Oct. 4–7, 2017

Indianapolis, IN

Congress Program Sections

Saturday, Oct. 7

8:00 am–8:50 am

33rd Phil Kittredge Memorial Lecture

Marin Kollef

8:00 am–8:50 am | Room Sagamore Ballroom | Clinical Practice

Evaluating the Value of the Respiratory Therapist: Where is the Evidence?

Marin Kollef MD, St Louis MO

Are respiratory therapists critical thinkers with the ability to work as physician extenders and add value to the American health care system or does science suggest we're nothing more than task doers? Do respiratory therapist-driven protocols improve care and reduce costs? Can respiratory therapists properly assess patients and make therapeutic recommendations that adhere to evidence-based guidelines and rival outcomes achieved by physicians? This honor lecture will explore the answer to these and other questions, and highlight the most recently published literature on the topic. Find out once and for all whether published science suggests that RTs possess the skill-set to work successfully in expanded roles, as physician extenders and really do offer value to the American health care system.

9:15 am–10:30 am | Room Room 103/104

PRO/CON: Airway Clearance Improves Outcomes in the Previously Healthy Child with Acute Respiratory Failure

PRO: Brian K Walsh CON: Kathleen Deakins

PRO: Brian K Walsh PhD RRT-NPS FAARC , Boston MA
CON: Kathleen DeakinsMHA RRT NPS FAARC Cleveland OH

Many clinicians have strong beliefs for or against the use of secretion clearance techniques for the previously healthy patient with acute respiratory failure. In this interactive session, two experts in the field will review the available data and debate this controversy from opposing perspectives. Time will be allocated for open discussion with the audience.

9:15 am–9:50 am | Room Wabash 1 | Education

One Hospital's Solution to Training (and Keeping) New Graduates

Debra Wakeham

Debra Wakeham M.Ed RRT , Atlanta GA

When we asked staff about recent graduates that had joined our ranks they agreed, "They are just not ready!" We had also noticed a high turnover rate of new graduates. Further questioning showed a recurrent theme: they were overwhelmed by the expectations placed on them. This presentation will describe the process and plan to address these issues and more with a residency program for new graduates entering the workforce as well as seasoned therapists transitioning to a higher acuity setting.

9:15 am–9:50 am | Room Wabash 2 | Management

Proven Techniques for Growing Staff Expertise, Respect, and Retention

Thomas Berlin

Thomas Berlin DHSc MSc RRT, Orlando FL

Would you like to see proven techniques for getting staff to engage in professional development including specialty credentials and degree advancement? Would you like to have a department morale so high that it results in a sustained 3% annual turnover for a department with >150 RTs? Would you like a real plan for working with other departments to attain hospital care evaluations that are nationally ranked? See the data that reveals how our methods work and how they can work for you.

9:15 am–12:30 pm

AARC's 33rd New Horizons in Respiratory Care Symposium: ECMO

Peter Betit

9:15 am–9:50 am | Room Room 123/124

Technical Advances in the Field of ECMO

Peter Betit MBA RRT-NPS FAARC , Boston MA

This presentation will address the technical aspects of ECMO with an emphasis on recent advances.

Craig Rackley

9:55 am–10:30 am | Room Room 123/124

ECMO As a Bridge To Transplantation

Craig Rackley MD, Durham NC

The role of ECMO as a bridge to transplantation will be presented.

Natalie Yip

10:35 am–11:10 am | Room Room 123/124

VV ECMO for ARDS

Natalie Yip MD, New York NY

This lecture will discuss the use of ECMO for ARDS.

Stefano Nava

11:15 am–11:50 am | Room Room 123/124

ECMO for Ventilatory Failure (Asthma/COPD)

Stefano Nava MD , Bologna Italy

The role of ECMO for ventilatory failure such as in asthma and COPD will be discussed.

Ira Cheifetz

11:55 am–12:30 pm | Room Room 123/124

Controversial Indications for ECMO: CPR, Sepsis Pregnancy, Stem Cell Transplantation, and Severe Immunodeficiency

Ira Cheifetz MD FAARC , Durham NC

The role of ECMO in the management of CPR, sepsis pregnancy, stem cell transplantation, and severe immunodeficiency will be presented.

9:15 am–11:50 am

Controversies in Respiratory Care: Part Two

PRO: Carl Hinkson
CON: Daniel Rowley

9:15 am–10:30 am | Room Room 120-122

PRO/CON: Early Mobility in the Ventilated Patient Pays Outcome Dividends

PRO: Carl Hinkson MS RRT-NPS RRT-ACCS FAARC , Marysville WA
CON: Daniel Rowley MS RRT-NPS RRT-ACCS FAARC Charlottesville VA

Early mobility has been touted as a major advantage in reducing delirium and shortening length of stay. But the implementation is a huge time and financial commitment. Does the most recent literature still support this procedure?

