A LOTT of Oxygen: An Update
Long-term oxygen therapy has been proven to improve survival in COPD patients with severely impaired oxygenation. However, does the COPD patient with moderately impaired oxygenation also benefit from supplemental long-term oxygen therapy? The Long-Term Oxygen Treatment Trial (LOTT), a randomized clinical trial published in 2016, was designed to evaluate the efficacy of supplemental oxygen for this patient population. This presentation will discuss the design and results of the multi-center LOTT and the implications on patient care.
Approved for 1.0 CRCE
Speaker Information
Jerry Krishnan MD, PhD
Alpha-1 Antitrypsin Deficiency and the Respiratory Therapist
Alpha-1 Antitrypsin Deficiency is a genetic disorder that can result in serious lung disease. This not-so-rare genetic disease is greatly underdiagnosed and is the most common known genetic risk factor for emphysema. Up to 3% of all people diagnosed with COPD may have undetected Alpha-1 Antitrypsin Deficiency. This presentation will provide the respiratory therapist with an appreciation of the disease, its prevalence, and its role in COPD as well as strategies for the respiratory therapist to assist in detection, education, and treatment of this population.
Approved for 1.0 CRCE
Speaker Information
Robert Sandhaus MD, PhD, FCCP
Case Studies in Non-Invasive Ventilation: After Patient Selection
There are frequent discussions about which patients are a good fit for non-invasive ventilation; but decisions that come after patient selection are discussed less frequently. This case-based presentation will analyze the challenges and decisions clinicians face once it is determined the patient needs non-invasive ventilatory support.
This course is approved for 1.0 CRCE.
Speaker Information
Brady Scott PhD, RRT, RRT-ACCS, AE-C, FAARC, FCCP
Clinical Application and Case Studies Applying the TCAV method of APRV
Although Airway Pressure Release Ventilation (APRV) has been available in a mechanical ventilator since 1987, there are many clinicians that have never used the mode in clinical practice. To date, there has been no consensus on the parameters essential to define a mechanical breath as being APRV leading to a varying description of APRV over the past three decades since it was first described. Subsequently, APRV is inconsistently applied with significant variation in the settings used in experimental studies and in clinical practice. The goal of this presentation is to review case studies and clinical application using APRV with the Time Controlled Adaptive Ventilation (TCAV) Method which is uniquely personalized to each patient.
Speaker Information
Maria Madden, MS, RRT, RRT-ACCS
Penny Andrews, RN, BSN
High Flow Nasal Cannula: Where are we now?
High flow nasal cannula (HFNC) is no longer a solution looking for a problem. Instead, it has shown to be a supportive therapy that is both safe and effective in various clinical situations. This presentation will review the current literature support for the use of high flow.
Approved for 1.0 CRCE
Speaker Information
Brady Scott PhD, RRT, RRT-ACCS, AE-C, FAARC, FCCP
Interventions to Optimize Oxygenation During Mechanical Ventilation
Maintaining optimal oxygenation during mechanical ventilation can be a challenge, especially for patients with acute lung injury and ARDS. This presentation will discuss the balance between oxygenation and lung protection as well as describe methods to improve oxygenation, including PEEP titration, prone positioning, and inhaled vasodilators.
Approved for 1.0 CRCE
Speaker Information
Dean Hess PhD, RRT, FAARC
RCJ May 2020: PEEP Titration to Mini. Driving Pressure in Pts. w/ ARDS: Prospect. Physio. Study
The speaker will discuss the Editor’s Choice of the May 2020 issue of RESPIRATORY CARE "PEEP Titration to Minimize Driving Pressure in Subjects With ARDS: A Prospective Physiological Study". The presentation focuses on the research design and interpretation of the results.
Approved for 1.0 CRCE
Speaker Information
Presenter: Maria Madden MS, RRT, RRT-ACCS
Moderator: Carl Hinkson MS, RRT, RRT-ACCS, RRT-NPS, FAARC
RCJ Sept. 2022: Decline in Vent. Ratio as a Predictor of Mortality in Proned Adults w/ ARDS
In this presentation the speaker will discuss the Editor’s Choice of the September 2022 issue of RESPIRATORY CARE “Decline in Ventilatory Ratio as a Predictor of Mortality in Adults With ARDS Receiving Prone Positioning”. The presentation will focus on the research design and interpretation of the results.
Approved for 1.0 CRCE
Speaker Information
Presenter: Brady Scott PhD, RRT, RRT-ACCS, AE-C, FAARC, FCCP
Moderator: Mandy De Vries, M.S.-RCL/Ed, RRT, RRT-NPS
Recognizing Work Shifting and Asynchrony During Breath Delivery
Recent advancements in the monitoring of patients receiving mechanical ventilation have led to a deeper understanding of patient-ventilator interaction. Although these advanced monitoring tools may not be commonly available, the bedside clinician can utilize the concepts learned and apply them to expected changes evident on scalar waveforms. This presentation will draw off these concepts and apply the Equation of Motion to recognize abnormalities and work shifting during breath delivery.
Approved for 1.0 CRCE
Speaker Information
Presenter: Eric Kriner BS, RRT
Moderator: Joe Hylton MA, RRT-ACCS, RRT-NPS, NREMT-P, FAARC
Transitioning from Acute Care to Home Care
A primary goal of a successful care transition from acute care to home care is to reduce the need for further, mostly preventable, re-admissions of patients with chronic medical conditions. Prior to COVID, such efforts were largely driven by the need to avoid financial penalties for “excessive” 30-day readmissions. During the present COVID crisis, there is the added pressure of reducing readmissions to safely allow for the reallocation of clinical and human resources for the more acutely ill. Post-COVID, there will likely be further pressures for successful care transition should the expected caseload surge materialize once the pandemic is controlled.
This presentation will review the key steps necessary for the successful transition to home for patients hospitalized for an exacerbation of the chronic respiratory disease. Types of post-hospital resources, required to facilitate continuing self-care needs, will be discussed, including third-party reimbursement options and guidelines. The value that the hospital-based RT can contribute to a successful transition of care process will be highlighted.
Approved for 1.0 CRCE
Speaker Information
Presenters:
Becky K. Anderson RRT
Timothy Buckley MSc, RRT, FAARC
Moderator:
Patrick J. Dunne, MEd, RRT, FAARC