American Association for Respiratory Care

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Sunday, November 17, 2013

 

12:15 am–12:45 am

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Diagnostic Section Membership Meeting

Matthew J O'Brien MS RRT RPFT/Presiding

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

 

12:45 am–1:15 am

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Long-Term Care Section Membership Meeting

Lorraine Bertuola RRT/Presiding

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

 

1:30 am–2:00 am

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Management Section Membership Meeting

Bill Cohagen BA RRT FAARC/Presiding

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

 

2:05 am–3:10 am

 

The Move from VAP to VAE: Impact on the Respiratory Therapist

 

2:05 pm–2:35 pm

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Ventilator-Associated Events: What Every Respiratory Therapist Needs to Know

Dean R Hess PhD RRT FAARC, Boston MA

S082

Content Category: Clinical Practice
In early 2013, surveillance of ventilator-associated pneumonia transitioned to monitoring of ventilator-associated events. This lecture will provide an overview of this program and discuss ways that this impacts respiratory therapists.

 

2:40 pm–3:10 pm

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Ventilator-Associated Events: Does This Apply To Children?

Kathleen M Deakins MSHA RRT-NPS FAARC, Cleveland OH

S083

Content Category: Clinical Practice
This lecture is a sequel to the previous presentation and will describe how the surveillance of ventilator-associated events will extend to children.

 

2:05 am–3:10 am

 

Neonatal Ventilation

 

2:05 pm–2:35 pm

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Conventional Ventilation of the Premature Infant: What Is the Evidence?

John S Emberger RRT FAARC, Newark DE

S084

Content Category: Neonatal/Pediatric
Premature infants are one of the most challenging populations to ventilate. Learn what the evidence shows for conventional ventilation of this fragile population. The medical literature, recommended guidelines, and clinical cases will be discussed.

 

2:40 pm–3:10 pm

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Preventing BPD: Search for the Holy Grail

Sherry E Courtney MD, Little Rock AR

S085

Content Category: Neonatal/Pediatric
The incidence of BPD is decreasing, but can it be eliminated? This presentation by a national expert will review the available medical literature and will offer suggestions for ventilator strategies that may eliminate BPD. Is the Holy Grail in eliminating BPD really achievable? Attend this session; your long-held views may be changed.

 

2:05 am–4:20 am

 

Managing COPD: Don't Recreate the Wheel, Just Make It Run More Smoothly

 

2:05 pm–2:35 pm

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Educational Materials From the AARC

Thomas J Kallstrom MBA RRT FAARC, Irving TX

S091

Content Category: Education
This session will review those educational materials regarding the care and management of patients with COPD from the perspective of the AARC.

 

2:40 pm–3:10 pm

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Educational Materials From the COPD Foundation

Scott Cerreta RRT, Tucson AZ

S092

Content Category: Education
This session will review those educational materials regarding the care and management of patients with COPD from the perspective of the COPD Foundation.

 

3:15 pm–3:45 pm

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Educational Materials From the Physician Perspective

Brian W Carlin MD FAARC, Pittsburgh PA

S093

Content Category: Education
This session will review those educational materials regarding the care and management of patients with COPD from the perspective of the outpatient physician and physician organizations. Attend this lecture to better understand the educational expectations of RTs following the passage of HR 2619.

 

3:50 pm–4:20 pm

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Putting the Resources Together: The Patient Experience

Brian W Carlin MD FAARC
Scott Cerreta RRT
Thomas J Kallstrom MBA RRT FAARC
Bill Clark

S094

Content Category: Education
A COPD patient sits in on a panel discussion with the presenters to discuss gaps in treatment and education from the patient perspective.

 

2:05 am–4:55 am

 

AARC's 29th New Horizons in Respiratory Care Symposium: Back to the Basics: Respiratory Physiology in Critically Ill Patients

 

2:05 pm–2:35 pm

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Hypoxia Versus Hypoxemia

Neil R MacIntyre MD FAARC, Durham NC

S086

Content Category: Clinical Practice
Much of respiratory care relates to treatment for hypoxia and hypoxemia. Physiologic causes of hypoxia and hypoxemia will be discussed. Assessments of hypoxemia such as P(A-a)O2, PaO2/PAO2, PaO2/FIO2, and pulmonary shunt will be compared. Also presented will be a discussion of adaptive mechanisms for hypoxia and hypoxemia.