PRO: Gary Nieman 
CON: Robert M Kacmarek

10:35 am–11:50 am | Room Room 120-122

PRO/CON: Airway Pressure Release Ventilation Can Prevent ARDS

PRO: Gary Nieman PhD BS, Syracuse NY
CON: Robert M Kacmarek PhD RRT FAARC Boston MA

Airway pressure release ventilation has been available for 30 years. Recent animal studies imply a protective effect of APRV on lung injury and progression to ARDS. Clinical evidence with APRV is mixed with some reports of prolonged ventilation times and iatrogenic lung injury. These issues will be debated.

9:15 am–12:30 pm

Asthma 2017: A Comprehensive Look

Kathleen O Ververeli

9:15 am–9:50 am | Room Room 105/106 | Clinical Practice

Asthma/COPD Overlap Syndrome: A Diagnosis Dilemma

Kathleen O Ververeli MD, Allentown PA

This lecture will focus on the differences and similarities of asthma and COPD and the paradigm of the Asthma/COPD Overlap Syndrome (ACOS). The appropriate screening tools and treatment tools for identifying and managing patients with this syndrome will be described.

Kathleen O Ververeli

9:55 am–10:30 am | Room Room 105/106 | Clinical Practice

Asthma Prevention: Is It Possible?

Kathleen O Ververeli MD, Allentown PA

This lecture will describe the benefit of both sublingual immunotherapy and subcutaneous immunotherapy as a tool for asthma prevention. The impact of exposures, viruses, and diet on the development of asthma will also be discussed.

De De Gardner

10:35 am–11:10 am | Room Room 105/106 | Clinical Practice

The Impact of Asthma on Educational Outcomes

De De Gardner MS RRT-NPS FAARC FCCP , San Marcos TX

This presentation will discuss the relationship between students diagnosed with asthma and educational outcomes. Students diagnosed with asthma are known to miss more school than their healthy peers, and missing school means the student is missing out on learning. Students diagnosed with asthma are at high risk for high school drop-out and poor adult outcomes. Research and literature related to this topic will be shared.

Kathleen O Ververeli

11:15 am–11:50 am | Room Room 105/106 | Clinical Practice

Asthma Update 2017: Traversing the Medication Milieu

Kathleen O Ververeli MD, Allentown PA

This lecture will detail the current, approved medications for asthma including pharmacologic and biologic categories. The various treatment options for asthma specifically based on severity, patient phenotype, and patient lifestyle will be discussed.

Brady Scott

11:55 am–12:30 pm | Room Room 105/106 | Clinical Practice

Severe Asthma in the ED: Decisions, Decisions

Brady Scott MS RRT-ACCS FAARC , Chicago IL

Patients experiencing a severe asthma attack often end up in the emergency room. Treatment for these patients has changed over the years and continues to evolve. Do you know the proper treatment for these patients? This interactive lecture will test your knowledge of how to treat these difficult to treat patients!

9:55 am–10:30 am | Room Wabash 1 | Education

Best Practices in Competency Assessment

Sarah M Varekojis

Sarah M Varekojis PhD RRT FAARC , Columbus OH

Clinical educators, managers, and program faculty all have an ethical and legal mandate to ensure the competency of respiratory therapists. This presentation is designed to help participants develop defensible competency assessments that will help ensure the delivery of quality respiratory care.

9:55 am–10:30 am | Room Wabash 2 | Management

The Role of the Pediatric RT in Population Health

Teresa A Volsko

Teresa A Volsko MBA RRT CMTE FAARC , Akron OH

Coordination along the continuum of care, patient/family education, addressing social needs, and improving access to care are essential to managing the health and financial risks for care in a capitated environment. Resources are needed to meet patient/family needs and remove access and self-management barriers to improve health, reduce emergency room and hospital visits, and improve the quality of life for children with asthma. This lecture will walk through a "day in the life" of an interdisciplinary asthma care management team and highlight the role of the respiratory therapist in reducing the overall cost of care by improving access to care and asthma management in the home and schools.

10:35 am–11:10 am | Room Wabash 1 | Education

Enhancing Students' Clinical Skills through Visual Analysis of Art

Karen S Schell

Karen S Schell DHSc RRT-NPS RRT-SDS RPFT , Kansas City KS

Learn about a unique program for respiratory care, nursing, and medical students that sharpens observational and descriptive skills to improve patient care through communication and team dynamics led by an Art Educator at the Art Museum. Data from this ongoing research project will be reviewed to demonstrate improvement in the student's ability to improve patient care at the bedside using interprofessional communication, patient assessment, and teamwork, by observing art.

