Tuesday, Oct. 18
8:00 am–8:50 am
32nd Phil Kittredge Memorial Lecture
8:00 am–8:50 am | Room TBA | Adult Critical Care
The Future of Mechanical Ventilation for ARDS
Eddy Fan MD, Toronto Canada
After nearly 50 years of research, mechanical ventilation remains the cornerstone of management for patients with ARDS. However, one of the most important advances in that time is the understanding that mechanical ventilation, in and of itself, can cause and potentiate lung injury. Lung protective ventilation with lower tidal volumes and airway pressures represent the standard of care in 2016. Unfortunately, mortality and morbidity from ARDS remain unacceptably high - can we do better? In this presentation, the presenter will briefly review the current evidence for lung protective ventilation, recent epidemiological evidence regarding its use, and forthcoming evidence-based guidelines. From there, the presenter will examine current and ongoing basic, physiological, and clinical research that may shape the future of ventilatory management for ARDS.
9:15 am–9:50 am | Room TBA | Education
Art Speaks: Visual Assessment, Interpretation, and Enhanced
Karen Schell DHSc RRT-NPS RRT-SDS RPFT RPSGT AE-C CTTS, Kansas City KS
This pilot program seeks to solidify student understanding of ?whole patient care? and the interconnectedness of observing and understanding patient context, the need for better inter-professional communication, and the role of empathy as health care professional.
9:15 am–9:50 am | Room TBA | Ethics and Law
Special Considerations in Ventilation and Weaning of the Obese Patient
Shawna Strickland PhD RRT-NPS RRT-ACCS AE-C FAARC, Irving TX
Though NIV is used predominantly as a bridge to recovery, some clinicians use NIV for comfort measures at the end of life. This presentation will provide a basis for the analysis of ethical dilemmas and debate the ethical arguments for and against the use of NIV at the end of life.
9:15 am–9:50 am | Room TBA | Management
Identification and Management of the Patient with a Suspected Difficult Airway• New Ideas and Improved Techniques
Dave Crotwell RRT-NPS FAARC, Seattle WA
This lecture will share experience related to using quality-improvement bench research as a standard practice to improve the quality of patient care in your institution and demonstrate the value of you and your department.
9:15 am–9:50 am | Room TBA | Neonatal/Pediatric
Update for 2016: Ventilator-Associated Events
Kathleen Deakins MSHA RRT-NPS FAARC, Cleveland OH
After much discussion in the adult world, the concepts of hospital-acquired events are entering the field of pediatrics. This presentation will describe the current work and expectations of the pediatric and neonatal community in regard to the proposed definition for Pediatric Ventilator Associated Conditions (PEDVAC). Speculations for the future will be discussed.
9:15 am–11:50 am
Treating Refractory Hypoxemia
9:15 am–9:50 am | Room TBA | Adult Critical Care
Optimizing Conventional Ventilation
Eduardo Mireles-Cabodevila MD
Refractory hypoxemia requires more aggressive ventilation techniques. What are the approaches to addressing refractory hypoxemia using conventional ventilation techniques - setting PEEP, Vt, and I:E?
9:55 am–10:30 am | Room TBA | Adult Critical Care
Adverse Event Reporting... How to Take Near-Misses or Adverse Events and Turn Them Around to Make Patient Care Safer
Robert M Kacmarek PhD RRT, Littleton MA
Refractory hypoxemia requires more aggressive ventilation techniques. What are the approaches to addressing refractory hypoxemia using your ICU ventilator? Additional techniques, including recruitment maneuvers, trans-pulmonary pressure, APRV, and other methods will be discussed?
10:35 am–11:10 am | Room TBA | Adult Critical Care
Preventing Respiratory Depression with PCA Use: How Technology Can Help Ease the Burden
Masaji Nishimura PhD MD, Tokushima Japan
Refractory hypoxemia is often unresponsive to ventilator settings. Both prone positioning and early paralysis have shown promise. When is the best time to implement these techniques? Attend this lecture to find out.
11:15 am–11:50 am | Room TBA | Adult Critical Care
After Performing a Successful but Difficult Intubation, How Should the Tube Be Removed?