 

2:40 pm–3:10 pm

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Heart-Lung Interactions and Oxygen Delivery

Ira M Cheifetz MD FCCM FAARC, Durham NC

S087

Content Category: Clinical Practice
This lecture will cover the physiologic determinants of oxygen delivery and the consequences of inadequate oxygen delivery. Also discussed will be clinically important heart-lung interactions.

 

3:15 pm–3:45 pm

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The Physiology of Ventilation

Lluis Blanch , Sabadell Spain

S088

Content Category: Clinical Practice
The physiologic relationships between PaCO2, CO2 production, and alveolar ventilation will be described. Also discussed will be how dead space ventilation is measured, causes of elevated dead space, and the physiologic consequences of elevated dead space in mechanically ventilated patients.

 

3:50 pm–4:20 pm

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Hypercapnia and Hypocapnia

Eddy Fan MD, Baltimore MD

S089

Content Category: Clinical Practice
Causes of elevated CO2 production and methods of lowering CO2 production such as hypothermia will be discussed. Also discussed will be the consequences of permissive hypercapnia (lung injury) and hypocapnia (head injury). Compensatory mechanisms for hypercapnia (and hypocapnia) will be described, both physiologic and therapeutic (bicarbonate, THAM).

 

4:25 pm–4:55 pm

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Respiratory Mechanics During Positive Pressure Ventilation

Dean R Hess PhD RRT FAARC, Boston MA

S090

Content Category: Clinical Practice
The clinical significance of airway pressure and flow waveforms will be discussed, as well as the measurement of alveolar pressure using end-inspiratory and end-expiratory breath-holds. The concept of the stress index will be described, as well as a description of how esophageal pressure is measured.

 

2:05 am–4:55 am

 

Neurorespiratory Disease Management

 

2:05 pm–2:35 pm

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ALS Palliative Care: Burden of Caregivers Compared to Patient's Quality of Life

Anna Caroline Braga MSc PT, Lisbon Portugal

S095

Content Category: Clinical Practice
ALS is one of the most devastating neurological diseases in adults with an unpredictable clinical course. Though many poor prognostic factors are well known, recent studies have also shown that the physical and emotional burden of caregivers is an issue that must be addressed and should be made part of the management plan of an interdisciplinary team specialized in ALS. This lecture will discuss stress reduction by ALS caregivers and the impact stress has on caregiver morbidity and mortality.

 

2:40 pm–3:10 pm

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Home Telemonitoring of Noninvasive Ventilation in ALS Reduces Health Care Utilization

Joao Pereira MSc, Lisbon Portugal

S096

Content Category: Clinical Practice
Noninvasive ventilation is an efficient method for treating respiratory failure in patients with amyotrophic lateral sclerosis. However, it requires a process of adaptation not always achieved due to poor compliance. A telemonitoring system provides timely feedback, increases compliance, increases survival, and reduces health care utilization. Attend this lecture and find out how a home telemonitoring program can impove NIV adherence...potentially by as much as 85%.

 

3:15 pm–3:45 pm

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Neurorespiratory Disease Management

Anabela Cardoso Pinto MD PhD , Lisbon Portugal

S097

Content Category: Clinical Practice
Neurorespiratory disease, such as amyotrophic lateral sclerosis, are a group of diseases that generally have a rapid progression with a life expectancy of less than 5 years in most cases. The introduction of treatment methods has helped to not only increase the survival time but to also increase the quality of life for many patients. It is a disease that requires an integrated treatment approach with health care practitioners and caregivers. This lecture discusses the optimal approaches required.

 

3:50 pm–4:20 pm

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NIV in Neuromuscular Disorders like ALS and Duchenne Muscle Dystrophy

Anabela Cardoso Pinto MD PhD

S098

Content Category: Clinical Practice
Efficacy of NIV in ALS and Duchenne muscle dystrophy is indisputable today. However, it still is underused as shown in several European and U.S. surveys. During the presentation, the experience gathered along the past 15 years will be shared, focusing on achieved comfort throughout clinical evolution of treatment for these two debilitating diseases.

 

4:25 pm–4:55 pm

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What Do We Need to Know to Follow up ALS Patients from Early to Terminal Disease?

Anna Caroline Braga MSc PT

S099

Content Category: Clinical Practice
The wide clinical diversity associated with several different motor features requires expert knowledge usually gained at the frontiers between neurologic, pulmonology, and rehabilitation departments. In this session, issues regarding the integration of motor skills, oxygen demand, and energy expenditure will be discussed. In the face of a fatal disease, the question is: Is this approach palliative care or a modifiable disease treatment?

