SCHEDULE AND OBJECTIVES

Thursday, October 13, 2022

Time

8:00 AM to 8:05 AM Opening remarks- Lu Wilford, Director Clinical Services, Respiratory Care

8:05 AM to 9:00 AM

Handout  Patient-Ventilator Asynchrony

Kevin C. Doerschug, MD, MS

Medical Director, MICU, University of Iowa Hospitals and Clinics
Clinical Professor of Internal Medicine - Pulmonary, Critical Care and Occupational Medicine

Objective: 

· Recognize determinants of respiratory drive

· Define Patient-Ventilator Asynchrony

· Recognized asynchrony in ventilator graphics

· Identify methods to mitigate asynchrony

9:10 AM to 10:10 AM

Handout  Evolution of CF respiratory management in the era of highly effective modulators

Douglas B. Hornick, MD,

Clinical Professor of Internal Medicine-Pulmonary, Critical Care and Occupational Medicine

Objective: 

· Understand airway clearance for CF bronchiectasis

· Understand what CFTR modulators do

· What's next for treatment after CFTR modulators.

10:20 AM to 11:20 AM

Handout  Respiratory Management and Outcomes of Periviable Infants Born at 22 to 23 weeks Gestation with First Intention High Frequency Jet Ventilation

Jonathan-Klein, MD

Professor of Pediatrics - Neonatology

Medical Director, Neonatal Intensive Care Unit

Medical Director, Nurse Practitioner Program, Neonatal Intensive Care Unit

Stead Family Children’s Hospital

Objective: 

· Understand the relationship between tidal volume, shear force and lung injury.

· Describe the benefits of high frequency jet ventilation in the periviable preterm infant population born at 22 to 23 weeks gestation.

· Examine management strategies when using HFJV and understand the effects of changes in Jet rate, mean airway pressure, Jet PIP, conventionally generated PEEP and sigh breaths on ventilation and oxygenation in neonates with respiratory failure.

· Describe supportive strategies for respiratory management of infants born at 22-23 weeks gestation from birth to discharge.

· Review long term outcomes when using 1st Intention HFJV for the management of infants born at 22-23 weeks gestation.

12:00 AM to 1:00PM

Handout  Post-Intensive Care Syndrome in the Respiratory Population

Sarah Hackbarth, MSN, RN, CCRN

MICU Assistant Nurse Manager University of Iowa Hospitals and Clinics

Objective: 

· Define Post-Intensive Care Syndrome (PICS) and Post-Intensive Care Syndrome-Family (PICS-F)

· Identify signs, symptoms, and risk factors of PICSDiscuss the correlation between patients with respiratory failure and PICS

· Identify techniques to minimize patient risk for PICS

· Understand the importance of the ABCDEF Bundle in preventing and reducing PICS

1:10 PM to 2:10 PM

Handout Epoprostenol and Nitric Oxide-Mechanisms and Potential Indications

Jonathan Simmons, DO, MSBiosecurity, MSPharm, FCCP, FACOI, FACP, FAADM

Clinical Professor

Co-Division Chief, Critical Care Medicine Surgical Medical Director, Cardiovascular Intensive Care Unit Medical Director, Special Pathogens Unit Co-Director, Critical Care Fellowship Program Chair of Emergency Management Depts. of Anesthesia, Internal Medicine and Emergency Medicine University of Iowa Hospitals and Clinics

Objective: 

· Epoprostenol and Nitric Oxide-Mechanisms and Potential Indications

· Discuss possible indications for these agents and evidence for use

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Friday, October 14, 2022

8:00 AM to 8:05 AM Opening remarks- Lu Wilford, Director Clinical Services, Respiratory Care

8:05 AM to 9:00 AM

Handout Critical Role of Pulmonary Rehabilitation before and after lung transplant

Kaleb T. Veit, DO
Internal Medicine Specialist

Objective: 

· Review Data on the benefit of pulmonary rehabilitation pre and post lung transplant patient population

· Discuss Lung transplant candidate selection

· Review lung transplant outcomes

9:10 AM to 10:10 AM

HandoutTaking Care to Take Care. Strategies to Maintain Compassion Satisfaction

Bronwyn Threlkeld-Wiegand, MSSW, LISW
Director of UI Employee Assistance Program

Objective: 

· Review signs and symptoms of compassion fatigue

· Emotion intelligence skills

· Top 10 strategies to practice self-care

10:20 AM to 11:20 AM

Handout Under Pressure: The Basics of Hyperbaric Medicine

Benjamin Rezny, DO, MA

Clinical Assistant Professor of Anesthesia,

Director, Hyperbaric Oxygenation Program

Director,Surgical and Neuroscienses

Objective: 

· Understand the role of the respiratory therapist in a hyperbaric medicine program

· Learn the history of hyperbaric oxygen therapy

· Understand the physiology of hyperbaric oxygen therapy

· Be able to determine which patients may benefit from hyperbaric oxygen therapy

· Review select hyperbaric patient case examples

12:00 AM to 1:00PM

Handout The Impact YOU Make. RT and the Role in Organ Maximation and Utilization for Transplant

Silla Sumerlin, APRN CPTC and Victoria Stokes, RN CPTC

Iowa Donor Network

Objective: 

· Understanding lung management guidelines

· O2 challenges

· Early data to show the benefits of proning

· Best practices for bronchoscopy, recruitment

· MAP to determine feasibility of turning around lungs that have reversible organ damage

1:10 PM to 2:10 PM

Handout  Management of Pediatric ARDS

Kari Wellnitz, MD

Clinical Assistant Professor of Pediatrics - Critical Care

Objective: 

· Understand and be able to apply the Pediatric Acute Lung Injury Consensus Conference (PALICC) definitions for diagnosing pediatric Acute Respiratory Distress Syndrome (PARDS) and at-risk for PARDS

· Describe the pathophysiology and epidemiology of PARDS

· Review PALICC recommendations for management of pediatric PARDS

All speakers are from the University of Iowa Healthcare unless otherwise indicated.

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