AARC Congress 2022

November 9–12, 2022
New Orleans, LA

Day 1 — Wednesday, Nov. 9

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8:00 a.m.–9:45 a.m. | Track: General

Awards Ceremony

Daniel Garrett, CAE

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Daniel Garrett

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!

9:50 a.m.–10:30 a.m. | Track: General, Adult Acute Care | CRCE: 0.66

Opening Keynote

Rebuilding What We’ve Lost in COVID: A Perspective from the ICU

Wes Ely, MD, MPH

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Wes Ely

This presentation will describe the difficulties that we as health care professionals are currently experiencing in our desire to provide the best care to ICU patients in the midst of the COVID pandemic. I will explain a scientifically proven method for amplifying humanism and dignity so that we can work, one patient at a time, to resurrect. I will use the power of human story to identify aspects of patient suffering that are epidemic within the pandemic and offer hope and strategy for rebuilding what was lost amid the pandemic mayhem and discuss a path forward.

10:45 a.m.–3:00 p.m. | Track: General

Exhibit Hall Grand Opening

Sheri Tooley, BSRT, RRT, RRT-NPS, CPFT, FAARC
Carl Hinkson, MSc, RRT, RRT-ACCS, RRT-NPS, FAARC

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Sheri TooleyCarl Hinkson

The AARC President and President-Elect open the Exhibit Hall during the annual ribbon cutting ceremony at 10:45 a.m.

As the gold standard of all respiratory care meetings, AARC Congress 2022 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!

11:00 a.m.–12:00 p.m. | Track: General

Orientation for 1st Time Attendees

Dana Evans, MHA, RRT, RRT-NPS, FACHE

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Dana Evans

This lecture will provide tips from previous Congress experiences to help make the most of this year's meeting including lessons learned, prioritizing lectures, and take-home highlights.

12:05 p.m.–12:40 p.m. | Track: Clinical Practice | CRCE: 0.58

The Incredibly Fascinating History of Mechanical Ventilation

Felix Khusid, BSRT, RRT, RRT-ACCS, RRT-NPS, RPFT, FAARC

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Felix Khusid

The respiratory care profession has evolved immensely over the years—from on-the-job trained technicians to highly-skilled practitioners. As respiratory therapists evolved, so did the technology used for patient care, such as mechanical ventilators. Join this lecture to reflect on how our profession and technology simultaneously evolved over the years—and consider how knowing this history will prepare us for the future.

12:45 p.m.–2:40 p.m. | Track: Clinical Practice | CRCE: 1.50

Open Forum #1 — Aerosol Therapy

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TBA

Researchers present the results of their work. Authors briefly present their findings and engage in an open discussion with the attendees.

Supported by an unrestricted educational grant from

12:45 p.m.–2:40 p.m. | Track: Clinical Practice | CRCE: 1.50

Open Forum #2 — Airway Care and Oxygen Therapy

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TBA

Researchers present the results of their work. Authors briefly present their findings and engage in an open discussion with the attendees.

Supported by an unrestricted educational grant from

1:30 p.m.–3:35 p.m. | Track: Diagnostics

Symposium

The PFT and Exercise Laboratories: Standards

1:30 p.m.–2:05 p.m. | CRCE: 0.58

Advanced Cardiopulmonary Exercise Testing for Dyspnea

Tom Cahill, MS, RRT, RRT-NPS, FAARC

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Tom Cahill

Using Advanced Cardiopulmonary Exercise Testing (CPET Level-3), we can completely describe the cardiovascular and pulmonary pathophysiology in a patient with unexplained dyspnea or exercise intolerance. The CPET Level-3 is done with pulmonary artery and radial artery catheters to provide an assessment of exercise capacity and defines the detailed contributions of any cardiac, pulmonary mechanical, pulmonary vascular, hematologic, muscular, or neurologic limitations. The patient undertakes a “ramped protocol test” on a cycle ergometer while on a 12 lead ECG and pulse oximeter. A metabolic cart mouthpiece and tubing are used to measure the ventilation and pulmonary gas exchange. The CPET Level-3 allows accurate measurement of pulmonary arterial and cardiac filling pressures during exercise. It can be most helpful in characterizing an abnormal response of the circulatory system to exertion. Through integrated measurements of hemodynamics, ventilatory equivalents, and cardiac function, the cause of unexplained dyspnea can be determined up to 99% of the time.

2:15 p.m.–2:50 p.m. | CRCE: 0.58

New Guidance for the Use of Race in Selecting PFT Reference Equations

Matthew O’Brien, RRT, RPFT, FAARC

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Matthew O’Brien

This discussion will focus on the newer studies and guidance documents related to race and pulmonary function reference values. Recommendations for future use of reference equations will be made.