 

2:40 am–3:45 am

 

In God We Trust, All Others Must Bring Data

 

2:40 pm–3:10 pm

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RT Department Dashboard: Creating, Aligning, and Marketing Y

Garry W Kauffman MPA FACHE RRT FAARC, Winston-Salem NC

S105

Content Category: Management
Every hospital or health system follows one of several accepted methodologies to create their Organizational Dashboard. This serves the executive and medical leadership to document, track, and report performance to their boards, physicians, employees, and communities. Whether the dashboard is one that follows the Studer Pillars, The Joint Commission goals, the IHI Triple Aim, or another methodology, it's critically important for the RT leader to understand. This presentation will provide attendees the template, describe the methodology, and give various examples that can be utilized to create this tool to document, communicate, and market the services and value that the RT department brings to their organization.

 

3:15 pm–3:45 pm

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What Gets Measured Gets Done

Ken Thigpen RRT FAARC, Jackson MS

S106

Content Category: Management
This presentation will serve as a sequel to the previous session in this symposium. Leveraging the assumption that attendees have the skills to develop a dashboard of meaningful performance metrics that are aligned with those of the organization, this presentation will take attendees to the next step of understanding what to do with the data. The presenter will discuss the construction of continuous quality improvement projects, value propositions, and other patient safety initiatives that are built on the foundation of data collection, monitoring, and reporting. Data is meaningless if you don't do something with it. Improve your leadership acumen and attend this lecture.

 

3:15 am–4:20 am

 

Pediatric Airway Management

 

3:15 pm–3:45 pm

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The Internal Jaw: Successful Surgical Correction of Airway Obstruction

Jesse Taylor MD, Philadelphia PA

S110

Content Category: Neonatal/Pediatric
Traditionally, the management of the child with an obstructive upper airway due to facial abnormalities has been quite problematic. A permanent surgical option is now available for infants with severe micrognathia. This session will present a novel surgical approach. The success with the Internal Jaw Procedure will be reviewed, including clinical cases.

 

3:50 pm–4:20 pm

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Management of the Difficult Pediatric Airway

Jesse Taylor MD

S111

Content Category: Neonatal/Pediatric
One of the most difficult and scariest scenarios for the clinician is the difficult airway. Appropriate training and planning can make the difference between life and death. This session will review strategies and techniques for managing the difficult pediatric airway.

 

3:50 am–4:55 am

 

Respiratory Care in the Home: Best Practices from Our Canadian Colleagues

 

3:50 pm–4:20 pm

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From ICU To the Home: Strategies for Successful Transition

Rita Troini RRT MA, Quebec Canada

S115

Content Category: Clinical Practice
Effective transition of the patient from hospital to home is now at the center of health care. This lecture will discuss strategies, tactics, and best practices to ensure a smooth and successful transition of the patient from the acute care setting to the home.

 

4:25 pm–4:55 pm

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Airway Clearance Techniques in the Home

Veronique Adam RRT, Quebec Canada

S116

Content Category: Clinical Practice
Whether it is in the hospital or home, airway clearance is a challenging and daunting task for improved lung function. This lecture examines the effective use of lung volume recruitment and various cough-assist techniques and technologies used as part of a comprehensive, home airway clearance program. Attend this lecture and learn how to enhance the care you provide in the home.

 

8:30 am–9:25 am

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40th Donald F Egan Scientific Memorial Lecture - The Current State of Lung Protective Ventilation: What Should Clinicians Be Doing?

Rolf D Hubmayr MD, Rochester MN

S047

Content Category: Clinical Practice
Lung protection has become a staple in almost every mechanical ventilation strategy, yet questions still linger on how and when to incorporate such strategies and which modes best facilitate lung protection. This lecture from an internationally recognized expert will address these and other questions. Dr. Hubmayr will also share the most current published evidence on the topic and provide practical suggestions to implement lung protective strategies into your practice.

 

10:00 am–11:55 am

 

Open Forum # 4 - Ventilation/Ventilators - Part 2

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

10:00 am–11:55 am

 

Open Forum # 5 - Case Reports

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

10:30 am–11:00 am

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The Future of the Respiratory Therapist in Home Care

Joseph Lewarski RRT FAARC, Elyria OH

S051

Content Category: Management
Now, more than any other time in the history of home care, the role and value of the home respiratory therapist is being questioned. The home medical equipment and health care business is changing at a rapid pace. National competitive bidding, new health care policies, audit pressures, and continued reimbursement pressures have placed significant strain on many providers. This presentation examines the potential future role of the home RT.

