AARC Congress 2018

  Dec. 4–7, 2018

  Las Vegas, NV

Wednesday, Dec. 5

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7:30 a.m.–8:30 a.m. | Mandalay H | General

AARC Annual Business Meeting

Brian Walsh PhD RRT RRT-NPS FAARC AARC President/Presiding
DHSc RRT RRT-NPS RPFT AARC President-elect/Presiding

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Brian WalshKaren Schell

This is the official 2018 Annual Business Meeting of the AARC. Reports from AARC leadership are presented. 2019 AARC officers, Board of Directors, and officers from the House of Delegates are installed. The meeting concludes with an address from 2019-2020 AARC President Karen Schell.

8:40 a.m.–9:30 a.m. | Mandalay H | Clinical Practice

6th Thomas L Petty Memorial Lecture: Everyone Needs Oxygen

Jerry Krishnan MD PhD, Chicago IL

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Jerry Krishnan

The presentation will discuss the evidence supporting the use of supplemental oxygen in COPD and efforts underway to promote stakeholder-supported strategies to promote appropriate use of home oxygen during hospital-to-home transitions.

9:30 a.m.–6:00 p.m. | Mandalay E | General

Sputum Bowl Preliminaries

Renee Wunderley BS RRT RRT-NPS/Presiding

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Renee Wunderley

Student teams from the AARC State Societies compete in the preliminary competitions. The top four teams will face off in the Finals on Thursday, Dec. 6.

Sponsored by:

9:35 a.m.–10:05 a.m. | Mandalay L | General

Adult Acute Care Section Meeting

Carl Hinkson MS RRT FAARC/Presiding

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Carl Hinkson

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.

9:35 a.m.–10:05 a.m. | Mandalay C | General

Neo-Peds Section Meeting

Steve Sittig RRT RRT-NPS C-NPT FAARC/Presiding

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Steve Sittig

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.

9:40 a.m.–10:25 a.m. | Mandalay D | General

Post-Acute Care Section Meeting

Krystal Craddock BSRC RRT AE-C/Presiding
Gene Gantt RRT FAARC/Presiding
Zach Gantt RRT/Presiding

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Krystal CraddockGene GanttZach Gantt

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.

10:00 a.m.–11:55 a.m. | Surf B | General

Open Forum — Poster Discussions #5

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

10:00 a.m.–11:55 a.m. | Surf E | General

Open Forum — Poster Discussions #6

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

10:15 a.m.–12:25 p.m. | Clinical Practice

Respiratory Compromise: From Concept to Care

10:15 a.m.–10:25 a.m. | Reef C

Introduction

James Lamberti MD, Annandale VA

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James Lamberti

Respiratory Compromise is a state in which there is a high likelihood of decompensation into respiratory insufficiency, respiratory failure, or death but in which screening, monitoring, and specific interventions might prevent or mitigate decompensation.

Sponsored by

10:25 a.m.–10:45 a.m. | Reef C

History of Respiratory Compromise Institute (RCI)

Phil Porte, Vienna VA

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Phil Porte

The Institute was formalized to develop approaches to education of the medical community and the general public, and to develop research opportunities that would assist the broad medical community to address respiratory compromise in varied settings including the hospital, nursing homes, and the home.

10:50 a.m.–11:40 a.m. | Reef C

Populations at Risk: Medicare Data Mining

Sidney Braman MD FCCP, New York NY
James Lamberti MD, Annandale VA

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Sidney Braman
James Lamberti

Respiratory Compromise is one of the top 5 conditions leading to increasing hospital costs and the 3rd leading cause for increasing hospital inpatient cost in the United States. General care floor patients with respiratory compromise are 29 times more likely to die; more than 60% of arrests brought on by respiratory compromise are potentially preventable.

11:45 a.m.–12:25 p.m. | Reef C

Future Research Considerations

Jeff Vender MD MBA, Winnetka IL
Neil R MacIntyre MD FAARC, Durham NC

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Jeff Vender
Neil R MacIntyre

As the concept of respiratory compromise continues to grow, the RCI seeks to identify specific research initiatives in both the medical and surgical settings from questions identified from big data.

