AARC LIVE! Virtual Learning Event — Leading Beyond Covid-19.

Respiratory Care Open Forum

2020 Open Forum

Researchers and clinicians present their findings from studies related to pulmonary function testing, pulmonary disease, homecare, and equipment. Authors briefly present their findings and engage in an open discussion with the moderators and attendees.

Supported by an unrestricted educational grant from

Pre-courses Navigation

Wednesday, Nov. 18, 2020

12:00 p.m.–1:30 p.m. Central | Clinical Practice

Editors’ Choice

Richard D. Branson, MSc, RRT, FAARC and Dean R. Hess, PhD, RRT, FAARC/Co-chairs

  • Predicting Pressure Injury Risk in Pediatric Patients Using Masks During Noninvasive Ventilation With the Braden QD Scale — Denise L. Lauderbaugh, San Diego, CA
  • Inpatient Asthma Education Consult Prevents Revisits for Asthma Exacerbations — Joyce Baker, Aurora, CO
  • Respiratory Therapists Staffed in the Pediatric Emergency Department Improves Throughput and Quality Care Measures — Joshua Johnson, Pittsburgh, PA
  • The Impact of High-Flow Nasal Cannula on Swallow Function — Hibbah Alshuwaikhat, Damman, Saudi Arabia
  • Transpulmonary Pressure-Guided Lung Protective Ventilation Improves Pulmonary Mechanics and Oxygenation in Adult Obese Patients — Daniel D. Rowley, Charlottesville, VA
  • Ventilator Driving Pressure and Mortality After Cardiac Surgery — Megan L. Keith, Charlottesville, VA
  • High-Flow Nasal Cannula in Pediatric Critical Asthma — Rachel M. Gates, Durham, NC

2:00 p.m.–3:30 p.m. Central | Diagnostics/PFT

PFTs, Pulmonary Disease, Home Care, and Equipment

Jeffrey M. Haynes, RRT, RPFT, FAARC and John S. Emberger Jr., RRT, RRT-ACCS, FAARC/Co-chairs

  • Evaluating Endogenous Carbon Monoxide Production as an Indicator for Pulmonary Function Testing — Jung Eun Kim, Honolulu, HI
  • The Relationship Between Chronic Lung Disease Status and E-Cigarette Use, and Potential Influence of Excessive Alcohol Use and Marijuana Use on This Relationship — Mohammed M. Alqahtani, Birmingham, AL
  • Research Regarding the Family Caregiver’s Stress Among Patients With Prolonged Mechanical Ventilation — Ya-Hui Hsu, Taichung, Taiwan
  • Survey of COPD Readmission Prevention Practices and Related Outcomes in a Large Health System — Carl Hinkson, Renton, WA
  • 2020 BREATHE-ZY Community Education Program Outcomes — Tyson Standifird, Orem, UT
  • Evaluation of Outpatient Pediatric Spirometry Audits: Comparison of Respiratory Therapy and Nursing Compliance — Katlyn Burr, Wilmington, DE
  • The Effects of Three Percussive Devices on Mucus Clearance in a Cystic Fibrosis Simulated Lung — Preslee Flaugher, Springfield, MO
  • Creating an Asthma-Friendly Home — Melinda Shuler, Bryson City, NC
  • Preliminary Pre-Survey Outcomes of High-Risk Opioid, Post-Operative, Orthopedic Patient Home Monitoring: An Intermountain Research and Medical Foundation Grant Supported Study — Megan Jensen, Ogden, UT
  • Preliminary Post-Survey Outcomes of High-Risk Opioid, Post-Operative, Orthopedic Patient Home Monitoring: An Intermountain Research and Medical Foundation Grant Supported Study — Zeek Tyler, Ogden, UT
  • The Impact of a Home Respiratory Therapist to Reduce 30-day Readmission Rates for Acute Exacerbation of COPD — Monica Truumees, Morris Plains, NJ
  • Safety of Flexible Bronchoscopy During Pediatric Extracorporeal Membrane Oxygenation — John R. Priest, Boston, MA
  • Determining Minimum Number of Attempts to Achieve Repeatability of Sniff Nasal Inspiratory Pressure Measures — Ramandeep Kaur, Chicago, IL
  • Inhaled Maintenance Regimen Changes From MDI and/or DPI to SMI and/or Nebulizer Therapy and Education to Improve Medication Effectiveness With Measurement by CAT Score — Krystal Craddock, Sacramento, CA
  • The Effect of Oral Corticosteroids in Reducing Emergency Revisit of COPD Exacerbation: A Cohort Study — Nihal A. Aldulaim, Riyadh, Saudi Arabia
  • The Effects of Mask Selection and Securement on Percussive Therapy — Alex Cantwell, Springfield, MO
  • Bench Model Comparison of CPAP Delivery in Four Home Care Ventilators — Amanda Nickel, Philadelphia, PA