3:00 p.m.–3:35 p.m. | CRCE: 0.58

ERS-ATS Interpretation Technical Standards 2021 Update

Carl Mottram, BA, RRT, RPFT, FAARC

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Carl Mottram

This session will focus on the recently released ERS-ATS document on the Interpretation of Technical Standards. A review of the history of technical standards with the current update will be discussed. Implications for the individual PFT laboratory will also be discussed.

1:30 p.m.–3:35 p.m. | Track: Leadership & Management

Symposium

Fostering Resiliency in Times of Crisis

1:30 p.m.–2:05 p.m. | CRCE: 0.58

Reigniting Medicine! Stepping Out of the Embers & Realizing the Potential in Healing

Andrea Espinoza, MD, FCCP, DipABLM

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Andrea Espinoza

As a result of the COVID-19 pandemic, health care professionals are experiencing considerable burnout and mental health issues. The presenter has considerable experience in the areas of mental health and burnout and will outline coping strategies for finding purpose as caregivers on pulmonary and critical care teams.

2:15 p.m.–2:50 p.m. | CRCE: 0.58

Well-Being in Respiratory Care: Drivers of Burnout & Strategies to Increase Resilience

Kyle Rehder, MD, CPPS, FCCM

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Kyle Rehder

This presentation will discuss what causes burnout, including the psychology of burnout in addition to what are the key drivers for burnout among RTs. Strategies and tools to increase individual resilience and organizational interventions will also be discussed.

3:00 p.m.–3:35 p.m. | CRCE: 0.58

Bouncing Back from the Stresses of a Global Pandemic!

Jeremy Parks, MBA, RRT

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Jeremy Parks

Resiliency, Burnout, Compassion Fatigue have become buzzwords over these past two years. Yet, they’ve all been topics of interest for many years, especially in health care. In fact, Jeremy used to cringe at hearing those words—as, most likely, did many of you—knowing a long, overly-positive lecture would follow these words, filled with fluff and very few things one could use or apply to their life. This lecture is not that. This lecture combines Jeremy’s life experiences living with cystic fibrosis and the resiliency training he’s gone through to give real-life, applicable techniques to improve your own resilience and that of your team. Attending this lecture will leave the audience with the tools needed to sustain and combat those moments in life where resiliency is challenged. So, come and gather the tools and arsenal you need to overcome the valleys of life and live a resilient, motivated, happier life.

1:30 p.m.–3:35 p.m. | Track: Adult Acute Care

Symposium

Clinical Practice Guideline Symposium

1:30 p.m.–2:05 p.m. | CRCE: 0.58

Evidence-Based Clinical Practice Guidelines: A Valuable Tool for Respiratory Care

Lynda Goodfellow, EdD, RRT, FAARC

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Lynda Goodfellow

The AARC was one of the first professional organizations to publish CPGs and the commitment dates back more than 30 years. This presentation will review the history of CPGs published in Respiratory Care and secondly, focus on the future direction of evidence-based CPGs.

2:15 p.m.–2:50 p.m. | CRCE: 0.58

CPGs: Adult Tracheostomy, Adult Oxygen, and Artificial Airway Suctioning

Brady Scott, PhD, RRT, FAARC

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Brady Scott

This presentation will review the new CPGs that pertain to adult respiratory care. The recommendations made, and the level of evidence for the recommendations, will be discussed.

3:00 p.m.–3:35 p.m. | CRCE: 0.58

CPGs: Pediatric Tracheostomy, Pediatric Oxygen, and Capillary-Blood Gases

Natalie Napolitano, MPH, RRT, RRT-NPS, FAARC

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Natalie Napolitano

This presentation will review the new CPGs that pertain to neonatal/pediatric respiratory care. The recommendations made, and the level of evidence for the recommendations, will be discussed.

1:30 p.m.–2:50 p.m. | Track: Adult Acute Care

Symposium

Patient Assessment Symposium

1:30 p.m.–2:05 p.m. | CRCE: 0.58

Advanced Arterial Blood Gas Interpretation

Sara Mirza, MD, MS

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Sara Mirza

This lecture on arterial blood gas interpretation will focus on complex acid-base disturbances. The presenter will describe important concepts related to these disturbances including primary causes, expected compensation, and clinical interpretation.

2:15 p.m.–2:50 p.m. | CRCE: 0.58

Integrating Radiology into Mechanical Ventilation Education

Robert Brent Murray, MS, RRT

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Robert Brent Murray

This presentation will address using radiology in a mechanical ventilation course. While chest x-rays are the most common radiological exam, computerized tomography, ultrasound, and magnetic resonance imaging can be especially useful in determining mechanical ventilation effectiveness. Exploration of imaging will be reviewed during this presentation. Common disorders, such as over and under ventilation, pulmonary edema, pleural effusion, and trauma, will be reviewed to integrate mechanical ventilation techniques.

