
1:00 P.M.–2:55 P.M.
Joan A Kohorst MA RRT, St Louis MO/Chairing

	Joan Kohorst

1:00 P.M.–1:25 P.M.
Changing the Image: Professional Providers, Not Dealers!
Joan A Kohorst MA RRT, Apria Healthcare, St Louis MO
The historical image of the home care industry has been less than stellar. Fraud and abuse continue to grab national headlines. This presentation will explore how those of us working in respiratory home care can change that image.

1:30 P.M.–1:55 P.M.
An Expanding Role for Respiratory Therapists in Hospice
Terry L Crozier RRT, HomeCare Continuum, Mesa AZ
Increasingly home care RTs are being asked to become involved in the care and treatment of terminally ill patients admitted to hospice. Providing palliative care runs counter to the more traditional objective of promoting self-reliance for home care patients. This presentation addresses the myriad differences that RTs must anticipate if/when they are called to render equipment and services to hospice patients.

2:00 P.M.–2:25 P.M.
In-Home Sleep Testing: Is It a Sleeper?
Nicholas J Macmillan AGS RRT FAARC, Rotech Healthcare, Greensburg PA
As technological innovations continue to evolve, the ability to conduct meaningful sleep studies outside of the traditional sleep lab has become a reality. However, this development is not without its critics, both individuals and professional organizations. The speaker will provide an update on the current status of in-home sleep testing from both a regulatory and reimbursement perspective.

2:30 P.M.–2:55 P.M.
In-Home NIPPV: Can Any Provider Do It?
Angela King RRT RPFT, Pulmonetic Systems, Cement City MI
The use of non-invasive ventilation in the home is becoming increasingly popular for stable patients requiring intermittent or continuous ventilatory support. The delivery of this mode of therapy requires as much (if not more) planning as more conventional mechanical ventilation. The speaker will review the critical elements required for a successful program.

Facilitating Education Outcomes: Tools You Can Use
1:00 P.M.­3:10 P.M.

1:00 P.M.­1:40 P.M.
Development of a Model for Faculty Clinical Practice
Randy Baker PhD RRT, Medical College of Georgia, Augusta GA
Highlights the educational and clinical challenges that led to the development of a faculty practice plan (FPP) for respiratory therapy faculty and outlines preparatory steps taken to formulate the FPP as well as the implementation of and experience with RT FPP model.

1:45 P.M.­2:25 P.M.
Assessing Program Outcomes Using a Point-of-Care Information Management System
C Rick Hall MS RRT-NPS RPFT, Medical College of Georgia, Augusta GA
Discusses the rationale for developing a point-of-care information management system, the process of system development and the implementation and evaluation of the system.

2:30 P.M.­3:10 P.M.
Point of Care Information Management System (POCIMS) Demonstration
Randy Baker PhD RRT and C Rick Hall MS RRT-NPS RPFT
Explains the versatility of a point-of-care information management system through demonstrations of point-of-care data entry, reporting and outcome functions and professional resources.

Caring for the Difficult to Wean Patient: Where, How and How Much?
1:00 P.M.–3:55 P.M.

	Sea World

1:00 P.M.–1:40 P.M.
Clinical Venues for Managing the Patient on PMV
Gene Gantt RRT, Respiratory Support Services, Livingston TN
Addresses the various settings outside the ICU available for managing the patient on PMV.

1:45 P.M.–2:25 P.M.
Financial Considerations and Reimbursement for PMV
Sean R Muldoon MD, Kindred Healthcare, Louisville KY
A discussion of the financial challenges under the prospective payment system for long term ventilator care.

2:30 P.M.–3:10 P.M.
Latent Weaning Potential After More Than a Year of Mechanical Ventilation
Gene Gantt RRT
A discussion of the latent weaning potential in chronically ventilated patients. Addresses the correlation of time on the ventilator, weaning time and the role of the RT in evaluating patients for latent weaning potential.