10:30 a.m.–11:05 a.m. | Lagoon L | Clinical Practice

Post-Acute Recognition of Sepsis/SIRS

Stephanie Williams BS RRT, Nashville TN

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Stephanie Williams

80% of all sepsis begins outside of the hospital. Respiratory patients are at increased risk of developing sepsis due to chronic infections and frequent hospitalizations. If you work in a post-acute setting are you able to spot sepsis early and get the patient the treatment they need? How do you define post sepsis impact, and how does this affect our patient population?

10:30 a.m.–12:25 p.m. | Clinical Practice

Update on Tracheostomy

10:30 a.m.–11:05 a.m. | Mandalay D

Tracheostomy and Aerosols

Ariel Berlinski MD, Little Rock AK

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Ariel Berlinski

Optimizing aerosolized medication delivery to spontaneously breathing patients with tracheostomies is an important aspect of disease management but clinicians have little guidance in this process. This presentation will discuss the literature published on aerosolized medication administration to this population and provide practical guidance.

11:10 a.m.–11:45 a.m. | Mandalay D

Unique Aspects of Pediatric Tracheostomies

Kathleen Deakins RRT RRT-NPS, Cleveland OH

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Kathleen Deakins

Pediatric patients are not simply “small people.” Understanding the nuances of this population in context with tracheostomy management is vital. This presentation will discuss how the initiation, airway selection, and management of tracheostomy pediatric patients differ from adults.

11:50 a.m.–12:25 p.m. | Mandalay D

Controversies in Tracheostomy Management

Constance Mussa PhD RRT RRT-NPS, Chicago IL

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Constance Mussa

Many different practices exist in the management of tracheostomy sites and airways. Do we clean with peroxide? How often do tracheostomy tubes need to be changed? This presentation will address common questions focused on tracheostomy management with information from the literature.

10:30 a.m.–11:45 a.m. | Sleep

Pharmacology Review of Medications Used In Sleep

10:30 a.m.–11:05 a.m. | Breakers D

Meds That Make You Night Night

Jessica Schweller MS RRT RN-CNP, Worthington OH

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Jessica Schweller

This lecture will focus on current sleep aids used today and update the learner on the mechanism of action of how sleep aids work on the brain. This lecture will also visit the side effects of the medications and alternatives to medications.

11:10 a.m.–11:45 a.m. | Breakers D

Meds That Make You Wakey Wakey

Jessica Schweller MS RRT RN-CNP, Worthington OH

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Jessica Schweller

This lecture will focus on the use of stimulant therapy in patients with shift work disorder, narcolepsy, and hypersomnia disorders. The lecture will also address the side effects that come with the medication and review the pharmacology and mechanism of action of each medication discussed.

10:30 a.m.–11:05 a.m. | Mandalay C | Neonatal/Pediatric

Pediatric ARDS: Do We Have Consensus Yet?

Neal Thomas MD MSc, Hershey PA

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Neal Thomas

Since the publication of the Pediatric Acute Lung Injury Consensus Conference guidelines, have the definitions for pediatric ARDS and approaches to management become more standardized? This presentation by one of the leaders of the PALICC initiative will review the highlights of the consensus conference and discuss the subsequent data that have supported and refuted the initial recommendations. Time will be allocated for discussion with the audience.

10:30 a.m.–11:05 a.m. | Mandalay J | Clinical Practice

Your Best Friend on Your Worst Day: RTs on Transport Teams

Jon Inkrott RRT RRT-ACCS, Orlando FL

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Jon Inkrott

In this talk we will discuss the role of the RT in the highly competitive and acute environment of critical care transports. Safety topics will also be discussed. We will also identify the specific skill sets and personality traits that teams look for in a quality individual who can work well with a single other team member in the most acute environment and do it well. Case studies will also be reviewed.

10:30 a.m.–12:25 p.m. | Adult Acute

Targeted Oxygen Therapy

10:30 a.m.–11:05 a.m. | Mandalay L

Oxygen Toxicity — A Clinical Perspective

Rich Kallet MSc RRT FAARC, San Francisco CA

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Rich Kallet

Oxygen toxicity has been described for over 100 years. Conventional wisdom has suggested that an FIO2 < 0.60 is safe in adults. However hyperoxia has been associated with negative outcomes. What is a safe level of FIO2 in the ICU — is there one?

