Oct. 4–7, 2017

Indianapolis, IN

Congress Program Sections

Wednesday, Oct. 4

8:00 am–10:30 am

Opening Session

Thomas J Kallstrom

8:00 am–9:30 am | Room Sagamore Ballroom

AARC Awards Ceremony

Thomas J Kallstrom MBA RRT FAARC/Co-Presiding

This ceremony recognizes the "doers" in the profession, from students to long-established practitioners. Be there and applaud your peers. Today it's them; tomorrow it could be you!

Claire Wineland

9:35 am–10:25 am | Room Sagamore Ballroom

Give Me Dignity or Give Me Death

Claire Wineland

"Give Me Liberty or Give Me Death" were the words delivered by Patrick Henry during his impassioned speech at the 1775 Virginia Convention in seeking independence for his home state. Now, nearly 250 years later, Claire Wineland, an impassioned CF patient, inspirational Youtube personality and founder of Claire's Place Foundation (a Foundation to assist families living with CF), whose desire to see terminally ill patients live life to their fullest puts her own spin on that famous phrase with "Give Me Dignity of Give Me Death". In this riveting, emotional and inspiring keynote address, Claire will share with attendees her message of hope and her daily struggle of prioritizing happiness over health. Attendees will walk away from this presentation better understanding how to reframe the conversation with terminally ill patients from one that is based exclusively on health and well-being to one that dignifies the patient and empowers them to enjoy life's experiences, to be inspired and to inspire others. Claire will conclude her keynote address by ensuring that respiratory therapists understand the impact they have made on her life, to thank them, and to show her appreciation, because it's the work RTs do in caring for her medical condition that allows her to focus on living life for a bigger, more meaningful purpose.

Brian K Walsh

10:30 am–10:30 am | Room Hall DE

Opening of Exhibit Hall

Brian K Walsh PhD RRT FAARC, Boston MA

The 2017/2018 AARC President opens the Exhibit Hall. As the "Gold Standard" of all respiratory care meetings, AARC Congress 2017 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!

8:00 am–6:00 pm | Room Room 206/207

Sputum Bowl Preliminaries

Renee Wunderley

Renee Wunderley BS RRT-NPS/Presiding

Teams from the AARC State Societies compete in the preliminary competitions. The top four teams will advance to the Finals on Friday evening, October 6.

11:00 am–12:00 pm | Room Room 105/106

Orientation for First-time Attendees

Thomas Lamphere

Thomas Lamphere BS RRT-ACCS RPFT FAARC

Are you a first-time attendee with unanswered questions about who to see, where to go, and what to expect from your first AARC Congress? If so, then attendance at this presentation is a MUST for you! This presentation provides first-time attendees with an overview of the entire AARC Congress and includes suggestions on how to maximize your time, not only at the educational session but also at the exhibits and peripheral activities as well.

12:05 pm–12:35 pm | Room Rooms 107/108

Presenting An OPEN FORUM Abstract

Teresa A Volsko

Teresa A Volsko MHHS RRT FAARC, Akron OH

This presentation will introduce the neophyte research presenter to the customs, roles, and experience of presenting at an OPEN FORUM Session. The stages of an OPEN FORUM presentation including poster set-up, interacting with participants and moderators, presenting at the podium, and participating in moderated audience discussions will be addressed. Expectations for Editor's Choice and Poster Only presentations will be reviewed.

1:00 pm–1:30 pm | Room Wabash 3

Diagnostics Section Membership Meeting

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 participate.

1:30 pm–2:05 pm | Room Wabash 1

A Rose By Any Other Name: Perceptions of Palliative Care

Shawna Strickland

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

Many experts recommend early initiation of palliative care to improve patients quality of life. However, the perception of palliative care - patient, caregiver, and health care provider - steers many away from this beneficial service. This presentation will discuss perspectives of palliative care and provide strategies to engage the RT to improve patient quality of life.

1:30 pm–2:05 pm | Room Wabash 2 | Management

Patient-Centric Care: What is It and What's the Fit for the RT?

