Respiratory Care 2009

The Open Forum at the AARC Congress is a unique opportunity for attendees to experience the results of scientific studies performed by their colleagues. Abstracts and posters of their work are presented in a symposium format that encourages discussion and interactions among investigators and observers. Indeed, some attendees refer to the Open Forum as the most significant event at the Congress. The RESPIRATORY CARE journal is proud to present this year's 16 Open Forum Symposia. Once again respiratory care professionals have stepped forward and analyzed the things they do with critical eyes. We encourage you to review all the abstracts in the November issue of RESPIRATORY CARE and when they are posted soon in this website. Come to the Congress and experience an Open Forum sumposium. We guarantee you a unique educational experience.

Saturday, Dec 5, 12:30 pm – 2:25 pm

RESPIRATORY CARE OPEN FORUM #1
Airways: The Right Stuff, The Right Way

• Utilization of Anchor Fast Oral Endotracheal Tube Fastener to Reduce the Incidence of Lip Ulcers—Kenneth J Miller Jr MEd, Allentown PA
• Evaluation of Optimal Extubation Settings for Patients With Severe Bronchopulmonary Dysplasia—Brandon Kuehne MBA, Columbus OH
• Radiographic Comparison of Endotracheal Tube Visualization—Frank M Freihaut, Omaha NE
• Implementation of a Blinded Bronchial Lavage Sampling Protocol—Sally Whitten, Portland ME
• Reducing the Rate of Unplanned Extubations in a Large Pediatric Medical Center—Scott M Pettinichi RRT-NPS MEd, Cincinnati OH
• The Implementation of the Adult Tracheostomy Team: A Quality Improvement Project—Sally Brewer, Portland ME
• Bench Evaluation for Effects of Fenestrations, Speaking Valves and Capping on Work of Breathing Through Tracheostomy Tubes—John S Emberger Jr RRT, Newark DE
• Effect of Deflated Cuffs, Fenestrations, Speaking Valves and Capping on Exhalation With A Tracheostomy—John S Emberger Jr RRT, Newark DE
• Potential Safety Issues Associated With Management of Tracheostomized Patients on the General Wards: A Process Improvement Project—Dean Holland Jr, Dallas TX
• Post-Op Monitoring of Endotracheal/Tracheostomy Tubes Blindly Inflated in the Operating Room (OR)—Mary E Nash RRT, Boston MA
• A Difficult Airway Response Team: Implementation and RT Perceptions—Georgianna Sergakis PhD, Columbus OH
• The Use of Airway Clearance Techniques in the United States—Georgianna Sergakis PhD, Columbus OH
• The Efficacy of Backflushing Suction Regulators as a Method of Internal Disinfection—John J Hill, Browns Bills NJ
• Microaspiration and Endotracheal Tube Cuff Leakage: A Bench Study Comparing Polyurethane and Polyvinyl Chloride Endotracheal Tube Cuff Design—Mark L Rose, Dallas TX
• Using Toyota Production System Methodology to Improve Safety of Tracheostomy Tube Speaking Valves—Jeff Suenaga RRT, Seattle WA
• Airway Management Support by Respiratory Care Services in an Academic Medical Center Emergency Department: A 3 Year Review—Jhaymie L Cappiello, Durham NC
• Comparison of Change Date of Tracheostomy Tubes for Percutaneous vs. Open Tracheostomy in a Respiratory Acute Care Unit—Daniel F Fisher MS RRT, Boston MA

Saturday, Dec 5, 12:30 pm – 2:25 pm

RESPIRATORY CARE OPEN FORUM #2
Neonatal and Pediatric Care—Part 1

• Impact of 70:30 Heliox on Flow Delivery of F&P HRNC—Cynthia White, Cincinnati OH
• Does the Time Post Delivery of Surfactant Administration Have Impact on the Duration of Ventilation in Premature Infants With Respiratory Distress Syndrome?— Khin-Kyemon Aung, Eastlake OH
• Simulated Neonatal Patient-Ventilator Interaction Using SiPAP and BiLevel NcPAP—Shannon E Cook, Cleveland OH
• Evaluation of Nitric Oxide Delivery Through an Infant Heated Humidified High Flow Nasal Cannula— Rick Carter, Salt Lake City UT
• Intraoperative Use of Inhaled Nitric Oxide in Pediatric Cardiac Patients—Jennie Raake MBA RRT-NPA, Cincinnati OH
• Neonates Ventilated With NAVA Do Not Have an Increased Incidence of IVH, Pneumothorax or NEC/Perforation Compared to Those Ventilated With SIMV/PC With PS—Howard Stein MD, Toledo OH
• Neonates Ventilated With NAVA Have Better Blood Gases Than Those Ventilated With SIMV/PC With Pressure Support—Howard Stein MD, Toledo OH
• CPAP Effect of High Flow Nasal Cannula in Pediatric Patients—Jason Amadei BSRC, Cleveland OH
• Analysis of Blood Gas and Electrolyte Comparisons Between Hand-Held and Benchtop Analyzers in a Pediatric Intensive Care Unit—Ronald E Dechert RRT DPH MS FAARC, Ann Arbor MI
• Ventilatory and Non-Ventilatory Uses of the Teleflex® Neptune™ Humidifier in the Neonatal Intensive Care Unit—Matthew S Pavlichko RRT-NPS, Myerstown PA
• Safety and Efficacy of High Flow Nasal Cannula and Its Use in the Neonatal Intensive Care Unit— Matthew S Pavlichko RRT-NPS, Myerstown PA
• A Six-Year Review of a Pediatric Respiratory Therapy Residency Program—Tim Macknight RRT-NPS, Salt Lake City UT
• An In Vitro Comparison of Heliox and Oxygen in Albuterol Delivery Using Pediatric High Flow Nasal Cannula— Arzu Ari PhD RRT, Atlanta GA
• Using Specialized Pediatric Teams to Transport Interhospital Patients—Rodney S Plapp, Cincinnati OH