11:10 a.m.–11:45 a.m. | Mandalay L

Permissive Hypoxemia — How Low Can We Go?

Neil R MacIntyre MD FAARC, Durham NC

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Neil R MacIntyre

Patients experience a wide range of oxygenation values over the course of treatment. Hypoxia is well tolerated in some circumstances of human existence. When is it better to focus on lung protection and allow mild to moderate hypoxemia? How low a PaO2 can be tolerated? What are the consequences?

11:50 a.m.–12:25 p.m. | Mandalay L

Oxygen Requirements of Ventilated Patients

Dario Rodriquez MSc RRT, Cincinnati OH

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Dario Rodriquez

Oxygen is typically set to a desired oxygen saturation or PaO2. Data suggests that once the FIO2 is < 0.50 clinicians rarely decrease the FIO2 regardless of PaO2. How much oxygen do mechanically ventilated patients require? How should we set FIO2?

10:30 a.m.–11:05 a.m. | Lagoon F | Management

Impact of a Post-Discharge Integrated Disease Management Program

Umur Hatipoglu MD, Cleveland OH

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Umur Hatipoglu

Readmission following a hospitalization for COPD is associated with significant health care expenditure. This talk describes a multi-component COPD post-discharge integrated disease management program that was implemented at the Cleveland Clinic to improve the care of patients with COPD and reduce readmissions. The results of a study evaluating the program which reduced 90-day readmissions and identified predictors of readmission will be described.

10:30 a.m.–1:30 p.m. | Shorline Exhibit Hall | Clinical Practice

Open Forum — Posters Only #1

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Open Forum

Researchers and clinicians present the results of their work in this Posters Only session. Authors available from 12:00 p.m.–1:30 p.m. for questions and answers. Poster Walk Rounds led by Bill F Galvin MSEd RRT CPFT AE-C FAARC and Dean R Hess PhD RRT FAARC.

Supported by an unrestricted educational grant from

11:10 a.m.–11:45 a.m. | Lagoon F | Management

How to Use Epic to Automate RT Workload Acuity and Staffing

Lindsay Hattan BS RRT, Omaha NE

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Lindsay Hattan

This presentation will focus on how to build a scoring system in Epic that will automatically calculate workload acuity numbers. Learn how to build rules in Epic that assign points based on respiratory therapy orders and documentation. This information can be reported in real-time per shift, listed by floor and by individual RT, for building assignments that optimize staffing, achieve staffing levels adjusting to patient demand, and document productivity internally as well as in comparison to other RT departments in other organizations.

11:10 a.m.–11:45 a.m. | Mandalay J | Neonatal/Pediatric

Fight or Flight? Pediatric Stabilization Prior to Transport

Jennifer Watts RRT RRT-NPS C-NPT, Romeoville IL

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Jennifer Watts

This presentation will focus on the steps to be taken to prepare the pediatric patient prior to their being sent to a higher level of care. The presentation will also discuss the difference between a “scoop and go” versus a “stay and play” pediatric transport situation.

11:10 a.m.–11:45 a.m. | Lagoon L | Clinical Practice

Monitoring Infection Control in the Home

Cynthia Gray Roberts RRT RPFT, Edmond OK

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Cynthia Gray Roberts

As a home care provider when and how should you monitor infection control in the home? Monitoring infection control in the home is critical for clients/patients, staff, and the health of your business. Infection control monitoring isn’t just for hospitals.

11:10 a.m.–12:25 p.m. | Mandalay C | Neonatal/Pediatric

Controversies in Pediatric Respiratory Care: An Interactive Debate and Discussion

Alex Rotta MD FCCM, Cleveland OH
Ira Cheifetz MD FAARC, Durham NC

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Alex Rotta
Ira Cheifetz

In this interactive session two international experts will impromptu debate hot topics in pediatric respiratory care. Input from the audience will be encouraged.

