Stuff in the neck: ENT, pulmonary or both?

Thursday 1:15 PM - 2:15 PM

Stuff in the neck: ENT, pulmonary or both?

The upper airway is small yet critical component of the respiratory system. This lecture is intended to review the anatomy , and common pathologies that the respiratory professional need to recognize: Vocal cord dysfunction to complications from tracheostomy tubes. Both ENT and Pulmonary perspectives will be engaged in this interesting lecture.

Presented by: Jayme Dowdall, M.D. and Miguel Divo, M.D. 

Ventilatory Management of the Markedly Obese Patient

Thursday 3:25 PM - 4:25 PM

Ventilatory Management of the Markedly Obese Patient

The presentation will begin with the demographics and pathophysiology of obesity. A discussion of the selection of appropriate tidal volume based on ideal body wieght not actual will be presented. In addition the need to recruit the lungs of the obese patient and to properly set PEEP will be discussed in detail. 

Presented by: Robert Kacmarek, P.hD, RRT

Pulmonary Hypertension for the Respiratory Therapist

Thursday 2:20 PM - 3:20 PM

Pulmonary Hypertension for the Respiratory Therapist

This lecture will describe the pathophysiology and natural history of pulmonary arterial hypertension, with emphasis on the role of the respiratory therapist in assisting with diagnosis and management. The impact of critical illness and respiratory failure on pulmonary hypertension will be reviewed.

Presented by: Barbara LeVarge, M.D.

Recruitment Maneuvers: When and How Much

Thursday 2:20 PM - 3:20 PM

Recruitment maneuvers: When and how much

Recruitment maneuvers have been shown to improve oxygenation and alveolar gas volumes in patients with predominately alveolar collapse secondary to surfactant deactivation or lung compression due to an elevated pleural pressure. In fact, in these patients, as much as 50% of the lung may be recruitable. These improvements are short lived after the RM unless the applied PEEP is increased sufficiently to maintain the alveolar patency. In patients with pneumonia or other “primary” ARDS, there may be only 5% to 10% of recruitable lung since much of the affected lung is consolidated and not atelectactic and they demonstrate a markedly reduced response to a RM. It has also been noted that patients receiving high levels of PEEP are less responsive – likely because they have fewer atelectactic lung units.

Presented by: Ray Ritz, BA, RRT, FAARC

Back to the Future

Thursday 1:15 PM - 2:15 PM

Back to the Future

This session will go over two clinical simulations and explain how the exam has changed and challenge the audience to test their knowledge. 

Presented by: Martha DeSilva, M.Ed, RRT-ACCS, RRT-NPS, AE-C and Donna Sullivan, M.Ed, RRT-ACCS, RRT-NPS

Taking a Spin Down Hypoxic Drive

Thursday 11:15 AM - 12:15 PM

Taking a Spin Down Hypoxic Drive

It is a common misconception that any patient with chronic CO2 retention will become apneic when hyperoxic.  The objective of this lecture is to discuss the myths and misconceptions of a hypoxic respiratory drive.  

Presented by: Dan Fisher, MS, RRT

Surviving Before Thriving Part II: It Hasn’t Gotten Any Better

Thursday 9:00 AM - 10:00 AM

Surviving Before Thriving Part II: It Hasn’t Gotten Any Better

This is a follow up to the original Surviving Before Thriving presentation, reviewing how significant the issues are within the respiratory care profession and the continued need for us to reshape and reinvent our profession to ensure survival. Also includes some outstanding examples of success within specific departments & hospitals.

Presented by: Michael Hewitt RRT-ACCS, RRT-NPS, RCP, FAARC, FCCM

The Team Approach To Decannulation

Wednesday 3:50 PM - 4:50 PM

The Team Approach To Decannulation

This lecture should inspire you to join/develop your multidisciplinary tracheostomy team.  You will learn the facts and figures behind the complications of tracheotomy, and why focus is placed on the team process, protocol development, maintaining competencies, and the importance of the QI process.

Presented by: Linda Dean, RRT

Re-evaluation, Rehabilitation & Resiliency: An Alpha-1/COPD Adventure

Wednesday 2:45 - 3:45 PM

Re-evaluation, Rehabilitation & Resiliency: An Alpha-1/COPD Adventure

A patient’s poignant narration of the onset of symptoms and his eventual diagnosis of Alpha-1 antitrypsin deficiency (genetic COPD).  Follow his 21 year history of treatment, decline, lung transplantation and remarkable recovery. Presentation includes the essentials of Alpha-1; how it is inherited, screening methods, and available therapies. 

Presented by: Len Geiger, BS

The Role of Electrical Impedence Tomography in Mechanical Ventilation in Children

Wednesday 2:45 PM - 3:45 PM

The Role of Electrical Impedence Tomography in Mechanical Ventilation in Children

Electrical Impedence Tomogrpahy (EIT) uses changes in electrical impendence between air-filled versus tissue or fluid-filled spaces in order to characterize and quantify regional distribution of lung volume at the bedside. EIT-derived parameters have been used to differentiate atelectatic, overdistened, and adequately recruited lung in different lung regions by a number of investigators. Despite the ability of EIT to monitor regional lung behavior, the use of EIT derived indices has not been shown to improve outcomes in animals or humans with acute lung injury until last year when Drs. Wolf, Arnold and colleagues developed an EIT guided mechanical ventilation strategy that demonstrated promise in an animal model. Through this translational model they were able to demonstrate that EIT guided ventilation was superior to a national and standardized ventilation protocol called Acute Respiratory Distress Syndrome Network (ARDSNet) Ventilator Protocol. 

Presented by: Jordan S. Rettig, M.D.

Respiratory Compromise and the Role of the RT

Wednesday 11:00 AM - 12:00 PM    

Respiratory Compromise and the Role of the RT

Respiratory Compromise is a term that is frequently used but lacking clear definition. Patients across the hospital may be at risk due to medications, procedures, co-morbidities, and other factors. This presentation will discuss the cascade of respiratory compromise from being at risk to respiratory failure/arrest and how earlier identification may lead to prevention rather than rescue.

Presented by: Paul Nuccio, MS, RRT, FAARC