1:30 p.m.–5:05 p.m. | Track: Adult Acute Care

Symposium

New Horizons: Changing Concepts in Mechanical Ventilation

1:30 p.m.–2:05 p.m. | CRCE: 0.58

Mechanical Power, Energy and Lung Injury

L. Felipe Damiani, PT, MSc, PhD

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L. Felipe Damiani

The paradigm shift to low or normal tidal volume and minimizing plateau pressures during mechanical ventilation of subjects with ARDS began with the publication of the ARDSnet ARMA trial in 2000. More recently, attempts have been made to normalize volume and pressure to the available baby lung in ARDS. These concepts of driving pressure, work, power, and energy transmission have begun to demonstrate superior lung protection compared to a tidal volume of driving pressure alone. This lecture will define and discuss these measures and highlight potential changes to clinical practice.

2:15 p.m.–2:50 p.m. | CRCE: 0.58

Diaphragmatic Stimulation During Mechanical Ventilation

Ewan Goligher, MD, PhD

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Ewan Goligher

Ventilator induced diaphragmatic dysfunction (VDD) has been demonstrated to occur quickly in mechanically ventilated patients and is a common finding. Efforts at minimizing VIDD include minimizing sedation and encouraging spontaneous efforts. Timing is the key. More recently, electrical stimulation of the diaphragm, either transvenous, transabdominal or via implanted electrodes, has been implemented. Early pre-clinical work has been promising. Selection of subjects, duration of stimulation, timing and strength of stimulation all require further elucidation. Are these techniques important for ventilator liberation and will duration of ventilation be altered? These issues will be discussed for this promising technology.

3:00 p.m.–3:35 p.m. | CRCE: 0.58

Brain-Lung Cross Talk

Timothy Girard, MD, MSCI

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Timothy Girard

Mechanical ventilation has always been associated with hemodynamic complications which can lead to end organ dysfunction. These are commonly thought of in terms of renal dysfunction and cardiac embarrassment. More recently, muscle weakness and diaphragmatic dysfunction are linked to mechanical ventilation. A hot topic is the issue of brain-lung cross talk. How do breathing, mechanical ventilation and airway pressures impact brain function? The emerging data is compelling and respiratory therapists should appreciate these issues and understand the mechanisms, which will all be discussed in this presentation.

3:45 p.m.–4:20 p.m. | CRCE: 0.58

Esophageal Pressure during Mechanical Ventilation

Eduardo Mireles-Cabodevila, MD

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Eduardo Mireles-Cabodevila

Esophageal manometry and determination of transpulmonary pressure have been important physiologic principles known for decades. Esophageal pressure can be used to monitor the work of breathing and the impact of the chest wall. The use of esophageal pressure has been particularly useful in obesity and chest wall disorders. With the advent of driving pressure and mechanical power — where does esophageal monitoring stand? This talk will describe the current role of esophageal monitoring during mechanical ventilation.

4:30 p.m.–5:05 p.m. | CRCE: 0.58

Mechanical Ventilation during ECMO

Kyle Rehder, MD, CPPS, FCCM

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Kyle Rehder

Extracorporeal support has been touted as a potential treatment for ARDS since 1970. Improvements in technology have made ECMO possible in nearly any setting and the term “ECMO Center” has lost some clout. Outcomes and bleeding complications from ECMO continue to push ECMO to rescue therapy. Amongst the most contentious aspects of ECMO is how to set the ventilator. What are the roles of PEEP, lung rest, mechanical power, and even prone position during ECMO? These issues will be addressed.

3:00 p.m.–3:35 p.m. | Track: Adult Acute Care | CRCE: 0.58

Revisiting the Physiologic Implications of Cardiovascular Disease in Respiratory Care

Tim Gilmore, PhD, RRT, RRT-ACCS, AE-C

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Tim Gilmore

This presentation is designed to emphasize the current best, evidence-based practice in administration of common respiratory care for patients with either acute or chronic cardiovascular disease states. Emphasis will be placed upon physiologic and clinical considerations when administering both inpatient acute and critical care to high-risk patients with a history of cardiovascular compromise.

3:15 p.m.–5:10 p.m. | Track: Leadership & Management | CRCE: 1.50

Open Forum #3 — Management

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Respiratory Care logo

Researchers present the results of their work. Authors briefly present their findings and engage in an open discussion with the attendees.

Supported by an unrestricted educational grant from

3:45 p.m.–4:20 p.m. | Track: Education | CRCE: 0.58

Engaging Students in an Online Inter-collegial Workshop on Effective Communication

Debra Kasel, RRT, RRT-ACCS
Deborah Patten, MA, RRT, CHSE

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Debra KaselDeborah Patten

Students frequently comment on how they feel under-prepared to deal with difficult situations in the health care setting. To address this issue, respiratory faculty from St. Paul’s College, MN, and Northern Kentucky University, KY, developed a workshop for their students to learn and practice the PEEER© Communication model as a structured method for interacting in difficult situations. This presentation recognizes the challenges in teaching effective communication methods to respiratory care students in the online setting. Presenters will discuss the development of the workshop and review follow-up student evaluations. Attendees will identify specific online methods to engage students from different universities; compare ineffective and effective communication techniques using the PEEER communication model; and practice the elements of the PEEER model. PEEER stands for: Plain Language, Engagement, Empathy, Empowerment, and Respect.