11:50 a.m.–12:25 p.m. | Lagoon L | Clinical Practice

Respiratory Compromise in Post-Acute Care

Gene Gantt RRT FAARC, Livingston TN

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Gene Gantt

Respiratory Compromise (RC) is a state in which there is a high likelihood of de-compensation into respiratory insufficiency, respiratory failure, or death but in which specific interventions (monitoring and/or therapies) might prevent or mitigate de-compensation. More than 60% of arrests brought on by respiratory compromise are potentially avoidable. This session will review the potential for respiratory compromise in post-acute care.

11:50 a.m.–12:25 p.m. | Lagoon F | Management

Implementation Science in Respiratory Therapy

Thomas Malinowski MScRT RRT FAARC, Charlottesville VA

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Thomas Malinowski

Implementation Science is the study of strategies that help overcome the challenges associated with translating evidenced-based health care recommendations into practice. This presentation describes how Implementation Science can help migrate respiratory research into more common daily use and increase the number of evidenced-based interventions that are applied.

11:50 a.m.–12:25 p.m. | Mandalay J | Adult Acute

On The Flip Side: Transport in the Prone Position

Jon Inkrott RRT RRT-ACCS, Orlando FL

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Jon Inkrott

Prone position during mechanical ventilation in the ARDS patient remains a solid treatment intervention that is practiced in many ICUs. However, when these patients fail to improve and require a higher acuity of care, is it a safe option to transport these patients while in the prone position? We will discuss case studies that explore options when transporting these critically ill patients.

11:50 a.m.–12:25 p.m. | Breakers D | Sleep

Behavioral Therapy for the Management of Insomnia

Meena Khan MD, Columbus OH

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Meena Khan

The overall aim of this lecture is to discuss the psychological and behavioral barriers in those with insomnia and the behavioral strategies to improve their sleep.

12:30 p.m.–1:00 p.m. | Breakers D | General

Sleep Section Meeting

Jessica Schweller MS RRT RN-CNP/Presiding

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Jessica Schweller

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.

12:30 p.m.–1:00 p.m. | Mandalay J | General

Surface to Air Transport Section Meeting

Oliva Kaullen BHS RRT RRT-NPS/Presiding

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Oliva Kaullen

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.

12:30 p.m.–2:25 p.m. | Surf B | General

Open Forum — Poster Discussions #7

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

12:30 p.m.–2:25 p.m. | Surf E | General

Open Forum — Poster Discussions #8

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

1:15 p.m.–1:45 p.m. | Lagoon F | General

Management Section Meeting

Cheryl Hoerr MBA RRT FAARC/Presiding

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Cheryl Hoerr

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.

1:45 p.m.–3:00 p.m. | Education

Hot Topics in Higher Education

1:45 p.m.–2:20 p.m. | Lagoon I

What RC Faculty “Need to Know”

Bill Galvin MSEd RRT FAARC, Havertown PA

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Bill Galvin

Higher education is undergoing significant change and facing issues of considerable importance to the respiratory care educator. Funding, attrition, quality outcomes, innovations in technology, faculty development, classroom management, and safety are just a few of the more prominent issues facing higher academia. This presentation will entail a conversation on some of the more critical issues that all RC faculty should appreciate and comprehend.

2:25 p.m.–3:00 p.m. | Lagoon I

A Roundtable Discussion

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Bill Galvin

As a follow-up to Hot Topics in Higher Education, participants will have the opportunity to discuss specific topics of interest in greater depth with other interested peers. Participants will be able to share their own experiences and seek answers to questions regarding the topics presented previously.

1:45 p.m.–3:00 p.m. | Adult Acute

Recognition and Management of Sepsis

1:45 p.m.–2:20 p.m. | Mandalay L

Diagnosis and Management of Sepsis and Septic Shock

Robert Balk MD, Chicago IL

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Robert Balk

Sepsis is a life-threatening condition characterized by systemic inflammation secondary to infection. This presenter will describe the current approach to the diagnosis and management of sepsis and septic shock in adult patients.