10:35 am–11:10 am | Room Wabash 2 | Management

Using Happiness to Enhance Your Leadership Ability and Your Life

Scott Reistad

Scott Reistad RRT CPFT FAARC , Colorado Springs CO

Recent research has shown that the old belief that some people are born happy/sad or positive/negative is simply a myth. It has now been demonstrated that a person can choose happiness and actually "rewire" their brain through conscious effort. The benefits of choosing happiness include improved creativity, productivity, and leadership ability.

10:35 am–11:10 am | Room Room 103/104

Big Data, Little Patients: Ventilator Data, Artificial Intelligence, and the Future of Neo-Peds Respiratory Care

Craig Smallwood

Craig Smallwood BS RRT , Boston MA

This lecture will provide a state-of-the-art overview of essential concepts in continuous bedside data collection, data cleaning, machine learning, and predictive algorithm development. A select number of publications will also be presented in order to demonstrate the promise of predictive bedside decision support as well as pitfalls in neonatal and pediatric patients.

11:15 am–11:50 am | Room Wabash 1 | Education

A Mechanical Ventilation Simulation Curriculum for RTs and Physicians

Eric Kriner

Eric Kriner BS RRT , Washington DC

This presentation will describe post-graduate mechanical ventilation education utilizing clinical simulation. A needs assessment specific to mechanical ventilation will be offered. The components of a curriculum will be discussed, namely the utilization of bench simulations to demonstrate fundamental concepts and immersive simulations to clinically apply those fundamental concepts. Post-course assessment and competency will also be presented.

11:15 am–11:50 am | Room Room 103/104

Early Identification and Goal-Directed Treatment of Pediatric Sepsis: An RT Perspective

Bradley A Kuch

Bradley A Kuch MHA RRT-NPS FAARC , Pittsburgh PA

Sepsis is associated with an increased risk of the need for critical care intervention and poor outcome. Significant evidence demonstrates early identification and goal-directed resuscitation of children with sepsis improves outcomes. The presentation will review early clinical signs as well as evidence regarding treatment and outcomes. Thoughts regarding future respiratory strategies to optimize outcomes will be considered.

11:15 am–12:30 pm | Room Wabash 2

Agency Update

Brian K WalshMichael T AmatoBradley LeidichRobert L Joyner

Brian K Walsh PhD RRT-NPS FAARC - AARC President
Michael T Amato MBA - ARCF Chair
Bradley Leidich MSEd RRT FAARC -CoARC President
Robert L Joyner PhD RRT-ACCS FAARC - NBRC President

The leadership of the AARC, ARCF, CoARC, and NBRC will present the most updated information affecting the profession, research, accreditation, and credentialing. This is a must-attend session in your agenda!

11:55 am–12:30 pm | Room Wabash 1 | Clinical Practice

Long-Term Outcomes of Adult Patients Following Lung Transplantation

Craig Rackley

Craig Rackley MD, Durham NC

This presentation will discuss the long-term survival and quality of life for adult patients following lung transplantation.

11:55 am–12:30 pm | Room Room 103/104

Your Patient is Dying: Exploring Coping Strategies for the Neo-Peds RT

Jennifer Anderson

Jennifer Anderson EdD RRT-NPS , Wichita Falls TX

The death of a patient is emotionally and physically taxing on health care professionals. From a health care team perspective the bedside providers are likely to experience the highest degree of stress. This presentation will explore coping strategies that cannot be taught from a textbook.

11:55 am–12:30 pm | Room Room 120-122

The Role of Electrical Impedance Tomography during Controlled Mechanical Ventilation

Robert M Kacmarek

Robert M Kacmarek PhD RRT FAARC , Boston MA

This lecture will provide the rationale for using EIT to monitor distribution of ventilation while providing full control of mechanical ventilation.

12:45 pm–2:15 pm

Closing Ceremony

Natalie Stavas

12:45 pm–2:15 pm | Room Sagamore Ballroom

Running Towards Chaos

Natalie Stavas MD, Boston MA

On April 15, 2013 Dr. Stavas approached the finish line of her fifth Boston marathon. Just blocks away she heard explosions, and she ran towards them. Arriving at the scene she went to work administering CPR, applying tourniquets and triaging the wounded. What made Dr. Stavas run towards scene while others ran away? Was it her "Fight or Flight" reflex? Was she somehow biologically engineered to respond to run towards chaos? Dr. Stavas will share her story on that fateful day in 2013, but will also talk about the science of how all healthcare providers - all humans are "wired" to do good, to help their fellow man and to do so during moments when it's least expected. An expert on chaos, Natalie Stavas attacks every obstacle with the same attitude: "You run towards that which you fear, that which challenges you, that which is oppositional." Running towards chaos actually makes chaos more manageable.

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