Rich Kallet RRT, San Francisco CA
Refractory hypoxemia is often unresponsive to ventilator settings. How can inhaled vasodilators impact oxygenation in refractory hypoxemia? What are the issues related to cost and complications?
9:15 am–12:30 pm
Respiratory Care Symposium
9:15 am–9:50 am | Room TBA | Clinical Practice
The 5 Best Papers Published in RESPIRATORY CARE 2016
Richard Branson MSc RRT FAARC, Cincinnati OH
This lecture will describe the five best papers published in RESPIRATORY CARE in 2015.
9:55 am–10:30 am | Room TBA | Education
How To Use the Journal in Your Respiratory Care Program
Ellen Becker PhD RRT-NPS FAARC, Chicago IL
This lecture will describe how papers from RESPIRATORY CARE journal can be used in a respiratory care program.
10:35 am–11:10 am | Room TBA | Management
How To Use the Journal in Your Respiratory Care Department
Keith D. Lamb RRT-ACCS FCCM , Des Moines IA
This lecture will describe how papers from RESPIRATORY CARE journal can be used in a respiratory care department.
11:15 am–11:50 am | Room TBA | Clinical Practice
You Want To Get Published in Respiratory Care? 5 Tips From
Deam R Hess PhD RRT FAARC, Boston MA
Content Category: Clinical Practice This lecture will provide some advice from the editor of RESPIRATORY CARE regarding acceptance of your paper for publication.
11:55 am–12:30 pm | Room TBA | Clinical Practice
Using Quality Improvement Bench Research to Improve Your Departments Practice
Dave Burnett PhD RRT AE-C, Kansas City KS
This lecture will describe the experience of a young investigator having his work published in the RESPIRATORY CARE journal.
9:55 am–10:30 am | Room TBA | Management
The Objective Structured Clinical Exam As a Bridge To Profes
David M Wheeler MEd RRT-NPS, Charleston SC
This talk will give the participant the basic OSCE framework, as well as the resources to begin an OSCE evaluation system that spans the arc of professional development. This innovative curriculum allows for the continuous evaluation and demonstration of individual and departmental authenticity.
9:55 am–10:30 am | Room TBA | Neonatal/Pediatric
You Want to Get Published in RESPIRATORY CARE? 5 Tips From the Editor
Natalie Napolitano RRT-NPS AE-C FAARC, Philadelphia PA
Although intubation in the neonatal ICU setting is generally viewed as safe, adverse events do occur. This presentation will review the available intubation safety data in the NICU setting and will discuss strategies to eliminate adverse outcomes.
9:55 am–10:30 am
A Letter About Simulation
9:55 am–10:30 am | Room TBA | Education
The Objective Structured Clinical Exam as a Bridge to Professional Authenticity
Sherry Whiteman MS RRT, Joplin MO
Have you ever seen the Dear Kitten videos? Following the humorous stylings of this video series, the speaker will discuss issues commonly dealt with during simulation-based learning in respiratory care. This lecture will share some of the things every instructor wishes they could say to their students during simulation, as well as share tips and tricks for overcoming those issues. Great for students and instructors alike!
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9:55 am–10:30 am | Room TBA | Patient Safety
Adverse Event Reporting... How To Take Near-Misses or Advers
Kevin McQueen MHA RRT CM, Oceanside CA
The presentation will outline the detailed steps needed to be taken by managers and directors to work with their employees to improve patient care and decrease risks of adverse events by analyzing near-misses and adverse event history.
10:35 am–11:10 am | Room TBA | Patient Safety
Preventing Respiratory Depression With PCA Use: How Technolo
Roy J Palmer Jr RRT, Superior NE
Improper management of Pain Control Analgesia (PCA) has been attributed to numerous sentinel events. This lecture will address some of the technology available for management of these patients with the goal of preventing sentinel events.
10:35 am–11:10 am | Room TBA | Education
How To Teach Mechanical Ventilation
Robert L Chatburn MHHS RRT-NPS FAARC, Cleveland OH
This talk will review a basic outline for teaching mechanical ventilation as described in the leading comprehensive respiratory care and equipment textbooks. This system has been implemented in colleges at both the bachelor's and master's degree levels. Links will be supplied to free educational resources to supplement the training program.