2:25 p.m.–3:00 p.m. | Mandalay L

Sepsis and Ventilatory Support

Robert Balk MD, Chicago IL

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Robert Balk

Sepsis and respiratory failure can co-exist in critically ill patients making the management of these patients very challenging. This lecture will discuss lung dysfunction/injury in sepsis and management strategies to include: noninvasive and invasive mechanical ventilatory support, lung-protective ventilation, and weaning.

1:45 p.m.–2:20 p.m. | Lagoon F | Management

Understanding and Implementing Successful Planning

Charles Bangley BS RRT, Winterville NC

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Charles Bangley

Respiratory care managers have numerous distractions that can prevent them from assuring successful planning. The use of an organized approach which includes annual planning and employee engagement is key to staying on the path. This presentation will review easy-to-follow planning sessions and allow time for the participants to join in a brief planning session and staff engagement actions.

1:45 p.m.–3:00 p.m. | Clinical Practice

Updates in Pulmonary Fibrosis Treatment and Management

Sponsored by:

1:45 p.m.–2:20 p.m. | Mandalay J

Current Clinical Drug Trials in the Pipeline for IPF and PF

Gregory Cosgrove MD FCCP, Denver CO

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Gregory Cosgrove

Pulmonary Fibrosis is a life-threatening condition of the lungs where tissues become thickened, stiff, and scarred over a period of time. Intense research to identify treatment options for specific types of pulmonary fibrosis disease is ongoing. This lecture will provide an overview of potential future therapies.

2:25 p.m.–3:00 p.m. | Mandalay J

The Benefits of Non-Pharmacologic Interventions in Patients

James Lamberti MD, Annandale VA

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James Lamberti

While pharmacologic treatment options for pulmonary fibrosis are ongoing, disease management strategies to help patients manage symptoms and prevent future complications also are key options. This lecture will look at the benefits of anaerobic exercise and other non-pharmacologic interventions.

1:45 p.m.–3:00 p.m. | Adult Acute

Monitoring during Mechanical Ventilation

1:45 p.m.–2:20 p.m. | Mandalay D

The Role of Monitoring During Mechanical Ventilation

Eddy Fan MD PhD, Toronto Ontario

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Eddy Fan

Monitoring is essential during mechanical ventilation. This lecture will provide the rationale for essential monitoring at the bedside and discuss advanced monitoring techniques that contribute to personalizing mechanical ventilation.

2:25 p.m.–3:00 p.m. | Mandalay D

Visualizing Mechanical Ventilation

Thomas Piraino RRT, Beamsville Ontario

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Thomas Piraino

Respiratory therapists are important for the safe monitoring of mechanically ventilated patients. Applying imaging techniques such as electrical impedance tomography and ultrasound to mechanically ventilated patients is gaining popularity in the literature. This lecture will discuss these techniques and where respiratory therapists play a key role.

1:45 p.m.–5:00 p.m. | Patient Safety, Clinical Practice

New Horizons: Ventilator Associated Events — Surveillance and Understanding

1:45 p.m.–2:20 p.m. | Reef C

VAE Surveillance — What It Is and What It Isn’t

Michael Klompas MD MPH, Boston MA

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Michael Klompas

Changes to the CDC surveillance for ventilator-associated events (VAE), formerly VAP, have led to confusion regarding terminology and treatment. This lecture will explain the importance of surveillance using these definitions and separate this surveillance from issues related to clinical manifestations of the disease.

2:25 p.m.–3:00 p.m. | Reef C

Aerosolized Antibiotics — Now What?

Rajiv Dhand MD FAARC FCCP, Knoxville TN

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Rajiv Dhand

Two recent, large randomized controlled trials have failed to show any advantage of adjunctive aerosolized antibiotics in the treatment of ventilator-associated infections. Is there any role for aerosolized antibiotics in ventilated patients?

3:05 p.m.–3:40 p.m. | Reef C

The Role of Specialty Tubes in Preventing VAE

Thomas Piraino RRT, Beamsville Ontario

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Thomas Piraino

A number of alterations to endotracheal tubes have been introduced to reduce the risk of aspiration of oral and gastric secretions or to reduce bio-film. What is the evidence? Are these devices worth the cost?

