AARC Congress 2016

8:00 am–8:45 am | Room TBA | Adult Critical Care

ECMO: Where Have We Been and Where Are We Going?

Ira M Cheifetz MD FAARC FCCM, Durham NC

The technologic and management aspects of extracorporeal life support (ECLS), including extracorporeal membrane oxygenation (ECMO), have advanced more in the past five years than any other aspect of critical care medicine. ECLS devices are smaller, simpler, and safer than just a few years ago. The application of this technology has led to these critically ill patients being maintained awake and, in some circumstances, even ambulatory. This presentation will provide an overview of the history of ECLS and ECMO, discuss the current state of the field, and explore the potential future applications of this life-saving technology.

9:15 am–9:45 am | Room TBA

What It Means To Be a Professional

Crystal Dunlevy EdD RRT, Columbus OH

This presentation will provide an overview of the profession of respiratory care, including its history, evolution, role, and value. Emphasis will be placed on the characteristics and behaviors of a professional and the critical importance of being involved and engaged in the profession and maintaining professional membership.

9:50 am–10:25 am | Room TBA

Strategic Marketing: Getting That Dream Job

Cheryl Hoerr MBA RRT CPFT FAARC

This presentation will provide an explanation of the value of marketing and how you can use key marketing principles to position yourself for your dream job. We will discuss trends in the respiratory field and show how to gather detailed information about the companies you would like to work for. We will also outline techniques to conduct an effective job search, along with a brief overview on how to develop your cover letter and resume and prep for that all-important interview.

10:30 am–11:05 am | Room TBA

How To Lose a Job Before You Are Hired

Dana Evans MHA RRT-NPS, Chesterfield MO

You have just landed an interview for your dream job. You are nervous, excited, and really want to impress the hiring leader. Did you know you could lose the job before you even arrive to the interview? The presenter will discuss common mistakes and pitfalls of job seekers, including those that may cost you the position before you are hired.

11:10 am–11:45 am | Room TBA

Acquiring Your Credential: Success on the Therapist Multiple-Choice Exam

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

The presentation will address the factors that make for success in the examination process. It will cover preparatory issues and what you will experience onsite, as well as test-taking strategies and techniques. Emphasis will be placed on the new Therapist Multiple-Choice Examination (TMC) implemented by the NBRC in January 2015.

11:50 am–12:25 pm | Room TBA

Acquiring Your Credential: Success on the Clinical Simulation Exam

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

This presentation will serve as a sequel to the previous one and will address the factors that make for success on the Clinical Simulation Examination. It will cover such issues as exam content, structure, and unique strategies for progressing through a branching logic type of exam. It will also highlight recent changes implemented in January 2015.

9:30 am–9:43 am | Room TBA

Editor's Choice 1

9:45 am–9:58 am | Room TBA

Editor's Choice 2

10:00 am–10:13 am | Room TBA

Editor's Choice 3

10:15 am–10:28 am | Room TBA

Editor's Choice 4

10:30 am–10:43 am | Room TBA

Editor's Choice 5

10:45 am–10:58 am | Room TBA

Editor's Choice 6

11:00 am–11:13 am | Room TBA

Editor's Choice 7

11:15 am–11:28 am | Room TBA

Editor's Choice 8

11:30 am–11:43 am | Room TBA

Editor's Choice 9

11:45 am–11:58 am | Room TBA

Oxygen is Oxygen... Is There Really a Difference Outside the Hospital’s Four Walls?

10:30 am–11:05 am | Room TBA | Adult Critical Care

What Is the Role of HFNC in Preventing Intubation and NIV?

Masaji Nishimura PhD MD, Tokushima Japan

High flow nasal oxygen washes out the upper airway dead pace reducing the ventilatory requirement. The additional heat and humidity allows the patient to tolerate a high flow from a traditionally low flow device. What is the role and what is the evidence that HFNC can prevent or reduce the need for NIV or invasive ventilation?

11:10 am–11:45 am | Room TBA | Adult Critical Care

Graduate School: What? When? Why? How? Where? The Experience of RTs Who Have Done It

John Davies MA RRT FAARC, Durham NC

NIV is a standard of care for COPD exacerbations to prevent intubation and reduce mortality. In what other conditions can NIV successfully prevent intubation and reduce VILI?