Saturday, Dec 5, 3:00 pm – 4:55 pm

RESPIRATORY CARE OPEN FORUM #3
Aerosols; Oxygen; Drugs and Medications—Part 1

• Influence of Bias Flow, Actuation Timing, and Inline Spacer on Drug Delivery During Adult Mechanical Ventilation— Hui-Ling Lin MSc RRT RN, Tao-Yuan Taiwan
• Aerosol Delivery Through Adult High Flow Nasal Cannula: An in Vitro Comparison With Heliox and Oxygen— Patricia A Dailey RRT, Springfield MA
• Educational Intervention for an Efficient Use of Pulse Oximetry at St. Mary’s Hospital Lacor, Gulu, Uganda—Simone Gambazza, Milano Italy
• Modified i-Neb for the Delivery of Iloprost Aerosol in Catheterized Patients—Ganesh P Devendra, Cleveland OH
• Inhaled Medications for Neonates and Small Children Via A Novel Aerosol Chamber: Laboratory Simulation of Delivery Options—Robert M DiBlasi RRT-NPS, Seattle WA
• Effect of Intermittent and Continuous Operation on Nebulizer Characteristics: An in-Vitro Study—Ariel Berlinski MD, Little Rock AR
• The Cardiopulmonary Effect of Heat and Moisture Exchange Mask on COPD Patients During Cold Exposure—John Seifert PhD, Bozeman MT
• Portable High Flow Nasal Cannula System Adult Model—Kyle M Walsh, Springfield MA
• Mechanical Effects of High Flow Nasal Cannula in Normal and Obstructive Adult Lung Models—Sherry L Babic, Cleveland OH
• The Effect of Aerosol Drug Delivery on Airway Resistance Through Heat-Moisture Exchangers (HME): An In Vitro Model—Arzu Ari PhD RRT, Atlanta GA
• Comparing Pressure Changes and Aerosol Deposition of a Standard Small-Volume Nebulizer and a Mini-Heart Low Flow Nebulizer During HFOV—Shane Cheney BSRT, Stansbury Park UT
• Solution Output of a Large Volume Nebulizer During Continuous Albuterol Nebulization: In-Vivo vs. In-Vitro Study—Randy Willis RRT, Little Rock AR
• Effect of Conserver Systems on Jet Nebulizer Performance—Robert L Chatburn RRT-NPS FAARC, Cleveland OH
• Range of Oxymask™ FIO2 at 40 L/m in Young, Healthy Subjects—Brandon Burk, Springfield MO
• Comparison of Delivered FIO2 at Two Different Flowrates Using the Pulmanex® Hi-Ox 80® Oxygen Mask— Dennis Rose, Springfield MO
• Glutamine Inhalation Attenuates Endotoxin-Induced Lung Injury in Rats: Role of Enhanced Heat Shock Protein 72—Chiao-Wen Tu, Kaohsiung Taiwan
• Common Canister Process for Delivering Aerosol Medications: The Final Steps to Assure Patient Safety— H David Mantz, Salina KS