3:45 p.m.–4:20 p.m. | Reef C

Airway Management and VAE

Brady Scott MS RRT FAARC, Wheaton IL

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Brady Scott

Describe the methods of airway care which impact VAE. This includes closed vs open suctioning, cuff pressure management, removal of secretions above the cuff without a specialty ET tube, use of saline for instillation, and devices for cleaning the inside of the ET tube.

4:25 p.m.–5:00 p.m. | Reef C

Guidelines and Bundles — What Does the Evidence Support?

Rich Kallet MSc RRT FAARC, San Francisco CA

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Rich Kallet

This lecture will discuss the new guidelines for VAP management including prevention, diagnosis, and treatment. This will include the use of NIV, daily SBT/SAT, and sedation interruption.

1:45 p.m.–4:20 p.m. | Neonatal/Pediatric

Pediatric Respiratory Care: Challenging the Status Quo

1:45 p.m.–2:20 p.m. | Mandalay C

6 ml/kg Tidal Volume is Not Appropriate for All Patients

Neal Thomas MD MSc, Hershey PA

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Neal Thomas

Adult data support the use of 6 ml/kg tidal volume for ARDS. Despite the fact that pediatric data do not support this approach it is commonly extrapolated to infants and children. This presentation will question this approach. Data in support of alternative tidal volume management approaches will be discussed.

2:25 p.m.–3:00 p.m. | Mandalay C

Our Current Management Approach to HFOV is Wrong

Martin Kneyber MD PhD FCCM, Groningen Netherlands

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Martin Kneyber

Recent data have questioned the usefulness of HFOV. It remains unclear whether the recently reported negative outcomes are related to HFOV per se or rather the traditional approaches to clinical management. This presentation will question the status quo by exploring potential alternative HFOV management strategies.

3:05 p.m.–3:40 p.m. | Mandalay C

ECMO Should Not Be Reserved for Rescue Use Only

Ira Cheifetz MD FAARC, Durham NC

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Ira Cheifetz

ECMO has traditionally been used for refractory ARDS when all else fails. This presentation will question the status quo. Consideration of using venovenous ECMO as a strategy earlier in the course of pediatric ARDS management will be explored.

3:45 p.m.–4:20 p.m. | Mandalay C

Mechanically Ventilated Children Should Be Awake

Sapna Kudchadkar MD PhD, Baltimore, MD

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Sapna Kudchadkar

Mechanically ventilated children have traditionally been heavily sedated. One must question whether this is the best approach given increasing knowledge of the adverse effects of pharmacologic sedation. This presentation will question the status quo of sedating mechanically ventilated children by discussing potential benefits of keeping these children awake. Potential safety concerns will also be considered.

1:45 p.m.–3:00 p.m. | Sleep

Sleep and the Heart: Why Should I Worry?

1:45 p.m.–2:20 p.m. pm | Breakers D

Sleep and the Heart

Barbara Phillips MD, Lexington KY

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Barbara Phillips

This talk will discuss the interactions between sleep-disordered breathing and cardiovascular disease.

2:25 p.m.–3:00 p.m. | Breakers D

Treating Central Sleep Apnea

Barbara Phillips MD, Lexington KY

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Barbara Phillips

This talk will discuss the implications of the treatment of central sleep apnea with adaptive servo ventilation (ASV).

2:25 p.m.–3:00 p.m. | Lagoon F | Management

Moving a Profession Forward but Who Wants to Take the Lead?

Frank Salvatore Jr MBA RRT FAARC, Danbury CT

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Frank Salvatore

This program looks at all the bluster of wanting to move the profession forward, while every major aspect of the profession points to someone else needing to do more. During this presentation for RT leaders we’ll look at just what’s being done by both to move the profession forward and discuss where more effort is needed.

3:05 p.m.–3:40 p.m. | Breakers D | Sleep

Effects of Marijuana on Sleep

Lutana Haan RRT, Boise ID

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Lutana Haan

What do we know in 2018? The speaker will discuss findings on the effects of marijuana on sleep. She will also discuss how adolescents are affected by sleep disturbances and how sleep disorders respond to marijuana use.

