Celebrate Respiratory Care Week 2021 (Oct. 24–30) and let your community, patients, and colleagues know how vital you are to patient care. Visit the RC Week store to get started and plan your celebration. 

The AARC, in partnership with Medtronic, developed two special videos to highlight the profession and the work respiratory therapists do each day. It also serves as a call to our communities to take time to thank a respiratory therapist.

The AARC asks that you share these videos on your social channels. It is our hope that the videos will help increase community awareness of the profession and highlight the essential role the respiratory therapist has played in patient care, during COVID-19 and beyond.

For over 30 years, the AARC has published the Uniform Reporting Manual (URM), with the 5th edition published in 2012. This tool has served RT leaders for decades in utilizing time standards for the most common clinical activities as the hallmark to measuring productivity.

However, measuring productivity alone is no longer relevant if the procedures they deliver are not clinically indicated or driven by evidence-based practice.

As a result, the AARC has expanded and re-branded the URM to the “Safe & Effective Staffing Guide: Achieving Your Mission to Deliver Value-Based Respiratory Care Services.” Known as “The Guide” (or the SESG), this rebranded tool offers many of the same benefits of the URM; however, The Guide expands upon those to meet the 21st century needs of today’s RT leaders.

Every year for the Zenith Award program, AARC members vote for the companies they believe stand out from the crowd. Considerations for the award include the quality of their equipment, supplies, or services; accessibility and helpfulness of their sales personnel; responsiveness; service record; truth in advertising; and support of the respiratory care profession.

Known throughout the profession as the “people’s choice award,” the AARC Zenith Award is the highest honor we have to bestow on the manufacturers who provide us with the tools we need to care for our patients. Voting runs June 15 through Aug. 16, 2021.

Are you focused on caring for patients with asthma? This bundle of AARC original content focuses exclusively on aspects of caring for patients with asthma. This package contains 8 AARC online courses that collectively provide you with 8 CRCE and a 10% discount over the individual courses!

Designed to address unprecedented threats to your revenues, these how-to resources are essential tools for the respiratory therapy, pulmonary function testing, sleep studies/polysomnography and cardiopulmonary departments. BONUS! Get a free copy of the 2021 Respiratory Therapy Update Webcast when you order either one of the books by July 31, 2021. This webcast covers all the changes that went into effect on January 1, 2021.

The earlier you book, the more you save! Our Early Bird rate runs through May 3, so don’t delay! 

Join us June 29, July 1, 7, & 9, as respiratory therapists come together to experience learning in a virtual environment. 

Spread across four days, Summer Forum LIVE! includes 22 sessions that include lectures, symposiums for Leadership and Educators. Summer Forum LIVE! also offers added networking through session conversation, Feel Good Activity Breaks, a Virtual Expo Hall, and Zoom Wrap-Up Chats with Colleagues.

The ARCF has plenty of opportunities for you to add awards to your trophy case – and resume – this year. The ARCF also offers grants to help you make the most of the research you’re passionate about. Unless otherwise noted, the deadline to apply for these awards and grants is June 1, 2021.  

The FORUM offers posters-only sessions, poster discussion sessions and an Editors’ Choice session featuring the top abstracts submitted that year. Everyone from seasoned investigators to first-time researchers can find a place to showcase their work. 

Abstracts for this year’s FORUM in Phoenix, AZ. are due June 1, 2021. Begin preparing your abstract now. 

RTs play a significant role in the treatment of #asthma. Put the 2021 'Asthma and the RT,' course on your to-do list this January! 

The newest edition of the Nutritional Guide is now available! The AARC has published the second edition of the nutritional guide for the assessment and treatment of the critically ill patient. ✅ 

The AARC Apex Recognition Award is a premier recognition program for respiratory care departments in acute care hospitals, long-term care facilities, home medical equipment companies, educational programs, and dedicated transport teams. Congratulations to this year's recipients.

The deadline for proposals is almost here! Send yours by Jan. 13, 2021 at 11:59 p.m. CST. Is there a topic you feel is vital for the profession? Let us know! Send your proposal for 2021 Summer Forum and Congress. AARC Summer Forum: July 12-14, 2021 (Mon. – Wed.) in Bonita Springs, FL AARC Congress: Nov. 6-9, 2021 (Sat. – Tues) in Phoenix, AZ These educational events are multi-disciplinary and cover educational content important to all specialties within the profession. In addition to Adult-Acute Care, Neo/Peds, Management, and Education, the Program Committees is seeking content specific to the following categories: Home Care Transport Pulmonary Rehab Diagnostics Nicotine Dependence COVID-19 Sleep Disorders Patient Safety Ethics