11:50 am–12:25 pm | Room TBA | Adult Critical Care

When Does Lung Protection Begin - the ED or the OR?

Lorenzo Berra MD, Boston MA

Lung protective ventilation is the standard of care for ARDS. How early should lung protection begin? What is the evidence for lung protection in the operating room? What is the evidence for lung protection in the emergency department?

10:30 am–11:05 am | Room TBA | Neonatal/Pediatric

Pediatric Safety and Quality Improvement

Michael Anderson MD MBA, Cleveland OH

Patient safety and quality improvement are the key underlying foundations for all patient care. This presentation will review key initiatives and strategies to optimize patient safety and quality improvement in the neonatal and pediatric populations. Strategies which can be universally implemented in hospitals of all types will be discussed.

11:10 am–11:45 am | Room TBA | Neonatal/Pediatric

COPD Case Management Led by RTs Reduces Readmissions

Amber Galer BS RRT, West Point UT

Pediatric sleep disorders represent highly common phenomena that often interfere with daily patient and family functioning. Interest in and treatment of sleep disturbances in youth continues to increase, but research continues to lag. This presentation will provide an evidence-based review of the current approach to pediatric sleep medicine and will explore strategies to improve clinical outcomes.

11:50 am–12:25 pm | Room TBA | Neonatal/Pediatric

Building Bridges Across the Continuum of Care - New Models of Care

Brooke Yeager MSc RRT, Charleston SC

The newly developing field of telemedicine has the potential to benefit pediatric clinical care by broadening the access to pediatric specialists and services. This presentation will explore the current uses and limitations of telemedicine in pediatrics. Thoughts for future applications of this emerging technology will be explored.

1:45 pm–2:20 pm | Room TBA | Clinical Practice

E-valuating the E-vidence for E-ducating Smokers Quitting with E-cigarettes

Charity Clark MSHROD BS RRT, Wichita KS

The patient's success in transitioning from the hospital to home is found in new models of care focusing on chronic disease management. These programs are innovative with a patient-centered, relationship-based care approach that assists the patient in decreasing exacerbations and hospitalizations while improving quality of life.

2:25 pm–3:00 pm | Room TBA | Clinical Practice

Pulmonary Rehabilitation: A Year in Review

Brian Carlin MD, Sewickley PA

Want to know where the field is going? Attendees can expect an overview of some of the most important research findings in pulmonary rehabilitation. Clinicians would be hard pressed to find a more comprehensive, concise update.

3:05 pm–3:40 pm | Room TBA | Clinical Practice

Oxygen: The PR Drug of Choice

Trina Limberg BS RRT FAARC, San Diego CA

Assessing and understanding your PR patient's oxygen requirement is very important. A PR program must know how to assess oxygen needs at home and with exercise, and how to integrate this into the patient's care plan.

1:45 pm–2:20 pm | Room TBA | Clinical Practice

The Approach To Tobacco Dependence Treatment - Part 1: Under

Frank Leone MD MS

This session will set the foundations for tobacco dependence treatment strategies by reviewing the neurobiology of nicotine addiction and the resulting behavioral manifestations of dependence. Participants will learn a simple framework for overcoming the natural ambivalence of dependence, including the often frustrating resistance to stop smoking.

2:25 pm–3:00 pm | Room TBA | Clinical Practice

Tobacco Cessation Pharmacotherapy Part 1: Non-Nicotine Pharmacotherapy

Frank Leone MD MS, Philadelphia PA

If smoking causes so much preventable death and disability, why do members of the health care community still feel so helpless to make a difference? Social scientists have helped shed light on human decision-making under conditions of uncertainty. But how can we use this insight to promote institutional change in our approach to tobacco treatment? This lecture will review data incorporating these social science insights into tobacco dependence treatment training strategies and describe the impact on the clinician's "willingness to treat."