 

10:30 am–11:00 am

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The ABCs of Sales and Marketing for Your Sleep Center

Peter Allen RRT-NPS-SDS RST RPSGT, Devon PA

S052

Content Category: Sleep Medicine
The sleep marketplace has become more competitive every year with no end in sight. It is essential for sleep centers to maximize revenues by identifying new opportunities and new revenue streams. This presentation will present possible new markets to explore and optimal ways of differentiating and marketing your program

 

10:30 am–11:00 am

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Patient Education Instructional Materials: From Development to Delivery - Brochures, Pamphlets, and Patient Guides: The Design, Development, and Use of Patient Education Materials

Bill Galvin MSEd RRT CPFT AE-C FAARC, Gwynedd Valley PA

S053

Content Category: Education
Patient education is heralded as an essential component of the future of healthcare. It will hold tremendous value and critical importance in shifting emphasis to personal responsibility, patient ownership, and self-directed care. Previous Congress sessions have addressed the issues of the patient education process, barriers to teaching, and obstacles to learning the requisite skillset for the RT to assume this critical role. Absent from this array of components are the composition and use of printed instructional tools and teaching materials. This session will serve as a sequel to these issues and will address the use of instructional materials in the patient education process, the design and development of patient education materials, and essential elements in composition and development. Additionally, the presentation will address how to employ these tools when interacting with the patient at the bedside.

 

10:30 am–11:00 am

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Promoting Patient Safety Through Teamwork and Communication

Ira M Cheifetz MD FCCM FAARC, Durham NC

S054

Content Category: Management
Patient safety is a top priority for health care administrators and educators around the country. Attention is most commonly given to avoiding medication, procedural, and laboratory testing errors. However, key components to patient safety that are intrinsically linked to all aspects of health care are teamwork and communication. This session will emphasize common errors in teamwork and communication, and offer skills to promote patient safety from these important aspects of interpersonal skills.

 

10:30 am–11:35 am

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Professor's Rounds: Dueling Experts - High-Frequency Oscillatory Ventilation in Adults: Indicated or Contraindicated

Pro: Neil R MacIntyre MD FAARC, Durham NC
Con: Dean R Hess PhD RRT FAARC, Boston MA

S059

Content Category: Adult Critical Care
Even international experts can disagree on the best approach to a clinical problem (and still get along). As two heads are better than one when approaching a complex clinical problem, this new approach to Professors' Rounds will offer competing thoughts on the use of HFOV for adult ARDS patients. A new twist to this Congress favorite will be the incorporation of audience response technology. Come learn and participate in this controversial topic.

 

10:30 am–11:00 am

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Strange Tales From the Bronchoscopy Suite

William R Solly MS RRT CPFT, Philadelphia PA

S048

Content Category: Pulmonary Function
As we perform our daily job responsibilities, all too often we focus on the latest equipment and ventilator weaning modes, but when was the last time you viewed a patient's airway from the inside? What do various disease states look like? How do they cause the various symptoms that patients experience? These and other questions will be answered in this presentation.

 

11:05 am–11:35 am

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Are You Abnormal? Choosing Predicted Values in PF Testing

Carl D Mottram RRT RPFT FAARC, Rochester MN

S063

Content Category: Pulmonary Function
This lecture will explore the controversies surrounding predicted values for lung function testing, including what cut-points define normal/abnormal results, current recommendations, and the Global Lung Initiative.

 

11:05 am–11:35 am

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Preoperative Screening and the RT Role

Jessica Schweller MS RRT-RCP RN NP-C, Columbus OH

S064

Content Category: Sleep Medicine
Surgery can be a very scary time for patients and clinicians. Special precautions can be put in place to keep patients safe as long as those at high risk for respiratory complications are identified in time. The presenter will discuss the RT's role in the pre-op evaluation process as well as in the peri- and post-op arenas.

 

11:05 am–11:35 am

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Aerosol Therapy: Yesterday, Today, and Tomorrow

Bruce K Rubin MD MEngr MBA FAARC, Richmond VA

S065

Content Category: Neonatal/Pediatric
Aerosol therapy has advanced as much as any other respiratory modality in recent years. This international expert will discuss the past, present, and future of this interesting and challenging field.

 

11:40 am–12:10 pm

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Let's Get Real! Overcoming Barriers to Effective Patient-Centered Communication

Robin Kidder RRT AE-C, St Louis MO

S070

Content Category: Education
Patient-centered communication has become a Joint Commission standard. The presenter will engage the audience in a discussion on the current communication obstacles faced in our unique healthcare environment. Specific techniques to overcome these obstacles will be presented. A frank discussion will be held on communicating with patients and families to enhance compliance and overcome cultural barriers.