Garry W Kauffman

Garry W Kauffman MPA RRT FACHE FAARC, Walnut Cove NC

Patient-centric care has been around for decades in different forms. In the 1980s the first salvo included staff reduction, clinician elimination, de-skilling, and reduction of mid-level management. What has changed about this focus on patients - other than a catchy new phrase? Absolutely everything! Patient-centric care is about providing the right care, at the right time, with the right quality, by the right person, and being able to measure the outcomes of this care. For RTs there is no better time to demonstrate your value, and for RT managers this is the best time to demonstrate your knowledge and ability to manage this new care delivery system based on evidence-based medicine, system-wide cost effectiveness, and patient/family satisfaction.

1:30 pm–2:05 pm | Room Wabash 3 | Pulmonary Function

Standardization and Application of the Single- Breath Determination of Nitric Oxide Uptake in the Lung

Gerald S Zavorsky

Gerald S Zavorsky PhD RPFT FACSM, Atlanta GA

This lecture will discuss the recent European Respiratory Society task force paper published in the European Respiratory Journal in 2017 on the standardization and application of pulmonary diffusing capacity for nitric oxide (DLNO). The talk will include a discussion of the differences between DLNO and pulmonary diffusing capacity for carbon monoxide (DLCO), the prediction equations developed for DLNO, and the summary consensus statement for DLNO.

1:30 pm–2:05 pm | Room Room 101/102 | Clinical Practice

A Brief History of Marijuana and A Review of the Respiratory System Effects

Mary Martinasek

Mary Martinasek PhD RRT-NPS AE-C MPH, Tampa FL

This lecture will educate participants on marijuana and its effects on the respiratory system.

1:30 pm–2:05 pm | Room Room 105/106 | Clinical Practice

Telemonitoring: Vital Sign vs Vitality Monitoring To Identify Pending Hospitalizations

Dan Easley

Dan Easley BA, Apollo PA

Is telemonitoring really the right tool to use for the pulmonary patient? Once vital signs are outside of normal range, pulmonary patients are often symptomatic and hours from a hospitalization. This presentation will show how the use of vitality monitoring can be much more effective and can pick-up changes.

1:30 pm–2:05 pm | Room Room 123/124 | Clinical Practice

Breath Sounds: Are We Getting It Right?

Brian Cayko

Brian Cayko BS MBA RRT, Great Falls MT

This session will examine the need for a common pulmonary nomenclature for auscultation of lung sounds. This lecture will include an audio presentation and interactive audience polling using your mobile devices!

1:30 pm–2:45 pm | Room Room 103/104 | Neonatal/Pediatric

PRO/CON: Optimizing Lung Volume, Optimizes Outcome for Pediatric ARDS

PRO: Alexandre T Rotta
CON: Ira Cheifetz

PRO: Alexandre T Rotta MD , Cleveland OH
CON: Ira Cheifetz MD FAARC Durham NC

Although data exist that lung recruitment is associated with improved physiologic parameters and much has been discussed regarding the importance of 'optimal lung volumes', no one has proven that optimizing lung volumes optimizes clinical outcomes. Two international experts will go head-to-head in this debate focused on optimizing the care of the pediatric patient with ARDS. An interactive discussion with the audience will follow the debate.

1:30 pm–4:05 pm

Myth Busting

PRO: Robert L Chatburn
CON: Eduardo Mireles-Cabodevila

1:30 pm–2:45 pm | Room Room 120-122

PRO/CON: Patient/Ventilator Synchrony

PRO: Robert L Chatburn MHHS RRT-NPS FAARC, Cleveland OH
CON: Eduardo Mireles-Cabodevila MD Cleveland OH

This talk will discuss the importance of definitions and evidence in identifying problems with patient-ventilator synchrony and what to do about them. The myths (in the literature and everyday practice) will be identified and categorized as "Busted," "Plausible," or "Confirmed."