Editor's Commentary    Respir Care, January 2021 66:i http://rc.rcjournal.com/content/66/1/i?etoc    Editor's Choice    Effects of Ventilatory Settings on Pendelluft Phenomenon During Mechanical Ventilation Yusuke Enokidani, Akinori Uchiyama, Takeshi Yoshida, Ryuichiro Abe, Tomonori Yamashita, Yukiko Koyama and Yuji Fujino Respir Care, January 2021 66:1-10 doi:10.4187/respcare.07880 http://rc.rcjournal.com/content/66/1/1.abstract?etoc     Original Research   COPD Overdiagnosis and Its Effect on 30-Day Hospital Readmission Rates Richard D Rice, Xiaozhen Han, Xiaofeng Wang and Mohammed J Al-Jaghbeer Respir Care, January 2021 66:11-17 doi:10.4187/respcare.07536 http://rc.rcjournal.com/content/66/1/11.abstract?etoc   Reducing Unnecessary Nitric Oxide Use: A Hospital-Wide, Respiratory Therapist-Driven Quality Improvement Project Colin M Rogerson, Alvaro J Tori, Acrista J Hole, Elizabeth Summitt, Jayme D Allen, Samer Abu-Sultaneh and Kevin M Valentine Respir Care, January 2021 66:18-24 doi:10.4187/respcare.08347 http://rc.rcjournal.com/content/66/1/18.abstract?etoc   Effect of Different Interfaces on FIO2 and CO2 Rebreathing During Noninvasive Ventilation Li-Li Li, Bing Dai, Jie Lu and Xin-Yu Li Respir Care, January 2021 66:25-32 doi:10.4187/respcare.07444 http://rc.rcjournal.com/content/66/1/25.abstract?etoc   Subject Preferences and Psychological Implications of Portable Oxygen Concentrator Versus Compressed Oxygen Cylinder in Chronic Lung Disease Pasquale Moretta, Antonio Molino, Michele Martucci, Salvatore Fuschillo, Alberto De Felice, Pietro Guida, Andrea Motta, Michele Vitacca and Mauro Maniscalco Respir Care, January 2021 66:33-40 doi:10.4187/respcare.07829 http://rc.rcjournal.com/content/66/1/33.abstract?etoc   Neurally-Adjusted Ventilatory Assist Can Facilitate Extubation in Neonates With Congenital Diaphragmatic Hernia Ryan D Meinen, Yousef I Alali, Awni Al-Subu, Michael Wilhelm, Catherine L Wraight, Ryan M McAdams, Jamie J Limjoco and David J McCulley Respir Care, January 2021 66:41-49 doi:10.4187/respcare.07681 http://rc.rcjournal.com/content/66/1/41.abstract?etoc   Emotional Labor Is Associated With the Mental Health of Respiratory Therapists in Hospitals Yu-Hua Yan, Chih-Ming Kung and Shu-Chen Hsing Respir Care, January 2021 66:50-57 doi:10.4187/respcare.07675 http://rc.rcjournal.com/content/66/1/50.abstract?etoc   Preserved Ratio Impaired Spirometry in a Spirometry Database Andrei Schwartz, Nicholas Arnold, Becky Skinner, Jacob Simmering, Michael Eberlein, Alejandro P Comellas and Spyridon Fortis Respir Care, January 2021 66:58-65 doi:10.4187/respcare.07712 http://rc.rcjournal.com/content/66/1/58.abstract?etoc   A Cross-Sectional Survey of Practice Patterns and Selected Demographics of Respiratory Therapists in India Madhuragauri S Shevade, Rajiv C Yeravdekar and Sundeep S Salvi Respir Care, January 2021 66:66-72 doi:10.4187/respcare.07823 http://rc.rcjournal.com/content/66/1/66.abstract?etoc   The Effect of High Protein and Mobility-Based Rehabilitation on Clinical Outcomes in Survivors of Critical Illness Stephanie Wappel, Dena H Tran, Chris L Wells and Avelino C Verceles Respir Care, January 2021 66:73-78 doi:10.4187/respcare.07840 http://rc.rcjournal.com/content/66/1/73.abstract?etoc   Maximum Voluntary Ventilation and Its Relationship With Clinical Outcomes in Subjects With COPD Ana Carolina Andrello, Leila Donaria, Larissa A de Castro, Letícia F Belo, Lorena P Schneider, Felipe VC Machado, Marcos Ribeiro, Vanessa S Probst, Nidia A Hernandes and Fabio Pitta Respir Care, January 2021 66:79-86 doi:10.4187/respcare.07855 http://rc.rcjournal.com/content/66/1/79.abstract?etoc   Measured CPAP in a Noninvasive Pediatric Airway and Lung Model Neil D Fernandes, Esther Chung, Michael D Salt, Beverly Ejiofor, Ryan W Carroll and Robert M Kacmarek Respir Care, January 2021 66:87-94 doi:10.4187/respcare.07864 http://rc.rcjournal.com/content/66/1/87.abstract?etoc    Face Mask