Friday, Nov. 20, 2020

1:30 p.m.–3:00 p.m. Central | Clinical Practice

Aerosols, Oxygen Therapy, Airway Care

Maria D. Madden, RRT, RRT-ACCS and J. Brady Scott, MSc, RRT RRT-ACCS, AE-C, FAARC/Co-chairs

  • Single Patient Versus Multi-Patient Emergency Travel Bags for Pediatric Tracheostomy Patients: A Cost Analysis — Katlyn Burr, Wilmington, DE
  • Effect on FIO2, Flow, and Filter Resistance in COVID-19 Filtered Tracheostomy Patient Breathing Circuit — Leonid Rabkin, Boston, MA
  • Lung Mechanics Affect Inhaled Oxygen Concentration With Low Flow Devices: An In Vitro Evaluation — Hui-Ling Lin, Taoyuan, Taiwan
  • Influence of Solution Salinity on Aerosol Delivery by a Jet Nebulizer- An In Vitro Study — Hui-Ling Lin, Taoyuan, Taiwan
  • Quantifying Aerosol Delivery Through a Tracheostomy Interface Using Jet and Vibrating Mesh Nebulizers in a Simulated Spontaneously Breathing Pediatric Tracheostomy Model — Gerald Moody, Dallas, TX
  • Use of Anthropomorphic Measures to Predict Correct Tracheal Tube Placement Following Intubation — Teresa Volsko, Akron, OH
  • Efficiency of Small Volume Nebulizer Infection Control Protocol in Reducing Bacterial Contamination — Kylee Marie Badgett, Ocean Springs, MS
  • Comparison of Cough Assist in Mechanical Ventilator on the Differences of Rheological Property and Lung Mechanics — Tetsuo Miyagawa, Yokohama, Japan
  • Setting the Stage: A Culture Change in Prevention of Unplanned Extubation and Decreasing Serious Harm in Pediatric Patients — Angela Saunders, Cincinnati, OH
  • High-Flow Nasal Cannula for Acute Hypoxic Respiratory Failure in COVID-19 — Sarah K. Spilman, Des Moines, IA
  • Face Mask Leak Determines Aerosol Delivery in Noninvasive Positive Pressure Ventilation — Ann D. Cuccia, Stony Brook, NY
  • Cost Effectiveness of a Bedside Tracheostomy Versus Operating Room While Using a #6 Tracheostomy — Pamela Browning Holly, Charlotte, NC
  • Active Humidification and Delivery of Aerosols — Michael McPeck, Stony Brook, NY
  • Breath-Enhanced Nebulization on the Dry Side of the Humidifier — Michael McPeck, Stony Brook, NY
  • Extubation in the Critical Care Setting: Evaluating Evidence-Based Medicine and Cost Analysis — Krystal Craddock, Sacramento, CA
  • Utility of Radiolabeled Saline for Measuring and Imaging Aerosol Delivery in Mechanical Ventilator Systems — Michael McPeck, Stony Brook, NY