Saturday, Dec 5, 3:00 pm – 4:55 pm

RESPIRATORY CARE OPEN FORUM #4
Asthma; Home Care: We Do Care

• Integrated Asthma Care Delivery System: A New Mindset In Practice Across Care Settings—Donna L Petersen, St Louis MO
• Role Of Alcohol Abuse In Asthma Exacerbation: An Analysis Of NHANES 2005-2006 Survey—Joseph Arthur MD, Harrisburg PA
• Is Elevated Bilirubin a Protective Factor For Asthma? An Analysis Of NHANES 2005-2006 Data—Venkata Subhash Gorrepati MD, Harrisburg PA
• How Do Tidal Volume And Peep Settings Affect Expiratory Resistance? A Bench Study Of The Ltv® 1200 Homecare Ventilator—James A Matsuura, Boise ID
• Evaluation Of The Efficacy Of A Screening Process To Avoid Unnecessary Orders For Home Oxygen Assessment—Dorothy G Biggar RN ANP-BC, St Louis MO
• Retention of Asthma Knowledge in School Personnel—Kathleen Hernlen MBA, Martinez GA
• Decreasing The Length Of Stay In The Emergency Department For Patients Discharged With Asthma— Mary K Hart, Dallas TX
• Compliance of CPAP/BiPAP Patients in Home Care— Julia A Jordan, Alexandria VA
• Incidence Of Ventilator Associated Pneumonia In Adults In The Homecare Setting—Louis M Kaufman, Germantown MD
• Evaluation Of Disinfection Of Reusable Pulse Oximetry Sensors Used In The Homecare And Pre-Hospital Emergency Care Settings—Louis M Kaufman, Germantown MD
• Performance of Oxygen Concentrators at Altitude— Dario Rodriquez Jr, Cincinnati OH
• Maximizing Oxygen Delivery With An Oxygen Concentrator During Mechanical Ventilation—Dario Rodriquez Jr, Cincinnati OH
• Significant Decrease In Utilization Seen After Institution Of Asthma Home Care Plan—Anne E Kwiatkowski BEd RRT AE-C, Toledo OH
• Asthma Green Light, An Inner City Community-Based Asthma Education Program—Elgloria A Harrison MS RRT-NPS, Washington DC
• Portable Oxygen Concentrator (Poc) Function During High Altitude Simulation Test (HAST)—Michael Czervinske, Kansas City KS
• Variability Of Exhaled Nitric Oxide Measurement In A Pediatric Severe Atopic Asthma Patient—Stephanie King, Graham NC

Sunday, Dec 6, 12:30 pm – 2:25 pm

RESPIRATORY CARE OPEN FORUM #5
Ventilation and Ventilators—Part 1

• Non-Invasive Positive Pressure Ventilation Outcomes Over a One-Year Period—Kenneth J Miller Jr MEd, Allentown PA
• One Hospital’s Experience With the Implementation of High Frequency Oscillatory Ventilation for Pulmonary Versus Extrapulmonary Causes of Acute Respiratory Distress Syndrome—Daniel P Rausch, Honolulu HI
• The Effect of Lung Compliance Changes on Delivered Tidal Volume and Amplitude in an Adult Patient Ventilated With High Frequency Oscillatory Ventilation: A Bench Model—John England MS, Marietta GA
• A Comparison of Three Ventilators and Their Heliox Consumption Efficiency—Thomas D Baxter MHRD, St Augustine FL
• Humidification During High Frequency Oscillation Ventilation for Adults—Yusuke Chikata, Tokushima Japan
• Decreased Ambient Temperature and Fan Breeze Decreases Delivered Absolute Humidity From a Ventilator Circuit—Timothy Op’t Holt EdD RRT AE-C FAARC, Mobile AL
• The Next Ventilator Bundle—Michael J MacAulay, Bellingham WA
• Heliox Delivery via the LTV 1200 Ventilator— Joel M Brown II RRT, Newark DE
• Bench Study of the Dräger Apollo Anesthesia Machine’s Flow Delivery—Joel M Brown II RRT, Newark DE
• Modification of a Weaning Protocol Decreases Ventilator Length-of-Stay—Mark Grzeskowiak RRT FAARC, Long Beach CA
• Bioterrorism: Ventilator Acquisitions in Massachusetts—Sigita Gsell RRT, Boston MA
• Using a Multidisciplinary Team Improves the Outcome of Lung Volume Reduction Surgery—Mary K Hart, Dallas TX

Sunday, Dec 6, 12:30 pm – 2:25 pm

RESPIRATORY CARE OPEN FORUM #6
Case Reports That Matter

• Transfusion Related Acute Lung Injury: A Complex Case Study—Damien P Beilman RRT, Wichita KS
• Negative Pressure Ventilation in a Patient With Fontan Type Physiology to Enhance Pulmonary Blood Flow— Ginger Weido, Atlanta GA
• Concomitant Use of Continuous Nebulized Bronchodilators and Heated High Flow Nasal Cannula in Acute Respiratory Distress in a Child Significantly Decreases Work of Breathing—Greg Jones RRT, Little Rock AR
• A Case of Severe Respiratory Syncytial Virus Pneumonia Requiring Mechanical Ventilation Successfully Treated With Inhaled Ribavirin—Wen Xi Zhuang BScRC, Republic of Singapore
• Pulmonary Hypertension and New Onset Asthma During Pregnancy: A Case Report—Betty L Blake, Providence RI
• Acute Respiratory Failure and Independent Lung Ventilation in an Adult With Gastric Bronchial Fistula Secondary to Necrotizing Aspergillus Pneumonia— Ernie C Chou, Boston MA
• Wire Reinforced Tracheostomy Tubes May Produce Unacceptable Scanning Interference During Magnetic Resonance Imaging in Children: Report of a Case— Darcy O’Brien-Genrich MPA RRT, Omaha NE
• Optimal PEEP Guided by Esophageal Balloon— Tom Piraino, Hamilton Ontario Canada
• Effect of Bubble CPAP and High Flow Nasal Cannula Therapy on the Electrical Activity of the Diaphragm in a Premature Infant—Thomas C Noblet, Indianapolis IN
• Prolonged Use of Isoflurane in a Child With Status Epilepticus—Christopher Fawcett, Amesbury MA
• An Unusual Case of Respiratory Alkalosis—Jeffrey Brown, Portland ME
• Parsonage-Turner Syndrom and Hemidiaphragmatic Dysfunction—Christine Perino, Boston MA
• Treatment of a Bronchial Laceration by Selective Fiberoptic-Guided Left Mainstem Intubation in a 480 Gram Neonate—Steven Sittig, Rochester MN