3:15 P.M.–3:55 P.M.
Technological Advances Weaning the Long Term Mechanically Ventilated Patient
Eric S Yaeger MD, Kindred Hospital, Denver CO
A discussion of advances in technology that enhance the ability to wean the long term ventilated patient.

Management of Inhalation Injury
1:00 P.M.–3:55 P.M.

1:00 P.M.–1:40 P.M.
Overview of Inhalation Injuries
Bruce Cairns MD, University of North Carolina Hospitals Jaycee Burn Center, Chapel Hill NC
Inhalation injuries differ in important ways from other pulmonary disorders, and their appropriate recognition and management are crucial for optimal care. This presentation describes the different forms of inhalation injuries and their incidence, reviews the relevant pathophysiology and provides an overview of current outcomes.

1:45 P.M.–2:25 P.M.
High Frequency Percussive Ventilation in Inhalation Injury
Kathy Short RRT RN, University of North Carolina Hospitals, Chapel Hill NC
Briefly reviews the fundamentals of high-frequency percussive ventilation and the options currently available to clinicians for its use in both pediatric and adult respiratory care. It then discusses the application of HPPV in inhalation injury, including both practical and current evidence for effectiveness.

2:30 P.M.–3:10 P.M.
Inhalation Injury in the Pediatric Patient
Tiffany Mabe RRT-NPS, University of North Carolina Hospitals, Chapel Hill NC
Inhalation injury can present unique and challenging issues in the pediatric patient. This presentation illustrates special situations and challenges in managing pediatric inhalation injury and shows how these can be addressed and overcome with appropriate care.

3:15 P.M.–3:55 P.M.
Alternate Modes of Ventilation for Inhalation Injury
Bruce Cairns MD
Inhalation injury presents unique challenges for the clinician. Disappointing results with conventional ventilation approaches have led to utilization of alternate modes and strategies for ventilatory support in patients with inhalation injury. This presentation reviews the rationale for each of the approaches currently used, and provides practical guidance for their application along with a summary of available evidence of effectiveness.

Applied Respiratory Physiology: Ventilator Waveforms in the Critically Ill Patient
1:00 P.M.–5:00 P.M.

	The Buckhorn Saloon

1:00 P.M.–1:40 P.M.
Where Do the Signals Come From?
Warren Sanborn PhD, Tyco Healthcare, Carlsbad CA
Discusses where pressure and flow signals are measured in the
ventilator and describes matters related to signal acquisition and
processing.

1:45 P.M.–2:30 P.M.
Ventilator Waveforms and Different Modes of Ventilation
Richard D Branson MSc RRT FAARC, University of Cincinnati, Cincinnati OH
Discusses the characteristics of waveforms during dual control modes of ventilation and how graphics can be used to set and monitor changes in these modes.

2:35 P.M.–3:20 P.M.
Patient-Ventilator Dysynchrony
Jon Nilsestuen PhD RRT FAARC, University of Texas Medical Branch, Galveston TX
Describes how graphics can be used to detect patient-ventilator dysynchrony and monitor ventilator adjustments made to improve synchrony.

3:25 P.M.–4:10 P.M.
Ventilator Waveforms in Patients with ALI/ARDS
Dean R Hess PhD RRT FAARC, Massachusetts General Hospital, Boston MA
Addresses issues related to monitoring of graphics and pulmonary mechanics in patients with ALI/ARDS.

4:15 P.M.–5:00 P.M.
Ventilator Waveforms in Patients with Obstructive Lung Disease
Rajiv Dhand MD, University of Missouri School of Medicine, Columbia MO
Addresses the role of ventilator waveforms and chest mechanics in patients with various forms of obstructive lung disease.

Today’s Management of ARDS
1:00 P.M.–4:55 P.M.

1:00 P.M.–1:25 P.M.
Prone Positioning
Paolo Pelosi MD, University of Insurbria, Varese Italy
Reviews the rationale for prone positioning as both a lung recruitment and lung-protective strategy. Discusses how patient selection, duration of therapy and adjunctive therapies may impact clinically-relevant outcomes.