3:05 p.m.–4:20 p.m. | Mandalay D | Adult Acute

PRO/CON: New Modes of MV are the Answer to Better Outcomes

PRO: Robert Kacmarek PhD RRT FAARC, Littleton MA
CON: John Davies MSc RRT FAARC, Cary NC

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Robert KacmarekJohn Davies

There is considerable debate regarding pressure versus volume targeted modes of mechanical ventilation. What about the new modes? Can new modes of mechanical ventilation be used to improve patient outcomes? During this session two experts will debate the evidence that supports or refutes the use of new modes.

3:05 p.m.–3:40 p.m. | Mandalay L | Adult Acute

Respiratory Care of a Spinal Cord Injury Patient

Maria Madden MS RRT RRT-ACCS, Baltimore MD

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Maria Madden

Spinal cord injury can lead to significant respiratory complications such as hypoventilation and atelectasis. The lecture will review the respiratory management of patients with spinal cord injury.

3:05 p.m.–3:40 p.m. | Lagoon L | Clinical Practice

The Millennial Takeover: The Safe Place of Skilled Nursing

Ryan Stiles BS RRT, Gallatin TN

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Ryan Stiles

A fresh look at aging and quality of life in the post-acute care ventilator unit specifically evaluating the needs of a younger population.

3:05 p.m.–5:00 p.m. | Clinical Practice

Bridging the Gaps — Acute to Post-Acute Care

3:05 p.m.–3:40 p.m. | Mandalay J

Understanding Obstacles to Treatment in the Home

Kimberly Wiles BS RRT FAARC, Kittanning PA

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Kimberly Wiles

Various limitations exist when discharging patients to home with various equipment modalities. This lecture will discuss obstacles to care and how to identify barriers to care.

3:45 p.m.–4:20 p.m. | Mandalay J

Accurate Oxygenation — How Does it Affect Readmissions?

Mark Mangus Sr RRT RFPT FAARC, San Antonio TX

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Mark Mangus

Are your patients oxygenated appropriately? This lecture will discuss the limitations in long term oxygen therapy when provided in the home.

4:25 p.m.–5:00 p.m. | Mandalay J

Equipment Limitations in the Home for the Ventilator Patient

Angela King RRT RPFT, Leo IN

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Angela King

Advances in technology have enabled critically ill but stable patients return to their home. This lecture will discuss barriers to care and how to ensure a safe discharge.

3:05 p.m.–3:40 p.m. | Lagoon F | Management

Medical Device Cybersecurity Landscape in Health Care

Marc Schlessinger MBA RRT FACHE, Plymouth Meeting PA

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Marc Schlessinger

With today’s connected health care environment medical device cybersecurity can no longer be a secondary thought. It must be a key strategy for every health care organization. Easy access to the hospital network can be achieved through the many connected medical devices. Many health care systems still utilize outdated and unsupported operating systems which pose an additional threat to the network.

3:10 p.m.–5:05 p.m. | Surf B | General

Open Forum — Poster Discussions #9

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

3:10 p.m.–5:05 p.m. | Surf E | General

Open Forum — Poster Discussions #10

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Open Forum

Researchers and clinicians present research results on bread-and-butter issues in respiratory care. The audience and authors review the posters during the first part of the session. A brief oral presentation (no slides) and audience questions and discussion allow presenters to expand on the work featured on the posters.

Supported by an unrestricted educational grant from

3:45 p.m.–4:20 p.m. | Breakers D | Sleep

ZZZ … ? Fatigue, Sleep Deprivation, and Patient Safety

Jennifer Anderson EdD RRT RRT-NPS, Wichita Falls TX

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Jennifer Anderson

Sleep deprivation can affect the performance of RTs. The amount of impairment that is induced by acute sleep deprivation has consistently been shown to mirror that induced by alcohol. Learn about issues surrounding sleep deprivation that can lead to worsened performance and recommendations to prevent and reduce fatigue. In this interactive lecture we will discuss alertness and performance and the consequences of sleep deprivation.

3:45 p.m.–4:20 p.m. | Lagoon L | Education

Micro-Learning: Latest Fad or Emerging Innovation?