Sunday, Dec 6, 3:00 pm – 4:55 pm

RESPIRATORY CARE OPEN FORUM #7
Ventilation and Ventilators—Part 2

• Gas Consumption of Six Portable Ventilators— Thomas Blakeman, Cincinnati OH
• Diaphragmatic Electrical Activity Monitoring Unmasks Breath-Cycle Asynchrony During Conventional Mechanical Ventilation—Daniel D Rowley RRT-NPS RPFT, Charlottesville VA
• An 80% Reduction: Vanquishing VAP via Cuff Pressure Vigilance—Joe Dwan MS, Clackamas OR
• Defining a Minimum Set of Weaning Criteria— Carla Wollens, Cleveland OH
• Effect of Pressure Rise Time on Volume Delivery With Changing Pulmonary Mechanics—Gina McMonagle BSRC, Cleveland OH
• Artificial Neural Network to Improve Capnometry During Sedation—Joseph Orr PhD, Salt Lake City UT
• Evaluation of Breath Rate Measurement by Capnography in Sedated Volunteers—Joseph Orr PhD, Salt Lake City UT
• Correlational Study for Predictor Variables Affecting Duration on Bubble CPAP—Alison Stoeri MSc, Atlanta GA
• Simulation in Respiratory Critical Care and Extracorporeal Membrane Oxygenation—Michael Minneti, St Paul MN
• Current Practices Related to Lung Protective Strategies in Patients With Acute Respiratory Distress Syndrome in Ohio Hospitals—Sarah Varekojis PhD RRT, Columbus OH
• A Retrospective Chart Review of Low Tidal Volume Ventilation Strategy in Medical Intensive Care Unit Patients—Sarah Varekojis PhD RRT, Columbus OH
• The Respiratory Care Practitioner and Procedural Sedation in the Emergency Room Setting—Jhaymie Cappiello, Durham NC

Sunday, Dec 6, 3:00 pm – 4:55 pm

RESPIRATORY CARE OPEN FORUM #8
Diagnostics: Knowing Before Acting

• A Comparison of the Roche Microsampler and the Portex Provent Sampling Syringe, Using the Roche Omni 6 AVL and the Roche Cobas B 221 Blood Gas Systems— Richard M Hoskins, Plano TX
• Semi-Quantitative Tracking of Intra-Airway Fluids by Computed Tomography—Alex B Adams MPH, St Paul MN
• In a Swine Pleural Effusion Model, Functional Residual Capacity (FRC) Can Be Determined by a Nitrogen Washin-Washout Method During Mechanical Ventilation— Alex B Adams MPH, St Paul MN
• Anthropometric Measures of Body Fat and Pulmonary Function: A Pilot Study—Penelope S Benedik PhD, Bryan TX
• Evaluation of Inverse Fick Calculation for SVO2 Estimation—Lara Brewer, Salt Lake City UT
• Evaluation of a New Partial Rebreathing Cardiac Output Monitor—Lara Brewer, Salt Lake City UT
• Diagnostic Accuracy Of Medical Thoracoscopy In Diagnosis Of Pleural Effusion Of Undetermined Etiology; A Systematic Review—Subhash Chandra MBBS, Rochester MN
• Effects of Mean Arterial Pressure and Needle Size on Arterial Sampler Filling Time—Kimberly L Johnson BSRT, Columbus OH
• A Comparison Between Patients Heights Recorded in the Electronic Medical Record and the Patients Actual Measured Heights: The Impact on the Setting of Tidal Volume—Donald L Bellerive MA, Worchester MA
• Ventilatory Response During Cardiopulmonary Exercise Testing in Pediatric Patients With and Without Congenital Heart Disease—Carl D Mottram RRT RPFT FAARC, Rochester MN
• Comparison of the Apieron Single Breath Exhaled Nitric Oxide (ENO) Device With the Multiple Breath Sievers ENO Analyzer in Patients Referred for ENO Testing— Carl D Mottram RRT RPFT FAARC, Rochester MN
• Correlation of the Sentec Digital Monitor Transcutaneous CO2 Measurement to Arterial CO2 Using Alternate Site Placement Probes—Amber Chitwood, Springfield MO
• Radial Artery Catheterization by Respiratory Care Practitioners With Ultrasound Guidance—Andrew G Miller RRT, Durham NC
• Influence of Sampling Site on End Tidal Carbon Dioxide Levels (PETCO2) During Non-Invasive Positive Pressure Ventilation (NPPV)—Arthur Taft PhD, Augusta GA
• Increased Deadspace During Peak Exercise in the Presence of Dynamic Hyperinflation in Patients With Expiratory Flow Limitations—Noel I Moreno MS, Boston MA
• Do High Frequency Oscillation Vests Reduce Vital Capacity in Normal Subjects?—Brad W Hughett, Boise ID
• Assessing Methods for Estimating Height in Recumbent Adults—Randall Baker PhD, Augusta GA