1:30 P.M.–1:55 P.M.
Fluid Management
Richard H Kallet MS RRT FAARC, San Francisco General Hospital, San Francisco CA
Reviews the rationale for fluid-restrictive strategies for ARDS and discusses the results and implications of the recently completed ARDSNetwork study of fluid management and catheter use in ARDS.

2:00 P.M.–2:25 P.M.
To PEEP or Not to PEEP: That is Not the Question
David L Vines MHS RRT, University of Texas Health Science Center, San Antonio TX
Discusses the importance of PEEP in ARDS and describes the controversy regarding what level of PEEP should be used and how it should be determined.

2:30 P.M.–2:55 P.M.
Volume vs Pressure-Targeted Ventilation in ARDS: Does It Matter?
Neil R MacIntyre MD FAARC, Duke University Medical Center, Durham NC
Discusses what inspiratory variables are most important during lung-protective ventilation: VT, Pplat, transpulmonary pressure or end-inspiratory lung volume. Within this context does the ventilator mode matter and what are the advantages or disadvantages with each mode?

	The Witte Museum

3:00 P.M.–3:25 P.M.
From Ventilator-Induced Lung Injury (VILI) to Physician-Induced Lunge Injury (PILI)
Ruben D Restrepo MD RRT, University of Texas Health Science Center, San Antonio TX
Reviews current concepts on VILI and discusses the reluctance to use evidence-based findings in managing patients with ARDS.

3:30 P.M.–3:55 P.M.
Monitoring Mechanical Ventilation in ARDS
Ray Ritz RRT FAARC, Beth Israel Deaconess Medical Center, Boston MA
Discusses various approaches to monitoring the mechanical stress of the respiratory system in patients with ARDS including pressure-volume curves and transitional quasi-static pressure measurements.

4:00 P.M.–4:25 P.M.
The Role of Biomarkers as Indices of Appropriate or Inappropriate Ventilator Management
Antonio Anzueto MD
Pro-inflammatory mediators in the plasma and alveolar lavage fluid of patients with ARDS increase with high volume/pressure ventilation. Will biomarkers play a role in monitoring ventilation practice in ARDS?

4:30 P.M.–4:55 P.M.
Inhalation Therapies for ARDS
Steve Deem MD, University of Washington Harborview Medical Center, Seattle WA
Discusses new approaches to using NO for patients with refractory hypoxemia.

The ABC’s of the ABC (Arkansas Bioterrorism Curriculum) Grant
2:30 P.M.–3:25 P.M.

The ABC’s of the ABC Grant
Heather Neal Rice MEd RRT, University of Arkansas,
Little Rock AR
Discusses all aspects of development and planning for the $2.5M HRSA grant awarded to the University of Arkansas for Medical Sciences in 2003, the purpose of which was to establish an interdisciplinary course to prepare healthcare students in the theoretical foundation and practical experience needed to be pro-active and prepared for the “unthinkable.” This course was piloted in Spring 2005 and was offered to students via a Web-CT course that also included problem-based learning and live drill strategies for learning.

	Botanical Center

Preparing for Inspections
2:45 P.M.–4:30 P.M.

2:45 P.M.–3:35 P.M.
Preparing for Blood Gas Inspections
Vickie Ganey MBA RRT RPFT RN LNC, Halifax Regional Hospital, South Boston VA
What is needed, documentation, legal advice, legal aspects, how to protect the hospital and how to protect yourself along with other important issues in this day and age.

3:40 pm – 4:30 pm
Preparing for Regulatory Site Visits
Russell E Rozensky RRT CPFT RPSGT, John T Maher Memorial Hospital, Stony Brook NY
Provides practical tips on preparing for a site visitation by regulators to a sleep laboratory. Documentation, quality assurance, technician education, competency assessment and procedure manuals will be detailed.