3:30 p.m.–5:00 p.m. Central | Neonatal-Pediatrics


L. Denise Willis, MSc, RRT, RRT-NPS, AE-C and Andrew G. Miller, MSc, RRT, RRT-ACCS, RRT-NPS/Co-chairs

  • How Do We Prepare Respiratory Therapists to Work in Neonatal and Pediatric ICUs? A Qualitative Study — Melissa Rivera, Fairfax, VA
  • Validating a New Mathematical Calculation: High Frequency Oscillatory Ventilation Index Compared to the Ventilation Index — Denise L. Lauderbaugh, San Diego, CA
  • A Standard Approach for High Velocity Nasal Insufflation Weaning in Pediatric Bronchiolitis Patients and the Impact on Oxygen Use and Length of Stay — Katlyn L Burr, Wilmington, DE
  • Oxygen Supplementation in a Model of a Ventilator-Dependent Tracheostomized Child — Denise Willis, Little Rock, AR
  • Oxygen Delivery Methods in a Model of a Spontaneously Breathing Tracheostomized Child — Ben Downs, Little Rock, AR
  • Evaluation of Internal Data Trends Versus Respiratory Therapist Documentation for Ventilated Pediatric Patients — Katlyn Burr, Wilmington, DE
  • Using Clinical Guidelines for Early Continuous Positive Airway Pressure to Decrease the Incidence of Chronic Lung Disease in Premature Infants — Shanna Schuele, Aurora, IL
  • Procedure Change Decreases Likelihood of Adverse Events During Surfactant Administration — Sara Murphy, Chicago, IL
  • Transitioning to a New Brand of Surfactant Resulted in Fewer Administered Doses and Provided Potential Cost Savings — Sara Murphy, Chicago, IL
  • Decreasing Unplanned Extubations in a Pediatric Intensive Care Unit — Kelly Massa, Wilmington, DE
  • Leading the Way to Zero, and Maintaining It: Respiratory-Driven VAP Pre Swarms — Kelly Massa, Wilmington, DE
  • Differences in Neonatal Intensive Care Unit Safety Perceptions Between Nurses and Respiratory Therapists — Rachel Culbreth, Atlanta, GA
  • High-Flow Nasal Cannula for Bronchiolitis Management: A Quality Improvement Project for Acute Care Transition — Brian J. Smith, Sacramento, CA
  • Pressure Attenuation During High-Frequency Jet Ventilation: An In Vitro Study — Michael Cusano, Boston, MA
  • A Comparison of Intrapulmonary Percussive Ventilation Placement Inline With a Ventilator for Pediatric Patients — Kelly Massa, Wilmington, DE
  • Reducing Unplanned Extubations in the Neonatal Intensive Care Unit: A Retrospective and Prospective Qualitative Analysis — Shelia Ball, Charlotte, NC
  • Respiratory Therapist-Driven High-Flow Nasal Cannula Protocol: Non-Weight Based Versus Weight-Based for Pediatric Acute Bronchiolitis Patients — Alex Golchehreh, Oakland, CA
  • Effects of NAVA Compared to SIMV on Cardiac Function in Preterm Neonates — Kimberly S. Firestone, Akron, OH

Thursday, Dec. 3, 2020

2:00 p.m.–3:30 p.m. Central | Education


Sarah M. Varekojis, PhD, RRT, FAARC and Shawna L. Strickland, PhD, RRT, RRT-NPS, RRT-ACCS, AE-C, FAARC/Co-chairs

  • Respiratory Care Students’ Readiness for the Professional Phase of the Program — Jackie Heisler, Indiana, PA
  • Utilizing a Respiratory Care Department Research Task Force to Increase Involvement in Respiratory-Driven Research Projects — Katlyn Burr, Wilmington, DE
  • The Development of an Interprofessional Education Faculty Training Course Using Medical Simulations — Kathleen Hernlen, Augusta, GA
  • An Evaluation of Faculty Perceptions and Knowledge of Interprofessional Education After a Faculty Training Course Using Medical Simulation — Kathleen Hernlen, Augusta, GA
  • Family Learning on Asthma Topics — Joyce Baker, Aurora, CO
  • Students’ Perceived Self-Efficacy, Expectations, Barriers, and Support in Enrolling in a Masters’ Degree Program in Respiratory Care — Vincent Showalter, Round Rock, TX
  • Outcomes of a Medical Preparedness Survey: A Utah Valley University Respiratory Therapy Student Research Study — Megan Hepworth, Orem, UT
  • Mechanical Ventilation Education Developed for Non-ICU Clinicians — Karsten J. Roberts, Philadelphia, PA
  • Evaluation of an Asthma Education Program for School Nurses — Kristin Hines, Little Rock, AR
  • Evaluation of the Teaching of Lung Sounds Training Model: Taking the PGY Course of Respiratory Therapist — Szu-I Yu, Taichung, Taiwan
  • Evaluation of Respiratory, Radiography and Nursing Student Responses to Interprofessional Collaboration and Team Skills — Deborah Ann Patten, Highland Heights, KY
  • Respiratory Quality Carnival Improves Unplanned Extubation Rates: An Interactive Approach to Patient Safety Quality Improvement — Jocelyn Law, Atlanta, GA
  • Evaluating the Effectiveness of Peer Tutoring in First-Year Undergraduate Respiratory Therapy Students — Rebecca Oppermann, Columbus, OH
  • Respiratory Therapist Incivility Needs Assessment — Edward Guerrero, Los Angeles, CA
  • The Satisfaction for Pre-Hospital Medical Staff in Wuhan to Solving Mechanical Ventilation-Related Problems After Training — Chia-Chen Chu, TaiChung, Taiwan
  • Perceptions Analysis of E-Cigarette Use in College Students — Lauren Schaupp, Columbus, OH