Monday, Dec 7, 9:30 am – 11:25 am

RESPIRATORY CARE OPEN FORUM #9
Management: Nuts and Bolts To Do It Right—Part 1

• Developing a Charge Charter to Enhance the Role of the Charge Therapist—Kenneth J Miller Jr MEd, Allentown PA
• The Utilization Of Electronic Documentation To Assess Therapist Compliance To Perform Daily Weaning Assessments And Spontaneous Breathing Trials— Kenneth J Miller Jr MEd, Allentown PA
• How a Medical Emergency Team Has Increased the Value of the Respiratory Care Practitioner in a Large Medical Center—Stephanie Stanley, Charleston WV
• Intensive Change-Management and Enhanced Compliance Results in Successful and Consistent Implementation of Ventilator Bundle and Oral Care Protocol, 0 VAP for Over 685 Days, and Substantial Economic Savings—Patricia DeJuilio RRT-NPS, Winfield IL
• Physicians Perspectives’ of the RCP as a Mid-Level Practitioner in Specific Domains and Settings of Clinical Practice— Carlton R Insley III PhD, Salisbury MD
• Updated Respiratory Care Protocol Improves Utilization and Decreases Cost—Damien P Beilman RRT, Wichita KS
• Use of Technology to Improve Patient Handoff Communication—Christopher J Benitez, Salt Lake City UT
• An Analysis of the Common Factors Influencing Therapist Discipline—Anthony L DeWitt Esq, Jefferson City MO
• Implementing an Evidence-Based, Outcomes Driven, Interdisciplinary Team in a Rural, Critical Access Hospital: The Impact on Interdisciplinary Charting—Carri Aguiar, Heber City UT
• Implementing an Evidence-Based, Outcomes Driven, Interdisciplinary Team in a Rural, Critical Access Hospital: The Impact on Inhaled Bronchodilator Outcomes— Carri Aguiar, Heber City UT
• Validating Work-Rate: A New Parameter for Distributing Respiratory Therapy Workload—Susan Gole, Cleveland OH
• Extent of Cardiopulmonary Practice and Factors Affecting Cardiopulmonary Practice Among Physiotherapists in Nigeria—Nsa A Odunaiya BSc MEd, Ibadan Nigeria
• Implementing an Evidence-Based, Outcomes Driven, Interdisciplinary Team in a Rural, Critical Access Hospital: The Impact of an Early Lung Recruitment Guideling (ELRG) in Newborns. A Pilot Study—Kimberly J Bennion, Heber City UT
• Implementing an Evidence-Based, Outcomes Driven, Interdisciplinary Team in a Rural, Critical Access Hospital: The Impact of Pre-Operative Obstructive Sleep Apnea (OSA) Assessments—Kimberly J Bennion, Heber City UT

Monday, Dec 7, 9:30 am – 11:25 am

RESPIRATORY CARE OPEN FORUM #10
Ventilation and Ventilators—Part 3

• Determining the Basis for a Taxonomy of Mechanical Ventilation—Robert L Chatburn RRT-NPS FAARC, Cleveland OH
• Prediction Equations for Tidal Volume Based on the Radford Nomogram—Shannon E Cook, Cleveland OH
• Improved Selection of Initial Tidal Volume for Mechanical Ventilation Based on the Radford Nomogram— Shannon E Cook, Cleveland OH
• Creating Ventilator Scenarios Combing Laerdal Simman and IngMar ASL5000—Joy J Powell, Galveston TX
• Effect of Educational Outreach in Achieving Vent-Bundle Compliance and Decreasing VAP Rate—Salley Whitten, Portland ME
• Output Performance of 2 Brands of Large Volume Continuous Nebulizers (LVN)—Dave N Crotwell RRT-NPS, Seattle, WA
• Evaluation of a New Circuit Configuration for the VDR-4® High Frequency Percussive Ventilator—Kathy Short, Durham NC
• Effect of Large Bore Tubing on Peak Pressure During Intrapulmonary Percussive Ventilation—Jean Davenport, Springfield MO
• Pressure-Volume Characteristics of the 3100B High Frequency Oscillator Using Two Different Bench Models to Mimic Airway Resistance—Tom J Blackson, Newark DE
• Objective Measures of Ventilator Performance Using the Pressure Support Mode—David M Wheeler, Cleveland OH
• A Preliminary Comparison of Delivered Tidal Volume and ARDSNet Recommended Tidal Volume as Determined by Ideal Body Weight in Mechanically Ventilated Patients—Susan R Whiddon MEd, Augusta GA
• Reduced Ventilator Length of Stay (VLOS) Through Implementation of a Spontaneous Awakening and Breathing Trial (SAT & SBT) With a Multidisciplinary Approach—James Lamberti, Falls Church VA
  