High Frequency Ventilation for Neonate and Pediatric Patients
3:00 P.M.–4:55 P.M.

3:00 P.M.–3:25 P.M.
Neonatal High Frequency Oscillatory Ventilation
Sherry Courtney MD, Schneider Children’s Hospital, Manhasset NY
Discusses high frequency oscillatory ventilation in the neonatal patient and provides an overview of new data and applications.

3:30 P.M.–3:55 P.M.
Neonatal High Frequency Jet Ventilation
Steven M Donn MD, Mott Children’s Hospital, Ann Arbor MI
Discusses high frequency jet ventilation in the neonatal patient and provides an overview of new data and applications.

4:00 P.M.–4:25 P.M.
Pediatric High Frequency Oscillatory Ventilation
Alexandre T Rotta MD, Driscoll Children’s Hospital, Corpus Christi TX
Discusses high frequency oscillatory ventilation in the pediatric patient and provides an overview of new data and applications.

4:30 P.M.–4:55 P.M.
Pediatric High Frequency Jet Ventilation
Ira M Cheifetz MD FAARC, Duke University Medical Center, Durham NC
Discusses high frequency jet ventilation in the pediatric patient and provides an overview of new data and applications.

End of Life Care: Tools for the Respiratory Therapist
3:00 P.M.–5:00 P.M.

	Paul Selecky

3:00 P.M.–3:35 P.M.
Advance Care Planning: Who Will Speak For You?
Paul A Selecky MD FAARC, Hoag Memorial Hospital, Newport Beach CA
Care at end of life requires advance planning. Most states have statutes that require documentation. In addition, there are documents that are helpful in providing direction for all care givers.

3:40 P.M.–4:15 P.M.
How Do You Answer Their Questions?
Helen Sorenson MA RRT FAARC, University of Texas Health Science Center, San Antonio TX
Many times the RT is asked difficult questions when caring for patients at end of life. The audience will be presented with different scenarios of patients or family members in acute care settings asking end of life questions and how the therapist should respond.

	Russell Acevedo

4:20 P.M.–5:00 P.M.
Medical Futility
Russell A Acevedo MD FAARC
Crouse Hospital, Syracuse NY This will be an interactive session that will review the factors that lead to futility situations. The RT will be given tools to identify the common factors in futile situations. Discussion will take place to address how to communicate and negotiate to resolve conflicts in futile care situations.

Exhaled Breath Condensate
3:30 P.M.–4:55 P.M.

3:30 P.M.–4:10 P.M.
Exhaled Breath Condensate
John Hunt MD, University of Virginia Children’s Hospital, Charlottesville VA
Explores the potential uses of EBC in future pulmonary diagnostics. The majority of lecture will be spent describing airway reactions to therapeutic interventions and the importance of EBC pH.

4:15 P.M.–4:55 P.M.
Current Research in Exhaled Breath Condensate: More than Just an Outpatient Tool
Brian K Walsh RRT-NPS RPFT, University of Virginia Children’s Hospital, Charlottesville VA
Describes the current EBC research in mechanically ventilated patients or ICU patients.

Evaluating Pulmonary Patients for Air Travel
4:00 P.M.–4:55 P.M.

	Botanical Center

Hypoxic High Altitude Testing for Pulmonary Patients
Carl Mottram RRT RPFT FAARC, Mayo Clinic, Rochester MN
New AMA coding now is available and by putting together parts probably already in RT cupboards and a special order tank, this test can be performed by most any pulmonary diagnostic lab. This lecture discusses the theory behind the performance of the instruments and methodology needed to set up the procedure in the lab along with the equations needed to calculate results.

Puritan Bennett
Sputum Bowl Finals!!!
7:00 P.M.
Marriott Rivercenter, Ballroom
Jim Fenstermaker RRT FAARC, Placentia CA/Chairing
The top four teams will compete at the Finals on Monday evening, Dec 5, along with the Student Sputum Bowl finalists.

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