 

11:40 am–12:10 pm

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How Do I Get This PFT Data into the Electronic Medical Record?

Matthew J O'Brien MS RRT RPFT, Madison WI

S071

Content Category: Pulmonary Function
Enabling clinicians' easy access to pulmonary function data in the EMR is important. Although many institutions have tackled this, some continue to struggle. Leaving this presentation, attendees will have a better understanding of the language, cost, and work required to enable the various PFT data integration methods.

 

11:40 am–12:10 pm

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Inhalational Injuries

Douglas E Masini EdD RRT-NPS RPFT AE-C FAARC, Savannah GA

S072

Content Category: Adult Critical Care
Intentional or accidental, inhalation of toxic agents can have detrimental outcomes. This presentation will review the current status of inhalational injuries. Etiologies and management strategies will be discussed. Potential educational approaches to prevent inhalational injuries will also be offered.

 

11:40 am–12:10 pm

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To Sleep… Perchance To Dream: Atypical Sleep-Disordered Bre

Lee Guion MA RRT, San Francisco CA

S073

Content Category: Sleep Medicine
The mechanism of sleep fragmentation and daytime sleepiness in ALS remains unclear. Controversy surrounds the role of sleep studies in the clinical management of respiratory insufficiency in this disease. What are the issues? Attend this lecture, find out, and weigh in on the conversation.

 

11:40 am–12:10 pm

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Pediatric Respiratory Care: Surviving Health Care Reform

Timothy R Myers MBA RRT-NPS FAARC, Irving TX

S074

Content Category: Neonatal/Pediatric
The driving changes to reform health care provided in acute care settings from an economic, quality, and clinical standpoint will require drastic changes from administration, department leadership, and the clinical staff. The pediatric respiratory care department is not an exception and must transform itself to maintain its place at the bedside.

 

11:40 am–12:10 pm

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Sedation to Facilitate Mechanical Ventilation: the Good and the Bad

Peter J Papadakos MD FCCM FAARC, Rochester NY

S075

Content Category: Adult Critical Care
Sedation is necessary to facilitate mechanical ventilation for many adult and most pediatric patients. Although most clinicians clearly acknowledge the benefits of pharmacologic sedation, many are not fully aware of the negative aspects of sedation. This session will review the medical literature with regard to the effects of sedation on the critically ill patient. A focus will be placed on ICU delirium, neuromuscular weakness, and long-term outcomes. Knowledge learned from this session may change the way you manage your mechanically ventilated patients.

 

12:30 pm–2:25 pm

 

Open Forum #6 - Airways Care - Part 2

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

12:30 pm–2:25 pm

 

Open Forum#7 - Neonatal/Pediatrics - Part 1

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

2:05 pm–2:35 pm

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Interventional Pulmonary and Respiratory Therapy: Two Things That Go Great Together!

William R Solly MS RRT CPFT, Philadelphia PA

S078

Content Category: Pulmonary Function
Interventional Pulmonary. You may have heard of the name before, but what exactly does an IP practice offer and how can RTs become involved in this growing field? Come to this presentation to find out more about EBUS, tumor debulking, stent placement, navigational bronchoscopy, and other modalities that an interventional pulmonary practice routinely performs and how RTs can become involved.

 

2:05 pm–2:35 pm

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The AARC Evidence-based Clinical Practice Guidelines

Shawna L Strickland PhD RRT-NPS AE-C FAARC, Irving TX

S079

Content Category: Clinical Practice
This session will discuss the process by which the AARC is constructing new, evidence-based clinical practice guidelines. The session will showcase the systematic review process and the development of the first guideline released in 2013.

 

2:05 pm–2:35 pm

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Understanding COPD Guidelines and Putting Them Into Practice

Scott Cerreta RRT, Washington DC

S080

Content Category: Clinical Practice
This presentation will review the current COPD Guidelines and how they can be incorporated into existing discharge planning modules. A must-see presentation for anyone interested in incorporating a COPD disease manager into their department.

 

2:05 pm–2:35 pm

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The "New" Health Care Paradigm: Will RTs Survive or Thrive?

Garry W Kauffman MPA FACHE RRT FAARC, Winston-Salem NC

S081

Content Category: Management
We are inundated with the "new" rules, "new" reimbursement, "new" qulity standards, "new" patient satisfaction goals, but has anyone assembled all of this "new" information in a way that gives clear direction for RTs? This presentation will provide an overview of the pressures, challenges, and goals for delivering health care and connect it to what respiratory therapists must know, how they must practice, and how they must communicate their value. If we don't, we're history. If we do, we thrive!

