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October 2026 JournalCast: "Development and Validation of the Respiratory Secretion Scale (RESES) in Mechanically Ventilated Patients"


In this JournalCast, the Editor’s Choice paper from the October 2026 issue of RESPIRATORY CARE will be presented.

In this article, Maria Madden, MS, RRT, RRT-ACCS, FAARC, discusses the RESPIRATORY CARE paper, Development and Validation of the Respiratory Secretion Scale (RESES) in Mechanically Ventilated Patients by Gabriela Ferrari et al.

Retained airway secretions are common in mechanically ventilated patients, yet clinicians still describe them with informal, subjective terms. This journal club reviews Ferrari et al. (Respiratory Care, 2026), who developed and validated the Respiratory Secretion Scale (RESES). RESES is a tool that classifies tracheal secretions into 7 types and 3 amounts. We will review how the scale was built, its inter-rater reliability and its associations with clinical outcomes. We will also discuss the study’s strengths and limitations and whether RESES is ready for bedside use.

Paper(s) to be discussed:
RC-13736.R2 - Development and Validation of the Respiratory Secretion Scale (RESES) in Mechanically Ventilated Patients by Gabriela Ferrari et al.
Editorial: George Ntoumenopoulos

Speaker: Maria Madden, MS, RRT, RRT-ACCS, FAARC

DATE/TIME: Thursday, October 29, 2026 - 2:00-3:00PM EST.

Approved for 1.00 CRCE Hours.

SEMINAR OBJECTIVES

>Identify the study design.
>Identify the research question of the study.
>Discuss the main results of the study.
>Discuss the implications of the study on patient care.
>Discuss comments from accompanying Editorial.

CHAPTERS

RC-13736.R2

Development and Validation of the Respiratory Secretion Scale (RESES) in Mechanically Ventilated Patients - Gabriela Ferrari et al.

Editorial: George Ntoumenopoulos


Speaker Information

Maria Madden, RRT, RRT-ACCS, FAARC, With more than 30 years of experience in respiratory care, Maria has built a distinguished career spanning critical care practice, leadership, research, education, and clinical innovation. Their professional experience includes serving as a respiratory therapist, respiratory supervisor at the University of Maryland Medical Center’s R Adams Cowley Shock Trauma Center, ECMO Specialist, research coordinator, diaphragm pacing coordinator, clinical specialist, and educator for both UMMC Shock Trauma and Intensive Care Online (ICON).
In addition to extensive clinical practice, [Presenter Name] has contributed to respiratory care education as an adjunct professor and faculty member for Towson University, Radford University, and several respiratory therapy programs. They also served as a Clinical Educator and Medical Information Specialist with VERO-Biotech. Currently, they have returned to the University of Maryland Medical Center/R Adams Cowley Shock Trauma Center, where they continue to work both as an educator and a bedside clinician.
Their professional interests include critical care, mechanical ventilation strategies, positional therapy, Acute Respiratory Distress Syndrome (ARDS) management, Airway Pressure Release Ventilation (APRV-TCAV), apnea testing for brain death evaluation, spinal cord injury management, diaphragm pacing, and exogenous pharmacologic interventions.
A recognized leader within the profession, [Presenter Name] previously served a three-year term as the American Association for Respiratory Care (AARC) Section Chair for Adult Acute Care and, as of 2025, serves as an AARC Board Member and Director-at-Large. They have moderated AARC abstract and lecture sessions, published multiple abstracts and articles, co-authored two book chapters, and presented extensively at local, regional, and national conferences, sharing their expertise with healthcare professionals across the country.