Monday, Nov. 11 Gazette

New Horizons tackles pediatric respiratory support

New Horizons Symposium

Attendees at the New Horizons Symposium.

Respiratory support for our youngest patients was addressed during yesterday afternoon’s New Horizons Symposium. The session kicked off with a talk on the “golden hour” in neonatal distress by Craig Wheeler MS RRT RRT-NPS. From there Rob DiBlasi RRT RRT-NPS FAARC addressed pediatric and neonatal high flow nasal cannulas. Christopher Newth MD followed with a presentation on ventilator liberation in the PICU and then Brain Walsh PhD RRT RRT-NPS took a closer look at inhaled pulmonary vasodilators in the NICU and PICU. The session wound up with a presentation by Jordan Rettig MD on the role of high frequency ventilation in neonatal and pediatrics.

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Veterans Day salute to those who have served

Flag Folding Ceremony

AARC Congress 2019 Flag Folding Ceremony.

Every year the AARC holds a Flag Folding Ceremony at the AARC Congress to honor the RTs among us who have served in the armed forces, along with the family members of RTs who have served.

Since today is Veterans Day, the ceremony that took place this morning was even more meaningful, as Congress-goers came together to recognize active duty personnel and veterans of service in a moving tribute on this solemn day of remembrance.

Military members Joseph Buhain EdD RRT FAARC, Harry Roman MA RRT FAARC, and Wadie Williams MS RRT presided over the ceremony, and special recognition went out to Master Sergeant Thomas Wallsmith, the only RT known to have been killed in the line of duty.

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Phil Kittredge Memorial Lecture — Closing the Gap: Improving Critical Thinking Skills for the Respiratory Therapist

Shelley Mishoe

Shelley Mishoe delivers the Kittredge Memorial Lecture.

Critical thinking is essential for any clinician who provides hands on care to patients and even more essential for clinicians who want to expand their opportunities to include areas like patient navigation and case management.

Shelley Mishoe PhD RRT FAARC will review the core components of critical thinking that should be incorporated into respiratory therapy practice in tomorrow’s Kittredge Lecture. She will also discuss ways to ensure critical thinking skills are fostered in educational programs, continuing education, and best practices to enhance patient care.

“I feel like I have come full circle providing this lecture because Phil Kittredge was a role model for being a critical thinker and one of my early career mentors,” says Dr. Mishoe.  Indeed, she credits him with guiding her through her very first publication when he was editor of Respiratory Care. The paper ended up receiving the Bird Literary Award for the year’s best review article in 1980, and she says the process taught her how to publish research articles, negotiate with editors, and respond to feedback from reviewers using critical thinking skills.

“Phil bolstered my own critical thinking through his effective listening and reasoning, permitting me to explain and support my own work without caving to others’ opinions, which helped me to become a better researcher and persuasive writer,” says Dr. Mishoe. “I am honored to present this year’s Phil Kittredge Memorial Lecture to discuss ways we can close the gap in health care outcomes by improving critical thinking of respiratory therapists.”  

Dr. Mishoe is a professor of community and environmental health at Old Dominion University in Norfolk, VA. She earned her PhD in adult education from the University of Georgia and has conducted extensive research in critical thinking and pediatric asthma, as well as in the areas of interprofessional education (IPE) and interprofessional collaborative practice (IPCP). She is currently engaged in projects aimed at gauging the variables affecting IPE and IPCP.

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Editors’ Choice features top 8 abstracts

Editors’ Choice presentation.

This year’s Editors’ Choice session featured the top 8 abstracts submitted to the Open Forum this year. The authors each presented a short slide show on their presentations before taking questions from the audience.

These are the topics they covered —

  • The accuracy of smartphone pulse oximeters in patients visiting an outpatient pulmonary function lab for a 6-minute walk test — J Brady Scott MS BSRT RRT FAARC, Chicago, IL
  • Comparison of methods for spontaneous breathing trials — Maria Madden MS RRT RRT-ACCS, Baltimore, MD
  • Decreasing unplanned extubation in the Neonatal Intensive Care Unit — Deborah Igo RRT RRT-NPS, Portland, ME
  • Mortality risk factors in preterm infants treated with high-frequency jet ventilation — Craig Wheeler BS RRT RRT-NPS, Boston, MA
  • Evaluation of the Modified Pulmonary Index Score to evaluate pediatric asthma severity in the pediatric intensive care unit — Rachel Gates BSRT RRT, Durham, NC
  • The impact an accurate COPD diagnosis may have on 30-day hospital readmissions — Richard Rice MEd RRT, Cleveland, OH
  • EIT assessment of lung volume and tidal distribution: a comparison of two non-invasive ventilation devices — Christopher Culter BSRC RRT RRT-ACCS, Ann Arbor, MI
  • Comparison of vibrating mesh nebulizer versus jet nebulizer in the pediatric asthma patient: a randomized controlled trial — Gerald Moody RRT RRT-NPS, Dallas, TX

The Open Forum is supported by an unrestricted educational grant from Monaghan.

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