 

2:40 pm–3:10 pm

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Quality Assurance of the Pulmonary Function Technologist

Jeffrey M Haynes RRT RPFT, Nashua NH

S100

Content Category: Pulmonary Function
It's easy to blame the patient when test results are of poor quality. But is there more to it than that? This presentation will review the sources of poor quality PFT data and describe how to administer a quality assurance program for a technologist.

 

2:40 pm–3:10 pm

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Long-term Oxygen Therapy: Past, Present, and Future

Patrick J Dunne MEd RRT FAARC, Fullerton CA

S101

Content Category: Clinical Practice
This lecture will review the history of long-term oxygen therapy (LTOT) including physical development of equipment and the clinical, regulatory, and reimbursement decisions that have influenced changes. It will take the listener from the initial equipment to the sophisticated portable devices available today and will speculate on the future developmental needs of LTOT.

 

2:40 pm–3:10 pm

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Ventilator Outcomes in Long-Term Care

Lorraine Bertuola BA RRT, Towson MD

S102

Content Category: Clinical Practice
Modern health care is focused on clinical and economic outcomes. This lecture will present outcomes data collected over the last three years. Attendees will leave this presentation with a better understanding of how to collect, monitor, own, and implement changes in practice based on clinical and economic outcomes.

 

3:10 pm–5:05 pm

 

Open Forum #8 - Aerosols/Drugs - Part 2

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

3:10 pm–5:05 pm

 

Open Forum #9 - Education - Part 1

Researchers will present the results of their scientific studies. Abstracts with a similar focus are clustered into their own OPEN FORUM symposium to encourage discussion and interaction among investigators and observers. Posters are used to expand the information presented. The titles and authors of all abstracts will be posted by Aug 31.

 

3:15 pm–3:45 pm

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Feed Me! How Indirect Calorimetry Can Improve Patient Outcomes

Mark S Siobal RRT FAARC, San Francisco CA

S107

Content Category: Pulmonary Function
Measurement of a patient's resting energy expenditure can add value and reduce mortality in select patient populations. This presentation will review the important role of indirect calorimetry in assuring adequate nutrition in the ICU. What role does the RT play in managing nutrition of the critically ill patient? How important is nutrition to the pulmonary patient? Attend this lecture to get answers to these and other questions.

 

3:15 pm–3:45 pm

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Debunking the Myths: Understanding the Science and Technology of Low Flow Oxygen Therapy

Joseph Lewarski RRT FAARC, Elyria OH

S108

Content Category: Clinical Practice
Low flow oxygen therapy is such a standard of routine respiratory therapy that little attention is paid to the fundamental science and application. Over the last decade many new oxygen technologies have been introduced that challenge the early science and much of the dogma surrounding effective low flow oxygen therapy. This lecture will review the basic science, engineering, and technology and provide an objective and comprehensive view of this important topic.

 

3:15 pm–3:45 pm

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Evaluation of Albuterol/Ipratropium Discharge Prescription A

Donna Clayton MBA RRT, St Louis MO

S109

Content Category: Patient Safety
High-dose bronchodilators delivered by metered-dose inhalers are often used to treat COPD and asthma exacerbations. Risk for severe medication-related side effects exists if these doses are not de-escalated following stabilization. In this lecture, you'll learn how a respiratory care department and pharmacy collaborated to quantify the incidence of patients discharged on inappropriately high doses of inhaled medications and then developed and implemented a new process to improve patient safety and outcomes. Why reinvent the wheel? Attend this lecture and learn of a step-by-step process to incorporate a similar program in your facility.

 

3:50 pm–4:20 pm

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So You Think You Can Diagnose Asthma?

Jeffrey M Haynes RRT RPFT, Nashua NH

S112

Content Category: Pulmonary Function
This presentation will include a review of the different diagnostic tests for asthma and the limitations of these tests. Potential sources of inaccurate testing will also be reviewed. What is the best diagnostic test? You'll have to attend this lecture to find out!

 

3:50 pm–4:20 pm

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Spontaneous Breathing Trials and Their Role in the LTAC

Peter Loper MD, Charlotte NC

S113

Content Category: Clinical Practice
It is widely speculated that ventilatory weaning in LTAC units is more simplistic than doing so in the acute care hospital because the disease process leading to mechanical ventilation has likely been resolved. However, the patient in the LTAC can present weaning challenges different from those of patients in acute care. This lecture examines the myriad of clinical challenges of the LTAC patient and the use of spontaneous breathing trials in this patient population.

