43rd Annual Respiratory Care Seminar

Thursday, October 19, 2023 and Friday, October 20, 2023

Thursday, October 19^th, 2023

8:00 AM to 8:15 AM	8:15 AM to 9:15 AM	9:15 AM to 10:15 AM	10:15 AM to 10:30 AM
Opening remarks Lu Wilford, BS, RRT Director Clinical Services, Respiratory Care	Emergency Management Regional Collaboration and Preparedness Actions Darren Pemberton Director, Emergency Preparedness & Business Continuity Objective: Increase RT understanding of recent emergency preparedness initiatives and FY 24 focus areas Review recent wildfire events and discuss preparedness for future large wildfires Review Lessons Learned from the 2022 Respiratory Surge	New Ideas/Recommendations in Pulmonary Function Testing and Interpretation Jeff Wilson, MD Clinical Professor, Division of Pulmonary Diseases, Critical Care and Occupational Medicine, UI Carver College of Medicine; Medical Director, Pulmonary Function and Cardiopulmonary Exercise Laboratories, Department of Internal Medicine Objective: Understand new recommendations to use Z-scores Understand bronchodilator responsiveness calculation Appreciate the change to use multi-racial reference equation for spirometry	Break

10:30 AM to 11:30 AM	11:30 AM to 1:00 PM	1:00 PM to 2:00 PM	2:00 PM to 3:00 PM
Rib Fractures for the Respiratory Therapist Patrick McGonagill, MD Clinical Associate Professor of Surgery Objective: Review bony anatomy of the thorax Discuss common patterns of rib fractures and their impact on pulmonary physiology Outline typical medical management of rib fractures including respiratory support Introduce indications for and benefits of surgical stabilization of rib fractures	Lunch/Vendor Hall	Flexible Bronchoscopy in Pediatrics Daniel Hinds, MD, MS Clinical Assistant Professor Pediatric Pulmonology Objective: Understand the difference between rigid and flexible bronchoscopy Understand the indications and risks of flexible bronchoscopy Understand the differences between diagnostic and therapeutic bronchoscopy	The Many Face(t)s of Respiratory Therapy: A Case based Tour Thomas Gross, MD Professor of Internal Medicine, Pulmonary, Critical Care and Occupational Medicine Objective: Recognize the many functions of a Respiratory Therapist at an academic center as depicted in this series of fascinomas Link PFT findings to pathology Examine the spectrum of unexpected findings in a bronchoscopy suite Explore the many roles of an RT in the journey from critical illness to discharge

Friday, October 20^th, 2023

8:00 AM to 8:15 AM	8:15 AM to 9:15 AM	9:15 AM to 10:15 AM	10:15 AM to 10:30 AM
Opening remarks Lu Wilford, BS, RRT Director Clinical Services, Respiratory Care	Ventilator Graphics Gregory Schmidt, MD, FCCP Professor and Associate Chief Medical Officer, and Director of UI Hospitals and Clinics Critical Care, Department of Internal Medicine Objective: To understand how ventilator graphics reveal the resistance and compliance of the patient's respiratory system To recognize how to detect desynchrony and use ventilator graphics to adjust ventilator settings To appreciate how graphics differ between pressure-targeted and volume-targeted modes	APRV: Should we be using it? Luis Garcia, MD, FACS Clinical Assistant Professor of Surgery Objective: Be able to describe the basic principles of APRV ventilation Be able to describe the hemodynamic consequences of APRV Be able to understand the evidence-based indications for APRV ventilation	Break

10:30 AM to 11:30 AM	11:30 AM to 12:30 PM	12:30 PM to 1:30 PM	1:30 PM to 2:30 PM
Neonatal Chest X-ray Interpretation John Dagle, MD, PhD Professor Department of Pediatrics, Neonatology Objective: To develop a systematic approach to evaluating neonatal chest x-rays To appreciate the overall similar appearance yet distinguish the differences when encountering alveolar disease To rapidly evaluate and diagnose air leak syndromes To understand the utility of chest x-rays in diagnosing congenital heart disease	Lunch	Phenotypes of COPD Spyridon Fortis, MD Clinical Associate Professor of Internal Medicine – Pulmonary, Critical Care and Occupational Medicine Objective: Describe clinically relevant obstructive lung disease phenotypes Review asthma-COPD overlap Review hyperinflation due to COPD Review chronic hypoxemia and hypercapnia due to COPD	An Overview of Pediatric Asthma Scott Sheets, DO Clinical Associate Professor, University of Iowa Carver College of Medicine, Interim Division Director and Fellowship Director, Pediatric Pulmonology Division, University of Iowa Stead Family Children’s Hospital Objective: Recognize the difficulty with interpreting pediatric asthma literature Recognize the 2 main categories of asthma and how the treatment plan differs Recognize the difference between relievers and controllers

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