3:05 pm–3:40 pm | Room TBA | Clinical Practice

Tobacco Cessation Pharmacotherapy Part 2: Nicotine Replacement Therapy

Lori Wilken PharmD BCACP TT-S AE-C, Chicago IL

Counseling patients on tobacco cessation is an important aspect of the RT?s role in health care. This presentation will address key issues in pharmacotherapy for tobacco cessation which, in turn, will help the RT maximize the cessation conversation and help the patient quit.

3:45 pm–4:20 pm | Room TBA | Clinical Practice

Patient Safety: Understanding the “Second Victim” of Medical Error

Lori Wilken PharmD BCACP TT-S AE-C, Chicago IL

Continuing the discussion of tobacco cessation pharmacotherapy, this presentation will address nicotine replacement therapy specifically, including side effects and combination therapy.

1:45 pm–3:00 pm | Room TBA | Adult Critical Care

Forty Years of High Frequency Ventilation: More Noise than Light

PRO: Dean R Hess PhD RRT FAARC, Boston MA
CON: Richard Branson MSc RRT FAARC Cincinnati OH

This lecture will present the benefits of volume control to ventilate a patient with ARDS by two of the most prominent clinicians in our profession.

1:45 pm–2:20 pm | Room TBA | Neonatal/Pediatric

Preparing for the "N-of-1" Pediatric Disaster

Michael Anderson MD MBA, Cleveland OH

Although disaster management preparation is generally focused on mass casualty scenarios, planning for the "N-of-1" situation of a critically ill child presenting to an adult emergency department must be considered. This presentation will describe the N-of-1 disaster situation as well as strategic planning approaches to help adult-based EDs prepare for this vulnerable situation. Appropriate planning can potentially save the life of an infant or child.

2:25 pm–3:00 pm | Room TBA | Neonatal/Pediatric

Putting Lessons Learned From My Pediatric Rotation Into Prac

Teresa A Volsko MHHS RRT FAARC, Akron OH

The respiratory therapist is often asked to initiate the management of patients with respiratory emergencies, which can range from infection to the presence of a foreign body to the acute exacerbation of a chronic condition. This presentation will review the most common pediatric diagnoses encountered in the emergency rooms of community-based hospitals, as well as clinical options related to treatment and stabilization before transfer to a tertiary care center. Common clinical encounters and interventions with a focus on evidenced-based management will be discussed.

1:45 pm–3:00 pm | Room TBA | Adult Critical Care

PRO/CON: ECMO Should Be Regionalized

PRO: Ira M Cheifetz MD FAARC FCCM, Durham NC
CON: Keith D Lamb RRT-ACCS FCCM Des Moines IA

ECMO use has exploded in multiple centers and for a number of indications from cardiac and respiratory failure to cardiac arrest. ECMO requires expensive equipment and significant manpower. Should this capability be regionalized or can any hospital start an ECMO program?

3:05 pm–4:20 pm | Room TBA | Adult Critical Care

PRO/CON: ECMO Should Be Reserved for Rescue Therapy

PRO: Neil Macintyre MD, Durham NC
CON: Robert M Kacmarek PhD RRT Littleton MA

ECMO has been touted as life-saving therapy since the 1970s. Should ECMO remain the last response after patients have failed other treatments for refractory hypoxemia, or should ECMO be used early?

2:25 pm–3:00 pm | Room TBA | Adult Critical Care

Fostering Professional Volunteerism in Respiratory Therapists

Joseph Buhain EdD MBA RRT FAARC, St Paul MN

Acute changes in physiology associated with rapid ascent to altitude include, increased volume of gases trapped in closed spaces and a reduction in the partial pressure of oxygen. Even at the modest altitudes seen with rotor wing transport, these changes can impact patient physiology and comfort. Pain, discomfort, and hypoxemia can all complicate transport. This lecture will review hypobaric physiology.

3:05 pm–3:40 pm | Room TBA | Adult Critical Care

Impact of Hypobarism on Ventilators and Other Devices

Dario Rodriquez MS RRT FAARC, Union KY

The changes in gas volumes at altitude can impact the function of pneumatic devices including ventilators, blood pressure cuffs, and pneumatic tourniquets. This lecture will describe the author?s research on ventilator function at altitude.