 

3:50 pm–4:20 pm

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Employee Engagement - Reward and Recognition Is Where It's At!

Lora Harris MS BHA RRT-RN, Plano TX

S114

Content Category: Management
Employee engagement is linked to positive organizational success. This presentation will review multiple components to improve employee engagement, and more specifically, reward and recognition. The presenter will discuss the impact of employee reward/recognition on employee engagement and share best practices that work to increase employee engagement.

 

4:25 pm–4:55 pm

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Are RTs Really Needed on Transport?

Pro: Alex J Brendel RRT-NPS MBA, Roanoke VA
Con: Tabatha M Dragonberry RRT-NPS AE-C, Washington DC

S117

Content Category: Clinical Practice
There has been debate at some facilities whether respiratory therapists are truly needed for inter-hospital transports. Some hospitals are looking at removing RTs from teams based on consultant recommendations. This lecture addresses the pros and cons of RTs on inter-hospital transport, their possible influences on outcomes, and how departments can justify the use of RTs on their own hospital transport teams.

 

4:25 pm–4:55 pm

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Respiratory Disasters: Conditions You Hope You Never See

David A Turner MD, Durham NC

S118

Content Category: Neonatal/Pediatrics
Respiratory ailments in the neonatal and pediatric populations are commonplace. This presentation will discuss the small number of etiologies that many would classify as disasters. Quick recognition and effective management may make the difference between life and death. Although you hope you never see these conditions, be prepared as you might encounter them.

 

4:25 pm–4:55 pm

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Assessing and Caring for the Hypoxemic Chronic Lung Disease

Trina M Limberg RRT FAARC FAACVPR, San Diego CA

S119

Content Category: Clinical Practice
Improved activity levels and exercise tolerance are important outcomes in pulmonary rehabilitation, and assessing and treating hypoxemia is crucial for ambulation. Recommendations to use portable and home oxygen systems can be optimized by evaluation during rehabilitation supervised exercise sessions and can assist in this endeavor. Attend this lecture and learn best practices to assess and treat exercise-induced hypoxemia in chronic lung disease patients.

 

4:25 pm–4:55 pm

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Application in Hand: Respiratory-themed Apps for Phones and

Steve B Nelson MS RRT FAARC, Irving TX

S120

Content Category: Clinical Practice
Even though apps are vetted by the Apple Store and Google Play teams for "safety," are they worth using precious memory on your phone? This will provide a review of applications on both the iOS and Android platforms, covering applications for both respiratory therapists and patients and which are memory-worthy.

 

4:25 pm–4:55 pm

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The Elevator Speech - Creating a Winning Message

Cheryl A Hoerr MBA RRT CPFT FAARC, Rolla MO

S121

Content Category: Management
Health care is changing more rapidly than at any time in the past. Respiratory therapists must be able to quickly explain how their services are supporting strategic goals and how they are adding value. Elevator speeches need to be continually perfected and evolve as quickly as the organizations themselves. What sets your department apart, and can you communicate it effectively? A prepared, focused "elevator speech" that is personalized and targeted to your administration can help therapists sell the value of respiratory therapy and ensure that administrators are interested in hearing more. This presentation will walk attendees through the process of creating, rehearsing, and tailoring an elevator speech for a specific audience.

 

7:30 pm–8:20 pm

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AARC Annual Business Meeting

George W Gaebler MSEd RRT FAARC/Presiding

The official Annual Business Meeting of the AARC. 2014 AARC Officers, Board of Directors, and Officers from the House of Delegates are installed. Reports from AARC leadership are presented. The meeting concludes with an address from 2013/2014 AARC President, George Gaebler.

 

8:00 pm–6:00 am

 

Sputum Bowl Preliminaries

Sherry Whiteman BHS RRT/Presiding

Teams from the AARC State Affiliates compete in the preliminary competitions. The top four teams will advance to the Finals on Monday evening, Nov 18, along with the Student Sputum Bowl finalists.

 

9:30 pm–10:00 pm

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Neonatal-Pediatrics Section Membership Meeting

Cynthia White MSc RRT-NPS FAARC/Presiding

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

 

9:30 pm–3:00 am

 

Exhibit Hall

As the "Gold Standard" of all respiratory care meetings, AARC Congress 2013 presents to you all the manufacturers and suppliers in the industry. The Exhibit Hall offers attendees an opportunity to see, touch, and manipulate the latest technology in the field and have clinical conversations with manufacturer representatives. Don't miss this great opportunity!