PRO: Robert L Chatburn
CON: Eduardo Mireles-Cabodevila

2:50 pm–4:05 pm | Room Room 120-122

PRO/CON: Liberation From Mechanical Ventilation

PRO: Robert L Chatburn MHHS RRT-NPS FAARC, Cleveland OH
CON: Eduardo Mireles-Cabodevila MD Cleveland OH

This talk will discuss the chain of events from intubation to liberation for the adult patient. The mathematics of diagnostic tests for weaning success will be explained. Current guidelines and their criticisms will be debated. The myths (in the literature and everyday practice) will be identified and categorized as "Busted," "Plausible," or "Confirmed."

2:10 pm–2:45 pm | Room Wabash 1 | Education

Collegiality Among Colleagues

Douglas S Gardenhire

Douglas S Gardenhire EdD RRT-NPS FAARC, Atlanta GA

The relationship between colleagues may be the most important aspect of any department or team. Collegiality has been and continues to be of interest in academia, however as inter-professional education continues to dominate, health care collegiality should be considered for all team members no matter the setting. This lecture will define collegiality as well as address why it is important. Finally, the presenter will discuss strategies on how to achieve collegiality in a department or team.

2:10 pm–2:45 pm | Room Wabash 2 | Management

Accountable Departments Are Successful Departments

Dana Evans

Dana Evans MHA RRT-NPS, Chicago IL

The word "accountability" tends to make people cringe and yet we all want to work with co-workers, staff, and leaders who are accountable. How do we move from blame to ownership and empowerment? Empowered employees are more focused, motivated, and engaged with your vision. Empower your staff to take ownership in the organization. The presenter will discuss why getting past the blame and excuses will allow your department to thrive.

2:10 pm–2:45 pm | Room Room 101/102 | Clinical Practice

The Latest Evidence-Based Recommendations for Assessing and Monitoring Patients Receiving Opioids

Steve Gudowski

Steve Gudowski BS RRT, Philadelphia PA

This presentation will discuss the latest published, evidence-based recommendations related to assessment tools and monitoring of patients receiving opioid pain medications. Utilizing the current published research in conjunction with the 2014 San Diego Patient Safety Council's (SDPSC) Tool Kit "Respiratory Monitoring of Patients Outside the ICU," the presenter will outline ways that hospitals may improve their ability to protect patients from preventable respiratory depression and adverse harm.

2:10 pm–2:45 pm | Room Room 105/106 | Clinical Practice

The A B C & Ds of Personalities in Rehabilitation

Aaron McColpin

Aaron McColpin DNP RRT-NPS NP CPFT, Camarillo CA

This lecture focuses on the relationship between personality characteristics and disease acceptance on the Health-Related Quality of Life (HRQOL) in those with chronic obstructive pulmonary disease (COPD) who had been referred for pulmonary rehabilitation.

2:10 pm–4:45 pm

PFT Laboratory Accreditation Readiness

Katrina Hynes

2:10 pm–2:45 pm | Room Wabash 3 | Pulmonary Function

The Onsite Visit

Katrina Hynes MHA RRT RPFT , Rochester MN

The American Thoracic Society has identified the need and the importance of a Pulmonary Function Laboratory Quality Assurance Accreditation Program at a national level. The Mayo Clinic Pulmonary Function Laboratory conceived a Pulmonary Function Quality Assurance Program to assure accreditation readiness which debuted July 2016. The first lecture of this four lecture symposium will discuss the first critical component of the program - the onsite visit.

Carl Mottram

2:50 pm–3:25 pm | Room Wabash 3 | Pulmonary Function

Biological Control Subjects

Carl Mottram RRT RPFT FAARC, Rochester MN

This lecture will discuss the second critical component of a Pulmonary Function Laboratory Quality Assurance Accreditation Program - biological control subjects.

Katrina Hynes

3:30 pm–4:05 pm | Room Wabash 3

Mechanical Models

Katrina Hynes MHA RRT RPFT, Rochester MN

This lecture will discuss the third critical component of a Pulmonary Function Laboratory Quality Assurance Accreditation Program - mechanical models.

Carl Mottram

4:10 pm–4:45 pm | Room Wabash 3 | Pulmonary Function

Reporting Requirements

Carl Mottram RRT RPFT FAARC, Rochester MN

This lecture will discuss the fourth critical component of a Pulmonary Function Laboratory Quality Assurance Accreditation Program - reporting requirements.