3:45 pm–4:20 pm | Room TBA | Adult Critical Care

Hypoxia At Moderate Altitudes

Richard Branson MSc RRT FAARC, Cincinnati OH

Normal cabin pressures during civilian air travel are equivalent to 8,000 feet of altitude. In this environment, normal subjects experience a fall in SpO2 of over 4%. Injured subjects with anemia, those on pain control medications, and those with minor pulmonary dysfunction have even greater changes in oxygenation status. Sleep apnea and pulmonary injury further complicate gas exchange. This lecture will review data from recent work on evacuation of the walking wounded from the Middle East.

4:25 pm–5:00 pm | Room TBA | Adult Critical Care

The Impact of Hypobarism on ET Tube Cuff Pressure: What Can

Dario Rodriquez MS RRT FAARC, Union KY

The artificial airway cuff is gas in a closed space (the cuff) within a closed space (the trachea) and even modest changes in altitude can cause rapid rises in cuff pressure. Using saline to fill cuffs has been recommended, but this technique has issues. Automatic cuff pressure control may be an ideal solution.

2:25 pm–3:00 pm | Room TBA | Management

Overview of Disease Management

Timothy Myers MBA RRT-NPS FAARC, Avon OH

This presentation will identify the key components to a comprehensive disease management program, and discuss the necessary skills of an effective disease manager working with patients that have chronic respiratory conditions.

3:05 pm–3:40 pm | Room TBA | Management

Chronic Respiratory Diseases in Women's Health

Amber Galer BS RRT

This presentation will identify the increasing prevalence in chronic respiratory diseases in woman and the key differences and nuances in providing ongoing education, public awareness, and disease management.

3:45 pm–4:20 pm | Room TBA | Management

Telemedicine in the Management of COPD

Brooke Yeager MSc RRT, Charleston SC

This presentation will provide a perspective on the ability of 21st Century technologies to provide ongoing care, education, and management to patients with COPD through telemedicine.

4:25 pm–5:00 pm | Room TBA | Management

Measureable Outcomes in Pulmonary Disease Management

Sarah L Varekojis PhD RRT FAARC, Columbus OH

This presentation will discuss the importance of measuring outcomes to the success of the chronic disease management program. In addition, reimbursement and meaningful outcomes measures will be discussed.

3:05 pm–3:40 pm | Room TBA | Adult Critical Care

Ventilatory Support and Liberation in Spinal Cord Injury

Karen LaRoche RRT-ACCS, Seattle WA

Patients who suffer spinal cord injury face many challenges. How big should the tidal volumes be? When, or if, they can be weaned from the ventilator? How do you approach speaking and eating? This case presentation will use an audience response system to integrate a real patient scenario with the current evidence.

3:45 pm–4:20 pm | Room TBA | Adult Critical Care

Noninvasive Ventilation and Cough Assist in Neuromuscular Di

Noah Lechtzin MD, Baltimore MD

Chronic neuromuscular disease resulting in respiratory compromise is a significant challenge. Avoiding intubation through use of NIV and cough assist is the standard of care. Success is dependent on patient education, NIV tolerance, and effective secretion clearance.

4:25 pm–5:00 pm | Room TBA | Adult Critical Care

Invasive Ventilation for Neuromuscular Weakness

Noah Lechtzin MD, Baltimore MD

Progressive neuromuscular disease can result in tracheostomy and continuous invasive ventilation. Improving quality of life includes maximizing mobility and secretion clearance. Care of the neuromuscular disease patient requiring tracheostomy will be discussed.

3:45 pm–5:00 pm | Room TBA | Education

We Should Use Volume Control to Ventilate a Patient with ARDS

Ellen Becker PhD RRT-NPS FAARC, Chicago IL
Lynda Goodfellow RRT CPFT RPSGT Atlanta GA
Bill Galvin MSEd RRT CPFT AE-C FAARC Gwynedd PA

Respiratory therapy program faculty are often very skilled educators and place a high priority on ensuring student success. However, program faculty need to also focus on their own development to ensure they are able to have successful careers in education. This panel will focus on development of a successful academic portfolio, research program, and mentorship support system.