4:00 p.m.–5:30 p.m. Central | Adult Acute Care

Mechanical Ventilation

Keith D. Lamb, RRT, RRT-ACCS, FAARC and Daniel D. Rowley, RRT, RRT-NPS, RPFT, FAARC/Co-chairs

  • Reducing Arterial Blood Gas Measurements in the Intensive Care Unit — Kenneth Miller, Allentown, PA
  • Pediatric Ventilator-Associated Events: Epidemiology and Comparison of Patient Populations at One Midwest Children’s Hospital — Andreah Schouweiler, Brooklyn Park, MN
  • Conscious Level and Vasopressor Use Were Associated With Successful Weaning From Mechanical Ventilation in ICU Patients — Ching-Hua Su, Taichung, Taiwan
  • Is Selection of Tidal Volume Based on Ideal Body Weight and/or Pulmonary Disease Classification? An Observational Cross-Sectional Study Among Patients in King Abdulaziz Medical City in Riyadh, Kingdom of Saudi Arabia — Al Faisal Mohammad Al Majhad, Riyadh, Saudi Arabia
  • Impact of a Standardized Respiratory Therapist-Driven SBT Protocol on Length of Mechanical Ventilation in Critically Ill Pediatric Patients — Kelly Massa, Wilmington, DE
  • Length of Hospital Stay and Ventilator Days Among Trauma Patients With Major Psychiatric Illness — Rachel Culbreth, Atlanta, GA
  • Ventilator Acquisition and Distribution Within a Regional Hospital System During the COVID-19 Pandemic — Carolyn J. La Vita, Boston, MA
  • Mechanically Ventilated Patients at the Massachusetts General Hospital During the COVID-19 Pandemic — Carolyn J. La Vita, Boston, MA
  • Maryland/DC Invasive Ventilator Utilization in Response to COVID-19 — Robert L. Joyner, Salisbury, MD
  • Bench Evaluation of Two Bag-Squeezer Disaster Ventilators — Esther Chung, Boston, MA
  • The Role of a Virtual Respiratory Therapist for Mechanical Ventilation Protocol Tidal Volume Compliance — Melissa A. Kroll, Charlotte, NC
  • Bench Evaluation of an Airway Clearance Device In Line With a Noninvasive Ventilator for Pediatric Patients — Kelly Massa, Wilmington, DE
  • Portable Electronic Tool Maintains Lung Protective Ventilation and Improves Shift Reports — Neil R. Euliano, Newberry, FL
  • Pulmonary Consequences of Harnessing the Thoracic Pump — Thomas Blakeman, Cincinnati, OH

Saturday, Dec. 5, 2020

10:00 a.m.–11:30 a.m. Central | Clinical Practice


Robert L. Joyner, PhD, RRT, FAARC and Aaron Light, DHSc, RRT, RRT-ACCS, FAARC/Co-chairs