2:10 pm–5:25 pm

Year in Review

Bruce Rubin

2:10 pm–2:45 pm | Room Room 123/124 | Clinical Practice

Cystic Fibrosis

Bruce Rubin MD MBA MEngr FAARC, Richmond VA

This presentation covers the most important published literature on cystic fibrosis in the past year.

Mridu Gulati

2:50 pm–3:25 pm | Room Room 123/124 | Clinical Practice

Idiopathic Pulmonary Fibrosis

Mridu Gulati MD, New Haven CT

This presentation covers the most important published literature on idiopathic pulmonary fibrosis in the past year.

3:30 pm–4:05 pm | Room Room 123/124

Pulmonary Hypertension

Speaker TBA

This presentation covers the most important published literature on pulmonary hypertension in the past year.

Robert Sandhaus

4:10 pm–4:45 pm | Room Room 123/124 | Clinical Practice

Alpha-1 Antitrypsin Deficiency: State-of-the-Art for the RT

Robert Sandhaus MD PhD, Denver CO

This presentation covers the most important published literature on alpha-1 antitrypsin deficiency (AATD) in the past year.

4:50 pm–5:25 pm | Room Room 123/124 | Clinical Practice

Neuromuscular Disease

Lisa Wolfe MD, Chicago IL

This presentation covers the most important published literature on neuromuscular disease/ALS in the past year.

2:50 pm–3:25 pm | Room Wabash 1 | Education

Creating a Village: Building a Long-Term Research Agenda for Your Department

Dave Burnett

Dave Burnett PhD RRT AE-C, Kansas City KS

Exploring the opportunity to develop research within your department and mentoring faculty to help build a successful long-term research agenda.

2:50 pm–3:25 pm | Room Wabash 2 | Management

Pencils Down: Using an Internally Developed Electronic Workload Division Tool

Jennifer Smith

Jennifer Smith AAS RRT-ACCS

Are respiratory care departments keeping up with the rapid pace of a technology- driven medical field? This presentation will address the challenges faced by a respiratory department when assigning scheduled work. The lecturer will discuss the benefits of developing an electronic workload tool that allows assignments to be made more efficient electronically than counting by hand.

2:50 pm–3:25 pm | Room Room 101/102 | Clinical Practice

An Update on Current E-Cigarette and Hookah Smoking Research

Mary Martinasek

Mary Martinasek PhD RRT-NPS AE-C MPH, Tampa FL

This presentation will focus on an update of the scholarly literature related to both hookah smoking and electronic cigarettes. A clinician's perspective and guidance will be presented.

2:50 pm–3:25 pm | Room Room 105/106 | Clinical Practice

Delivering Quality Care to Reduce COPD Readmissions: Not all COPD Readmissions are Avoidable

Scott Cerreta

Scott Cerreta BS RRT, Flagstaff AZ

This lecture will describe several best practice models for delivering quality of care that leads to outcomes of reduced COPD readmissions. It is important to avoid the common pitfall of setting COPD Readmission Reduction as a primary goal.

2:50 pm–3:25 pm

Pediatric Respiratory Care 2017

Ira Cheifetz

2:50 pm–3:25 pm | Room Room 103/104 | Neonatal/Pediatric

Mechanical Ventilation

Ira Cheifetz MD FAARC, Durham NC

Mechanical ventilation remains the mainstay of ICU management. This presentation will review current guidelines for ventilation of the infant and child with respiratory failure. Recommendations from the Pediatric Acute Lung Injury Consensus Conference (PALICC) will be discussed as well as the subsequent related data. Thoughts for the future will also be offered.

Alexandre T Rotta

3:30 pm–4:05 pm | Room Room 103/104 | Neonatal/Pediatric

Pediatric ARDS: Beyond Mechanical Ventilation

Alexandre T Rotta MD, Cleveland OH

Management of children with ARDS continues to be a real challenge for the pediatric clinician. The management of this critically ill population goes beyond mechanical ventilation. This presentation will review adjunct management approaches for pediatric ARDS with a focus on the relevant data from the medical literature.