Monday, Dec 7, 3:00 pm – 4:55 pm

RESPIRATORY CARE OPEN FORUM #11
Neonatal and Pediatric Care—Part 2

• Mid Frequency Ventilation: Optimum Settings for Neonates—Robert L Chatburn RRT-NPS FAARC, Cleveland OH
• Evidence Based Infant Toddler Respiratory Protocols—Thomas A Seidensticker, Boston MA
• Unplanned Extubations (UE) in NICU and PICU as a Quality Measure—Dave N Crotwell RRT-NPS, Seattle WA
• High Frequency Ventilator (HFV) Tidal Volume (TV) Distribution to Inhomogeneous Lungs in a Neonatal Test Lung Model—Robert Gillette MD, San Antonio TX
• Neonatal Mechanical Ventilator Tubing Compliance: When Should Calculations Be Performed?—Keith Hirst, Boston MA
• Collection of Exhaled Breath Condensate in Mechanically Ventilated Pediatric Patients—Amy L Robinson RRT-NPS, Atlanta GA
• Improving a Pediatric Respiratory Care Consult Service for Airway Clearance: A Four Year Review—Kathleen Deakins MSHCA, Cleveland OH
• Should the Fisher and Paykel RT 236 Infant Circuit Be Re-Tested After Heating Up to Compensate for Possible Changes in Tubing Compliance?—Matt McNally, Lebanon NH
• Capnographic Monitoring of Post-Op Norwood Stage 1 During Extracoporeal Life Support (ECLS)—Roy Ramirez, Orange CA
• Trigger Sensitivity of Non-Invasive Ventilators in a Pediatric Lung Model—Craig D Smallwood, Boston MA
• Use of an Anesthesia Machine for Isoflurane Delivery in a Pediatric Intensive Care Unit—Shawn Colborn, Philadelphia PA
• Nitric Oxide Administration via an Anesthesia Machine by Respiratory Therapist in the PICU and Operating Room—Shawn Colborn, Philadelphia PA
• Electrical Activity of the Diaphragm During Extubation Readiness Testing in the Pediatric Patient—Brian K Walsh RRT-NPS RPFT MBA FAARC, Boston MA
• Utilization of Inhaled Nitric Oxide (iNO) at a Children’s Hospital—John Salyer MBA RRT-NPS FAARC, Seattle WA
• Training the Respiratory Therapist for a Special Delivery Unity—Leane Soorikian RRT-NPS, Philadelphia PA

Monday, Dec 7, 3:00 pm – 4:55 pm

RESPIRATORY CARE OPEN FORUM #12
Sleep; Pulmonary Rehab: Doing It Right

• Physiological Benefits of a Pulmonary Rehabilitation Program—Dave Burnett MS RRT, Lee’s Summitt MO
• Efficacy and Test-Retest Reliability in the Epworth Sleepiness Scale, a Tool for Assessing Daytime Sleepiness—Martine J Eon, Biddeford ME
• Evaluation of the Respironics BiPAP® Auto SV™ And ResMed VPAP™ Adapt SV to Lung Simulator Generated Central and Obstructive Sleep Apneic Episodes— Grant Drake, Boise ID
• The Relationship Between the Mallampati Scoring System, the Berlin Questionnaire, and the Epworth Sleepiness Scale—Joshua F Gonzales MHA, San Marcos TX
• Alpha-1 Antitrypsin Deficiency Testing and Education as Components of a Pulmonary Rehabilitation Program—Valerie F Naegele, Oceanside CA
• Positive Airway Pressure (PAP) Treatment of Obstructive Sleep Apnea Syndrome (OSAS): Preliminary Results of a Non- Attended Ambulatory Protocol—Andrea Lanza, Milan Italy
• Clinical Outcomes in Patients Treated With the Vest® versus Conventional Chest Physical Therapy—Peggy Reed-Watts MS RRT, St Louis MO
• The Use of Full PSG Monitoring With a Novel Oxygen Conserving Device to Determine Triggering and Oxygenation Capabilities During Sleepy—Bob McCoy, Apple Valley MN
• A Bench Study to Compare Performance Characteristics of Auto-Adjusting CPAP Units in Response to Awake Breathing—Bob McCoy, Apple Valley MN
• The Effects of a Sleep Disorders Clinic for the Treatment of Patients With Sleep Disordered Breathing—Brian W Carlin MD, Pittsburgh PA