  • Respiratory Muscle Training and Elastic Band Resistance Exercise to Duration of Mechanical Ventilation in Respiratory Care Center: A Preliminary Study in Taiwan Medical Center — Yu Jen Chang, Taichung City, Taiwan
  • Neck Circumference Is Another Factor for Predicting the Success Rate of Extubation — Yu-Fang Chen, Changhua City, Taiwan
  • Prevalence of Compassion Fatigue, Burnout and Compassion Satisfaction Among Respiratory Therapists at King Abdulaziz Medical City in Riyadh — Mohammed Turki Alqahtani, Riyadh, Saudi Arabia
  • Using Experiential Learning in Sleep Education: A Pilot Study — Tamara Douglass Burton, Sykesville, MD
  • Telemonitoring Parameters Used in Home-Based Rehabilitation With COPD: A Systematic Review — Saeed Mardy Alghamdi, London, United Kingdom
  • Predicting Medical Utilization and Mortality of Patients With COPD Using GOLD Criteria — Chen Liu, Taichung, Taiwan
  • Using the ADO Index and Comorbidities to Predict Medical Cost in COPD — Chin-Ling Li, Kaohsiung, Taiwan
  • Manual Bag Valve Mask Ventilation Performance Among Respiratory Therapists: A Cross-Sectional Study and Current Implications for COVID-19 Patients — Rachel Culbreth, Atlanta, GA
  • Comparison Between a Pedometer and an Accelerometer to Measure Daily Steps in Healthy Adults — Abdulelah M. Aldhahir, London, United Kingdom
  • Is It Safe to Use Intrapulmonary Percussive Ventilation on Post-Operative Neonates With Cardiovascular Surgery? — Morgan Nichole Meyers, San Antonio, TX
  • Comparison of Stress: Patient Experiences During Application of Oxygen Therapy With Three Types of Interface Devices Using Kit for Measuring Amylase Activity — Chihiro Nishimoto, Takasaki-shi, Japan
  • Determining Accuracy of Arm Measurements to Predict Height Compared to Actual Height Measurement — Ryan M. Bechtel, York, PA
  • Best Placement of Bleed-In Oxygen on Home Style NIV Devices in the Acute Care Hospital — Ryan M. Bechtel, York, PA
  • Vaping Influences and Perceptions Among College Students With Asthma — Mary Martinasek, Tampa, FL
  • Effect of Airway Pressure Release Ventilation Among Adult Patients With ARDS: Systematic Review and Meta-Analysis — Taha Taher Ismaeil, Riyadh, Saudi Arabia
  • Six-Week Inspiratory Muscle Training Combined With Exercise in Patients Undergoing Video-Assisted Thoracoscopic Surgery: A Randomized Controlled Trial — Jui-Fang Liu, Kaohsiung City, Taiwan
  • The Effect of a High-Flow Nasal Cannula Titration Protocol on Patient Length of Stay in the Pediatric Population — Jessica Overgoner, Austin, TX

1:00 p.m.–2:30 p.m. Central | Management


Cheryl A. Hoerr, MBA, RRT, CPFT, FAARC and Peter Betit, RRT, RRT-NPS, FAARC/Co-chairs

  • A Continuation on Improving Staff Morale in the Respiratory Care Department — Anita Arnsperger, Cincinnati, OH
  • Evaluation of Respiratory Therapist Knowledge of Evidence-Based Guidelines for Preventing Ventilator-Associated Pneumonia in King Abdulaziz Medical City — Razan Meteb Alotaibi, Riyadh, Saudi Arabia
  • Initiating Intensive Care Unit Bedside Report for Respiratory Therapists: A Pilot Perspective — Naomi R. Bugayong, Sacramento, CA
  • Impact of a Formal Research Committee on Respiratory Therapists’ Publications — Andrew G. Miller, Durham, NC
  • Thermographic Imaging to Detect and Prevent Deep Tissue Injuries — Lexie Caraway, Altamont, IL
  • Utilizing Outpatient Staff as Personal Protective Equipment Coaches During the COVID-19 Pandemic — Katlyn Burr, Wilmington, DE
  • Supply Chain Management: The Unsung Hero of the COVID-19 Pandemic — Daniel W. Chipman, Boston, MA
  • Resilience and Burnout Resources in Respiratory Care Departments — Andrew G. Miller, Durham, NC
  • The Medical Cost Difference Between Patients on Prolonged Mechanical Ventilation With or Without Hospice Palliative Care — Yeong-Ruey Chu, Taichung, Taiwan
  • Improving Onboarding by Introducing a Respiratory Care Mentor Program — Lori Coward, Cincinnati, OH
  • Utilization of Lean Principles to Redesign Electronic Charting to Reduce Charge and Documentation Errors by Respiratory Therapists — Joel M. Brown II, Wilmington, DE
  • The Time Course Distribution of Ventilator-Dependent Patients From Receiving Tranquility to Death — Chin-Jung Liu, Taichung, Taiwan
  • Comparison of Reported Burnout Rates During COVID-19 Pandemic — Karsten J. Roberts, Philadelphia, PA
  • Onset of Respiratory Complications in ICU Patients With Three or More Rib Fractures — Kyle M. Schmitt, New Orleans, LA
  • INO Stewardship Utilizing Evidence-Based Medicine to Reduce Ineffective Use and Improve Expenditure — Michelle Young, Sacramento, CA