10:35 am–11:10 am | Room TBA | Management
From Good to Great: Motivating Staff to Achieve Department Goals
Shawna Strickland PhD RRT-NPS RRT-ACCS AE-C FAARC, Irving TX
Respiratory care departments are constructed of RTs with varying personalities. Motivating the entire staff to achieve the common organizational goal may be difficult if the RT manager is not in tune to the different needs of the staff. This presentation will discuss motivational theories in context with leadership theories to assist the RT manager in developing a strategy to motivate each RT on staff.
10:35 am–11:10 am | Room TBA | Neonatal/Pediatric
Quality Improvement in the NICU
Kathleen Deakins MSHA RRT-NPS FAARC, Cleveland OH
Although much attention has been focused on quality improvement initiatives in adult ICUs, these concepts are equally important for neonates. This expert in the field will review quality improvement initiatives, with a focus on improved clinical outcomes in the neonatal intensive care environment.
11:15 am–11:50 am | Room TBA | Adult Critical Care
Team Training for Delivery Room Care: Does Practice Make Perfect?
Danny Theodore MD, Charlottesville VA
Are the predictors of satisfactory weaning adequate for extubation? Is there a role for additional tests or drugs before removing the tube? This presentation will consider routine and novel options for safe extubation in this challenging situation.
11:15 am–12:30 pm
Obesity and the Ventilated Patient
11:15 am–11:50 am | Room TBA | Adult Critical Care
Neonatal Intubation Safety: How Safe Is Intubation for the Neonate?
Lorenzo Berra MD, Boston MA
Respiratory mechanics have to consider the impact of the chest wall on ventilator function. The obesity epidemic in the U.S. makes understanding chest wall mechanics critical for ventilator management. This lecture will demonstrate the impact of obesity on respiratory mechanics and how to measure these effects.
11:55 am–12:30 pm | Room TBA | Adult Critical Care
Special Considerations in Ventilation and Weaning of the Obe
Robert M Kacmarek PhD RRT, Littleton MA
Nearly a third of ICU patients are obese. How do these changes in respiratory mechanics impact ventilatory strategies? What are the considerations for setting PEEP and Vt in these subjects?
11:15 am–12:30 pm
From the First Breath...
11:15 am–11:50 am | Room TBA | Neonatal/Pediatric
Breathe Baby Breathe: The First Minutes of Neonatal Resuscitation
John Gallagher RRT-NPS FAARC, Philadelphia PA
Team training is an effective method to standardize the approach to clinical management using principles to improve communication, team performance, and teamwork. This presentation will describe how the concepts of team training improve the performance of clinicians in the delivery room as well as the associated outcomes following neonatal resuscitation.
11:55 am–12:30 pm | Room TBA | Neonatal/Pediatric
Breathe Baby Breathe: The First Minutes of Neonatal Resuscit
Aasma Chaudhary BS RRT, Ardmore PA
The first several minutes of resuscitation in the delivery room can have significant implications on overall outcomes. This presentation will review key strategies to optimizing resuscitation in the delivery room using an evidence-based medicine approach.
11:55 am–12:30 pm | Room TBA | Adult Critical Care
ECMO
Keith D Lamb RRT-ACCS FCCM, Des Moines IA
ECMO has traditionally been a rescue therapy for ARDS. What role does ECMO play in respiratory failure and when should it be implemented? Attendees will get answers to these and other questions at this presentation.
11:55 am–12:30 pm
What's New in Managing the Difficult Airway?
11:55 am–12:30 pm | Room TBA | Adult Critical Care
Identification and Management of the Patient With a Suspecte
Charles Durbin Jr MD FAARC FCCM , Charlottesville VA
Over the past several years many new devices have been developed to deal with the challenges of a difficult intubation. This presentation will allow the novice and experienced intubator to select the devices and approaches which are most likely to be successful and prevent catastrophe in a variety of common and uncommon clinical scenarios.
12:45 pm–2:15 pm | Room TBA
Closing Ceremony
TBA