Tuesday, Dec 8, 9:30 am – 11:25 am

RESPIRATORY CARE OPEN FORUM #13
Management: Nuts and Bolts To Do It Right—Part 2

• Leading by Example: Leading Michigan Hospital’s Smoke-Free Campus Initiative—Laura Van Heest, Grand Rapids MI
• Development and Implementation of a Respiratory Care Quality Improvement Program—Susan Ferry, Philadelphia PA
• The Fiscal Impact of Varying Intradepartmental Communication Methods—Russell E Graham, Houston TX
• Implementation of an Advanced Airway Management Training Program Within a Multi-Center Health Care System—Joey Wilson, Houston TX
• Relationship Between Daily Dosing Frequency, Compliance, Healthcare Resource Use, and Costs: Evidence From The Treatment Of Chronic Obstructive Pulmonary Disease (COPD)—Mei Sheng Duh ScD MPH, Boston MA
• Teambuilding as a Change Management Activity in Respiratory Care—Douglas Orens, Cleveland OH
• Effective Retention Strategies for Clinical Respiratory Therapists—Jefferson Hunter, Columbus OH
• Moving the Mountain: A State Society’s Lessons in Regulations and Change—Terrence F Smith MHS RRT, Asheville NC
• The Use of a Progressive Pulmonary Protocol in an Oncologic Intensive Care Unit—Laura G Withers MBA RRT CPFT, Pearland TX
• High Fidelity Simulation Training for the New Employee—Patricia A Achuff MBA, Philadelphia PA
• Analysis of Critical Injury Patients and Respiratory Care in 5.12 Wenchuan Earthquake—Yongfang Zhou, Chengdu, Sichuan Province, China
• Cost Savings Associated With the Implementation of alternative Inhaled Pulmonary Vasodilator Therapy— Christine Wong, North Vancouver BC Canada
• Missed Aerosolized Medication Doses: Process of Developing a Benchmark for Missed Medication Doses—Donna Clayton, St Louis MO
• Tobacco Use and Dependence: Clinical Interventions and the Respiratory Therapist—Georgianna Sergakis PhD, Columbus OH
• Respiratory Clinical Ladder Is Key in the Utilization of Evidence Based Respiratory and Improved Outcomes—Carol A Agard, Honolulu HI
• Reducing Length of Stay and Improving Net Margin in COPD Patients—Joy K Hargett, Houston TX

Tuesday, Dec 8, 9:30 am – 11:25 am

RESPIRATORY CARE OPEN FORUM #14
Aerosols; Oxygen; Drugs and Medications—Part 2

• The Use of a New Oxygen Delivery Device and Wireless Clinical Oxygen Dose Recorder for Monitoring Patients Using Supplemental Oxygen—Brian W Carlin MD, Pittsburgh PA
• Effects of Lung Mechanics on Oxygen Delivery Using Simple Oxygen Masks—Megan McKenney, Cleveland OH
• Clean My R.I.D.E. (Reduce Inhalation of Diesel Exhaust) Phase 1: Assessment of Diesel Particulate Exposure in School Children—Kathleen Hernlen MBA, Martinez GA
• Impact of a Breath Actuated Nebulizer Performance Improvement on Hospital Length of Stay—John S Emberger Jr RRT, Newark DE
• Staff and Patient Satisfaction With a Breath Actuated Nebulizer Performance Improvement—John S Emberger Jr RRT, Newark DE
• Airway Resistance Over Time in Patients With Heat and Moisture Exchangers and Heated Humidifiers— John S Emberger Jr RRT, Newark DE
• Analysis of Airway Resistance and Sputum Consistency for Patients Switched From Heat and Moisture Exchanger to Heated Humidifier—John S Emberger Jr RRT, Newark DE
• Development of a Respiratory Therapy Protocol for High Flow Nasal Cannula in the Bronchiolitis Patient— Andrea K Johnson, Salt Lake City UT
• Effects of Lung Mechanics on Oxygen Delivery With Nasal Cannulae—Steven Zhou, Cleveland OH
• Comparison of a Valved-Holding Chamber (VHC)-Facemask/Mouthpiece With Small Volume Nebulizer-Facemask (SVN-F) for Bronchodilator Delivery— Mary K Hart, Dallas TX
• Back Pressure Comparison in Three Medical Gas Delivery Systems—Tia Alton, Louisville KY
• Inhaled Epoprostenol in the Treatment of Pulmonary Arterial Hypertension—Christina Pano, Milwaukee WI
• Characterization of the HFA PMDI Aerosol Plume by High Speed Photography—Dirk von Hollen, Parsippany NJ
• Implementation of a Standardized Order Set for the Appropriate Use of Inhaled Pulmonary Vasodilator Therapy—Lisa Cracchiolo AD, St Louis MO