 

10:00 pm–10:25 pm

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Home Care Section Membership Meeting

Greg Spratt RRT CPFT/Presiding

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

 

10:30 am–11:00 am

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Noninvasive Monitoring

Lluis Blanch , Sabadell Spain

S055

Content Category: Clinical Practice
An overview of the important literature published in 2013 related to noninvasive monitoring.

 

11:05 am–11:35 am

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Pulmonary Rehabilitation

Brian W Carlin MD FAARC, Pittsburgh PA

S056

Content Category: Clinical Practice
An overview of the important literature published in 2013 related to pulmonary rehabilitation

 

10:30 pm–11:35 pm

 

Year in Review 2013 - Part II

 

10:30 am–11:00 am

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Neonatal Resuscitation Program Update: Does Practice Make Perfect?

John Gallagher RRT-NPS MPH, Cleveland OH

S057

Content Category: Neonatal/Pediatric
Lung health starts with the first breath of life. Traditional approaches to neonatal resuscitation have recently been questioned, but is it justified? This presentation will review essential NRP updates. Best practices will be discussed with an emphasis on the role of the bedside respiratory therapist in improving clinical outcomes in neonatal resuscitation.

 

11:05 am–11:35 am

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Moving Beyond the NICU: Transitioning Infants with Chronic Respiratory Failure to Subacute Care Ventilators

Robert M DiBlasi RRT-NPS FAARC, Seattle WA

S058

Content Category: Neonatal/Pediatric
Increasingly complex neonates are being supported long-term with great success. Many of these infants will require tracheostomy and chronic ventilation as a form of ongoing support within and beyond the NICU setting. Determining when and how these patients should transition from a NICU ventilator is a daunting task. This presentation will provide neonatal clinicians with valuable insight for transitioning these patients to long-term ventilators as well as strategies to prevent readmission to the NICU.

 

10:30 pm–11:35 pm

 

Hot Topics in Neonatal Respiratory Care

 

10:30 am–11:00 am

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Introduction To the AIM Cycle

Robert L Chatburn MHHS RRT-NPS FAARC, Cleveland OH

S060

Content Category: Adult Critical Care
This talk will introduce the concept of appropriate application of technology through the cycle of Assessment (of patient needs), Identification of technical capability (what modes can do), and Matching technology to needs (selecting the appropriate mode for the patient's needs). There will be a brief overview of the sparse literature regarding appropriate mode selection and a summary of where we need to go in terms of future research. This introductory talk will set the stage for the following two talks.

 

11:05 am–11:35 am

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Assessing Patient Need

David M Wheeler RRT-NPS, Cleveland OH

S061

Content Category: Adult Critical Care
This talk will describe the various bedside techniques for assessing patient need in terms of safety (gas exchange and lung protection), comfort (patient-ventilator synchrony), and liberation (sudden discontinuation and gradual weaning).

 

11:40 am–12:10 pm

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Identifying Technical Capability

Robert L Chatburn MHHS RRT-NPS FAARC

S062

Content Category: Adult Critical Care
This talk will introduce the problem of mode proliferation and how to classify modes in order to identify which are similar and which are really different. The foundation of mode capabilities lies in their targeting schemes, so this talk will review the seven basic versions used in commercially available ventilators.

 

10:30 pm–12:10 am

 

Aim Before You Act - Appropriate Application of Ventilator Technology

 

11:05 am–11:35 am

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What's Working?

Greg Spratt RRT CPFT, Philadelphia MO

S066

Content Category: Clinical Practice
Healthcare Reform has introduced a number of new programs and incentives for reducing readmissions. Hospitals are scrambling to implement programs that can help, but is there a "best model"? This presentation reviews some of the programs that have been implemented across the country and the results.

 

11:40 am–12:10 pm

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What's the Latest From the Government?

Anne Marie Hummel , Washington DC

S067

Content Category: Clinical Practice
The Patient Protection and Affordable Care Act was signed into law on March 23, 2010. In addition to establishing a Hospital Readmissions Reduction Program, the act also provided for the creation of new innovative demonstrations and pilot programs that focus on reducing readmissions as well as improving health care and lowering costs. This presentation reviews the Government's latest activities in those programs that can create new opportunities for RTs in and outside the hospital.

 

11:05 pm–12:10 am

 

Hospital to Home: Reducing Readmissions - More Questions Than Answers

 

11:05 pm–12:10 am

 

Reducing Re-admissions: Getting the Best Return on Your Investment