Kathleen Deakins

4:10 pm–4:45 pm | Room Room 103/104 | Neonatal/Pediatric

Chronic Respiratory Failure: The New Long-Term Ventilation Challenge

Kathleen Deakins MHA RRT NPS FAARC , Cleveland OH

An increasing number of infants and children live with a tracheostomy and long-term mechanical ventilation. An optimal approach to ventilatory management is critical to improving the quality of life and survival for this vulnerable population. This presentation will discuss the available medical literature as well as ethical challenges related to this complex group of patients.

Bruce Rubin

4:50 pm–5:25 pm | Room Room 103/104 | Neonatal/Pediatric

Aerosol Delivery

Bruce Rubin MD MBA MEngr FAARC, Richmond VA

The field of aerosol delivery has greatly advanced over the past several years. This presentation will discuss technologic and pharmacologic improvements as well as some thoughts on a standardized approach to aerosol delivery in pediatrics. Speculation on the future of this advancing field will be offered.

3:15 pm–5:10 pm | Room Room 107/108

Open Forum Poster Discussion #1

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

3:15 pm–5:10 pm | Room Room 109/110

Open Forum Poster Discussion #2

Researchers and clinicians present findings of studies on aerosol therapy, mechanical ventilation, neonatal and pediatric care, education, management, and every other mode of practice in our profession.

3:30 pm–4:05 pm | Room Wabash 1 | Education

Pursuing an Expanded Scope of Practice: To the Top of Your License

Robert L Joyner Jr

Robert L Joyner Jr PhD RRT RRT-ACCS FAARC, Salisbury NY

Patient care continues to evolve at a brisk pace with sicker patients being cared for with fewer resources. Sufficient staffing expansion is not usually an option and other providers do not have our specialized education, training, or expertise. This presents a conundrum. Our patients need us to fulfill our roles and assure they are receiving the best care possible; we should all be prepared to practice at the top of our license.

3:30 pm–4:05 pm | Room Wabash 2 | Management

Things That Make You Go "Hmm?" Non-Evidence-Based Respiratory Care

Thomas Lamphere

Thomas Lamphere BS RRT-ACCS RPFT FAARC, Sellersville PA

This lecture will review common respiratory therapies and practices that have little or no evidence to support their use yet are still utilized in many facilities. This "non-evidence-based" care uses valuable financial resources including both manpower hours and equipment/disposable supplies. Attendees will be provided with current evidence to use as tools to effect a change in their facility to improve the quality of the care provided while at the same time utilizing their resources more wisely!

3:30 pm–4:05 pm | Room Room 101/102 | Clinical Practice

Producing Quality Research on a Shoestring Budget

Keith D Lamb

Keith D Lamb RRT-ACCS FCCM, Warrenton VA

In a time where every dollar is closely watched research is often put on the back burner. This lecture will demonstrate ways of producing quality research without spending a lot of money.

3:30 pm–4:05 pm | Room Room 105/106 | Clinical Practice

Vitality To You: Continuity of Care in the Home

Michael Caron

Michael Caron BS RRT, Northford CT

"Vitality to You" is a rehab pilot program consisting of PT, OT, and speech therapy utilizing respiratory care professionals. This is a multidisciplinary approach focused on continuing care in the home for recently discharged long-term patients.

4:10 pm–4:45 pm | Room Wabash 1 | Education

Developing Future Respiratory Care Practitioners: Clinical Sites, Preceptor Staff, and Departments, Oh My!

De De Gardner

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

Clinical sites for education programs are becoming a challenge for programs using the preceptor model. Many hospital managers and staff see having students as a "burden" and not a "pleasant" experience. This presentation will discuss the clinician- student model experience as a win-win for the student/educational program and the staff/respiratory care department. The presentation will also share the use of career ladders and expectations for staff to precept students and provide a positive experience for the student.