Bill Galvin MSEd RRT FAARC, Havertown PA

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Bill Galvin

Micro-learning is a relatively new phenomenon in the world of teaching and learning. It has been particularly attractive in the world of training and development where time, ease of access, and change of content are of considerable importance. Does it hold value in the classroom, in clinical education, in staff development and/or patient education? This presentation will provide an overview of the concept, the rationale, and steps in development and use for managers and educators.

3:45 p.m.–4:20 p.m. | Mandalay L | Adult Acute

Start Early: Lung-Protective Ventilation in the ED

Daniel Rowley MS RRT FAARC, Charlottesville VA

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Daniel Rowley

Incorporating lung protective mechanical ventilation strategies into clinical practice has improved ARDS outcomes, but its associated mortality remains unacceptably high. Emerging evidence suggests that the early application of a lung protective ventilation strategy in the emergency department may reduce ARDS onset or severity.

3:45 p.m.–4:20 p.m. | Lagoon F | Clinical Practice

Immersing Evidence-Based Practice in All Respiratory Services

Teresa Volsko MBA RRT FAARC, Canfield OH

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Teresa Volsko

There are many barriers that prevent the use of an evidence-based approach to care to transform our practice. This lecture series will describe the tenets of Evidence-Based Practice (EBP), discuss the barriers and present solutions to transform a culture into one which prepares our workforce, level-loads EBP knowledge in an organization, and strategically infuses EBP into the culture by educating and empowering our current and future workforce.

4:25 p.m.–5:00 p.m. | Mandalay D | Clinical Practice

Meeting the Needs of an Asthma Community

Scott Cerreta BS RRT, Phoenix AZ

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Scott Cerreta

The Navajo Nation is home to the largest Indian tribe in the U.S. and sprawls across northeast Arizona, New Mexico, and Utah. National Jewish Health has been awarded an NHLBI grant to develop an Asthma Toolkit Program for the diagnosis and management of childhood asthma within the Navajo Nation where a recent surge of asthma cases have been identified. This lecture will review the collaboration program implemented within an outpatient and inpatient setting.

4:25 p.m.–5:00 p.m. | Lagoon F | Management

Transformational Leadership

Valerie David MHA RRT AE-C, Smyrna GA

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Valerie David

Leaders who display an authentic and transformational leadership style allow for the recognition of needed change and are capable of guiding change by inspiring followers and creating a sense of commitment. These qualities allow the respiratory care leader to feel both comfortable and confident when engaging in the development of themselves and those around them.

4:25 p.m.–5:00 p.m. | Lagoon L | Education

Advancing Your Education, Seeking a Career in Academics, and the Future of Respiratory Care

Robert Joyner PhD RRT FAARC, Delmar MD

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Robert Joyner

Significant frustration can occur when you feel you don’t have the voice and authority you deserve. This discussion will include practical reasons to seek out an advanced degree and how it leads to a more satisfying career in the clinical setting and within academics. Why being smart is not enough, even if it should be.

4:25 p.m.–5:00 p.m. | Breakers D | Sleep

RTs Role in Decreasing Hospital Readmissions

Derrick Orr RRT, Philadelphia PA

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Derrick Orr

RT’s play a vital role in the early recognition and treatment of Sleep Disordered Breathing (SDB). This lecture will identify ways to navigate the pathway from identification to treatment and discuss how outcomes are used to drive change and improve patient care.

4:25 p.m.–5:00 p.m. | Mandalay C | Neonatal/Pediatric

Pediatric Pearls for Optimal Transition to Home Ventilation

Howie Panitch MD, Philadelphia PA

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Howie Panitch

Although focus is often on the acute ventilatory management of the pediatric patient with respiratory failure, one of the biggest challenges is the transition from acute management to chronic ventilatory care. This presentation will discuss pearls for the optimal transition of the infant or child to home ventilation.

4:25 p.m.–5:00 p.m. | Mandalay L | Adult Acute

High Flow Nasal Cannula: Not Just Hot Air

Dean R Hess PhD RRT FAARC, Danvers MA

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Dean R Hess

High flow nasal cannula (HFNC) has been shown to be a safe and effective therapy in various clinical situations. This lecture will review the evidence supporting the use of HFNC to improve gas exchange and improve work of breathing.


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