3:45 p.m.–4:20 p.m. | Track: Leadership & Management | CRCE: 0.58

Creating a Culture of Teamwork and Collaboration

Scott Pettinichi, MEd, RRT, RRT-NPS, AE-C

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Scott Pettinichi

Creating a culture of collaboration promotes a comfort zone where team members can effectively share clinical observations and concerns they may have. This presentation will include a comprehensive discussion of methods employed to foster this change in culture. The presenter will provide tools and resources for participants to use at their workplace.

3:45 p.m.–4:20 p.m. | Track: Neonatal/Pediatrics | CRCE: 0.58

Reducing Unplanned Extubation in Pediatric Patients

Katlyn Burr, RRT, RRT-NPS, AE-C

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Katlyn Burr

Unplanned extubation (UE) leads to increased morbidity and longer length of stays. Strategies to reduce the incidence of UE are critical. This presentation will review common contributing factors associated with UE and the impact implementation of a prevention bundle has on UE rates in critically ill pediatric patients.

3:45 p.m.–5:05 p.m. | Track: Diagnostics | CRCE: CRCE

Symposium

Pulmonary Function Testing/Rehabilitation

3:45 p.m.–4:20 p.m. | CRCE: 0.58

The Effects of COVID-19 Infection on Resistance, Reactance, and Compliance

Jose Rojas, PhD, RRT, RPFT, FAARC
Khamron Michaels, MHA, RRT

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Jose RojasKhamron Michaels

This presentation reviews the acute effects of COVID-19 infection on pulmonary function in subjects requiring mechanical ventilation and chronically ill survivors who continue to experience dyspnea and fatigue. The presentation will summarize the changes in compliance, resistance, and PaO2/FiO2 ratio in subjects who require mechanical ventilation for at least five days (survivors and non-survivors). In addition, the presentation will summarize the longitudinal changes in spirometry and oscillometry in subjects who continue to complain of dyspnea and fatigue.

4:30 p.m.–5:05 p.m. | CRCE: 0.58

Pulmonary Function Testing and Safety in the COVID-19 Pandemic

Carl Mottram, BA, RRT, RPFT, FAARC

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Carl Mottram

The current COVID-19 pandemic has resulted in many safety concerns for pulmonary function laboratories and pulmonary rehabilitation programs. Practical guidelines for the provision of safe programs from patient and provider perspectives will be discussed.

4:30 p.m.–5:05 p.m. | Track: Neonatal/Pediatrics | CRCE: 0.58

Medical Futility in the Neonatal ICU

Shawna Strickland PhD, CAE, RRT, RRT-NPS, AE-C, FAARC

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Shawna Strickland

Neonates are a vulnerable population, and, in some cases, medical interventions provided in the neonatal ICU may have no overall benefit to the infant. The impact of medically futile interventions extends not only to the patient and family but also the healthcare providers. This presentation will explore the concept of medical futility in the neonatal ICU and its impact on those who care for this population.

4:30 p.m.–5:05 p.m. | Track: Education | CRCE: 0.58

Baby Love: Swaddling Students Toward Professional Need

Jasmine Brown, MS, RRT, RRT-ACCS, CHSE
Nancy Guyse, MS, RRT, RRT-NPS, AE-C

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Jasmine BrownNancy Guyse

The demand for neonatal respiratory therapists continues to be an area of need within the profession. Working with neonates is a specialized skills set that is not typically nurtured in an adult focused curriculum. This traditional structure can unintentionally create fear for the student to care for the neonatal population. How can a program help meet the need, without consuming credit hours? This presentation will showcase a matrix for expanding neonatal didactics that can be customized for any curriculum. A neonatal track can potentially bridge the gap between classroom, clinical skills, and the student’s confidence to care for the tiniest of patients post-graduation.

4:30 p.m.–5:05 p.m. | Track: Leadership & Management | CRCE: 0.58

Leveraging the Medical Director to Advocate and Elevate the RT Team

Sara Mirza, MD, MS

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Sara Mirza

Successful Medical Directors take the time to listen to their stakeholders and their teams, which enables them to connect and build trust. The role of a medical director for the respiratory care team has an impact on the ability to not only build trust with the team, but also elevate the RT professional’s advancement of their skills, which ultimately has a positive impact on patient outcomes. This presentation will review how leveraging the medical director to advocate for the advancement of RT skills will have a positive impact on patient outcomes.

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