4:10 pm–4:45 pm | Room Wabash 2 | Management

Regional Management of Respiratory Care Services in a Multi-Site Health System

Holly Williams

Holly Williams MHA RRT, Greenr SC

Managing multiple respiratory care departments across multiple sites poses many challenges that differ from those that arise in a single location department. Ensuring that each site is successful requires careful planning and commitment from the respiratory care manager. The unique challenges that regional managers face require creative thought and adaptability. This session will review some of the specific challenges as well as essentials for success. Communication is always identified as a number one barrier; different techniques to address this barrier will be discussed. There will be several organizational charts presented to demonstrate various models that can work in respiratory care departments.

4:10 pm–4:45 pm | Room Room 101/102

Medication Safety: Why Errors Occur and What RTs Can Do To Reduce the Risks

Steve Gudowski

Steve Gudowski BS RRT, Philadelphia PA

This presentation is designed to provide attendees with an appreciation of why medication errors occur, the impact of medication errors on patients/outcomes, monitoring requirements, and various methods to improve processes with regard to delivering safe and effective care.

4:10 pm–4:45 pm | Room Room 105/106

End-of-Life Discussions From An RT Perspective

Stephanie Williams

Stephanie Williams BS RRT , Nashville TN

As RTs we offer a unique perspective into the questions that arise as people near the end of their lives. Using our knowledge of respiratory disease progression we can help people begin that conversation with their family and loved ones at appropriate times.

4:10 pm–5:25 pm | Room Room 120/122

PRO/CON: Prone Positioning Should Be Used in Moderate ARDS

PRO: Thomas PirainoCON: John Emberger

PRO: Thomas Piraino RRT , Beamsville ON
CON: John Emberger RRT-ACCS CPHQ FAARC Newark DE

Prone positioning alters lung mechanics and improves the distribution of ventilation in ARDS. Prone positioning has been shown to reduce mortality in severe ARDS. But how early should prone position be initiated? Can it improve outcomes in mild or moderate ARDS?

4:50 pm–5:25 pm | Room Wabash 2 | Management

Finding the Evidence: Separating Science From Fake News

Dean R Hess

Dean R Hess PhD RRT FAARC, Boston MA

What is the best evidence? When do you trust a colleague and when do you need a randomized controlled trial? This lecture will describe an approach to the scientific method to facilitate decision-making based on evidence rather than anecdote.

4:50 pm–5:25 pm | Room Wabash 3 | Pulmonary Function

The Association Between Fitness and Pulmonary Diffusing Capacity

Gerald S Zavorsky

Gerald S Zavorsky PhD RPFT FACSM, Atlanta GA

Exercise capacity (cardiorespiratory fitness) is a powerful predictor of mortality. This lecture will examine cardiorespiratory fitness, how it is related to pulmonary diffusing capacity, and its significance to overall health.

4:50 pm–5:25 pm | Room Room 101/102 | Clinical Practice

Understanding the Maze of Energy Systems: Maximizing Training for Pulmonary Rehab

Dennis J Guillot

Dennis J Guillot PhD RRT CSCS , Thibodaux LA

This presentation will review the metabolic energy systems pathways and discuss/ debate how best to modify training considering these pathways to enhance conditioning in pulmonary rehabilitation programs.

4:50 pm–5:25 pm | Room Room 105/106

DNR Under the Stethoscope: Hearing the Need for a Different Approach

Jim Damron

Jim Damron MDiv RRT CPFT, Charlotte NC

The health care industry is continuously changing and patient-provider relationships are being affected. Interventions that were once requested are now being demanded. This presentation will look at how changes have affected our approach to code status and propose a different approach which could improve the patient-provider relationship.

4:50 pm–5:25 pm | Room Wabash 1 | Education

The Advanced Practice Respiratory Therapist (APRT): Exploring the Potential

John Wilgis
Robert L Joyner JrShane Keene
Brian K Walsh

John Wilgis MBA RRT, Orlando FL
Robert L Joyner Jr PhD RRT RRT-ACCS FAARC Salisbury NY
Shane Keene DHSc RRT-NPS CPFT RPSGT FAARC Cincinnati OH
Brian K Walsh PhD RRT-NPS FAARC Boston MA

This panel discussion by the Ad Hoc Committee on Advanced RT Practices, Credentialing, and Education will discuss the effort over the past year of exploring the need for an advanced practice provider caring for patients with cardiopulmonary disease.

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