Tuesday, Dec 8, 1:00 pm – 2:55 pm

RESPIRATORY CARE OPEN FORUM #15
Education: Advancing The Profession

• Predicting Students’ Performance on the Clinical Simulation Examinations—Arzu Ari PhD RRT, Atlanta GA
• Commencing, Executing, and Succeeding at Transitioning Respiratory Therapists From Associates to Bachelor’s Degree Holders: A New Wave in Respiratory Care—Abby Motz, Cincinnati OH
• Implementing Computerized Patient Simulations as a Measure of Student Learning in Patient Management— Arzu Ari PhD RRT, Atlanta GA
• Distance Education Delivery of Respiratory Therapy: A Comparison of Two Methods, Synchronous (Traditional) vs Asynchronous (On-Line)—Elisha L Pueppka, Kearney NE
• Simulation Technology Used to Increase Clinical Confidence of Malignant Hyperthermia Detection—Joel M Brown II RRT, Newark DE
• Interactive Simulations Used To Improve RCP Competence—Joel M Brown II RRT, Newark DE
• Preparing Respiratory Care Students for Mass Casualty—Katie L Walton BSRC, Sharpsville PA
• Distribution of the Cognitive Levels of the 2010 NBRC WRE Matrix and of the Multiple-Choice Questions in Four RT Books—David Chang, Mobile AL
• Critical Tasks of the DataArc Adult Nasal Cannula Competency: A Survey of Respiratory Care Educators—Patrick Evens MEd, Texarkana AR
• Critical Thinking Ability in Respiratory Care Students and Its Correlation With Age, Educational Background, and Performance on National Board Examinations—Richard Wettstein MMEd RRT, San Antonio TX
• Survey of the Knowledge and Confidence of Respiratory Therapy Students Regarding Tuberculosis—Sandra T Hinski, Atlanta GA
• Coping With Loss and Death and Dying Issues of Respiratory Care Students—Thomas J Stokes Jr MAEd, San Marcos TX
• Distance Learning and the Internet in Respiratory Therapy Education—Sarah Varekojis PhD RRT, Columbus OH
• Written Verbatim Identifies Altruistic Attitudes in Respiratory Care Students—Kristen Whalen, Rochester MN
• Vibration Response Imaging: A Bedside Learning Experience—Quan M Nguyen, Houston TX
• Model of the Respiratory System With Gas Exchange Simulation—Jaroslav Marek, Prague Czech Republic
• Comments and Concerns of Respiratory Therapy Program Directors on Move to Baccalaureate Degree for Advanced Practitioner Entry Into the Profession—Arthur B Marshak EdD, Loma Linda CA
• A Novel Approach to Measuring Interrater Reliability Among Clinical Instructors Using Evaluation Data From an Online Student Record Database—Jonathan B Waugh PhD RRT RPFT CTTS, Birmingham AL
• The Role of the Respiratory Therapist in Planning a Statewide Tobacco Survivors Network––Lawrence O Bryant PhD MPH RRT, Atanta GA

Tuesday, Dec 8, 1:00 pm – 2:55 pm

RESPIRATORY CARE OPEN FORUM #16
Ventilation and Ventilators—Part 4

• Reducing Ventilator Associated Respiratory Infections By Discontinuing the Use of Normal Saline During Suctioning in the NICU—Rick L Amato, Cincinnati OH
• High Frequency Percussive Ventilation Can Mimic Airway Pressure Release Ventilation in a Test Lung Model— Kathy Short, Durham NC
• A 2-Year Retrospective Review of Noninvasive Ventilation in an Emergency Department Setting—J Brady Scott, Durham NC
• Evaluation of a New Graphical Interface for Mechanical Ventilation—Rory Mullin, Cleveland OH
• Heliox Utilization by Two ICU Ventilators: A Bench Study—Daria Donelly, Framingham MA
• Comparison of Capnography Derived Respiratory Rate Alarm Frequency Using the SARA Algorithm Versus an Established Non-Adaptive Respiratory Rate Alarm Management Algorithm in Bariatric Surgical Patients—Steven Hockman RRT, Winchester VA
• Comparison of Frequencies Delivered During Manual Ventilation With Two T-Piece Resuscitation Devices: A Bench Study—John T Gallagher, Cleveland OH
• Bench Protocol to Determine Heliox Consumption of the Event Medical ‘Inspiration Ls’ Ventilator— Michael McPeck RRT FAARC, Long Beach CA
• Comparison of Two Different Proportional Assist Ventilation Algorithms—Jaimee L Wear, Cleveland OH
• The Magnitude of Volume Oscillations During Bubble Nasal Continuous Positive Airway Pressure Are Affected by the CPAP Level and Bias Flow Setting—Jay Zignego, Seattle WA