Leak Determines Aerosol Delivery in Noninvasive Ventilation Alexandra Haw, Michael McPeck, Ann D Cuccia and Gerald C Smaldone Respir Care, January 2021 66:95-103 doi:10.4187/respcare.07915 http://rc.rcjournal.com/content/66/1/95.abstract?etoc   Comparison of Two Assessment Tools for Hospitalized Subjects With Asthma Sangeeta K Schroeder, Waheeda Samady, Irini N Kolaitis, Craig M Smith, Hannah Palac, Laura Shreffler and Mary A Nevin Respir Care, January 2021 66:104-112 doi:10.4187/respcare.07761 http://rc.rcjournal.com/content/66/1/104.abstract?etoc   A Treatment to Eliminate SARS-CoV-2 Replication in Human Airway Epithelial Cells Is Safe for Inhalation as an Aerosol in Healthy Human Subjects Michael D Davis, Tatiana M Clemente, Olivia K Giddings, Kristie Ross, Rebekah S Cunningham, Laura Smith, Edward Simpson, Yunlong Liu, Kirsten Kloepfer, I Scott Ramsey, Yi Zhao, Christopher M Robinson, Stacey D Gilk and Benjamin Gaston Respir Care, January 2021 66:113-119 doi:10.4187/respcare.08425 http://rc.rcjournal.com/content/66/1/113.abstract?etoc     Systematic Reviews   Neuromuscular Blocking Agents for ARDS: A Systematic Review and Meta-Analysis Heather Torbic, Sudhir Krishnan, Mary Pat Harnegie and Abhijit Duggal Respir Care, January 2021 66:120-128 doi:10.4187/respcare.07849 http://rc.rcjournal.com/content/66/1/120.abstract?etoc   Spontaneous Breathing Trials in Preterm Infants: Systematic Review and Meta-Analysis Raphaela Farias Teixeira, Aline Carla Araújo Carvalho, Rosana Danielly de Araujo, Felipe Camilo Santiago Veloso, Samir Buainain Kassar and Andrea Monteiro Correia Medeiros Respir Care, January 2021 66:129-137 doi:10.4187/respcare.07928 http://rc.rcjournal.com/content/66/1/129.abstract?etoc     Special Article   Intubation Checklist for COVID-19 Patients: A Practical Tool for Bedside Practitioners Alfred Papali, Anna O Ingram, Amy M Rosenberger, Frances R D'Arcy, Jaspal Singh, Lisa Ahlberg and Christopher D Russell Respir Care, January 2021 66:138-143 doi:10.4187/respcare.08063 http://rc.rcjournal.com/content/66/1/138.abstract?etoc     AARC Clinical Practice Guidelines   AARC Clinical Practice Guideline: Management of Pediatric Patients With Tracheostomy in the Acute Care Setting Teresa A Volsko, Sara W Parker, Kathleen Deakins, Brian K Walsh, Katherine L Fedor, Taher Valika, Emily Ginier and Shawna L Strickland Respir Care, January 2021 66:144-155 doi:10.4187/respcare.08137 http://rc.rcjournal.com/content/66/1/144.abstract?etoc   AARC Clinical Practice Guideline: Management of Adult Patients with tracheostomy in the Acute Care Setting Constance C Mussa, Dina Gomaa, Daniel D Rowley, Ulrich Schmidt, Emily Ginier and Shawna L Strickland Respir Care, January 2021 66:156-169 doi:10.4187/respcare.08206 http://rc.rcjournal.com/content/66/1/156.abstract?etoc     Editorials   Consequences to the Lungs When Gas Swings Between Lung Units During Patient Triggered Mechanical Ventilation Robert M Kacmarek, Lorenzo Berra and Jesús Villar Respir Care, January 2021 66:170-172 doi:10.4187/respcare.08764 http://rc.rcjournal.com/content/66/1/170?etoc   Accurately Diagnosing COPD: A Clinical Challenge With Important Consequences Neil R MacIntyre Respir Care, January 2021 66:173-174 doi:10.4187/respcare.08741 http://rc.rcjournal.com/content/66/1/173?etoc   Respiratory Therapy-Driven Protocols: An Important Component to Decrease Overutilization in Medicine Deanna R Todd Tzanetos and Aaron W Calhoun Respir Care, January 2021 66:175-176 doi:10.4187/respcare.08742 http://rc.rcjournal.com/content/66/1/175?etoc   AARC Clinical Practice Guidelines: Phase 4 Dean R Hess Respir Care, January 2021 66:177-178 doi:10.4187/respcare.08624 http://rc.rcjournal.com/content/66/1/177?etoc     Correspondence    Impact of Early Passive Exercise With Cycle Ergometer on Ventilator Interaction Kelly C Bonorino and Katerine C Cani Respir Care, January 2021 66:179 doi:10.4187/respcare.08643 http://rc.rcjournal.com/content/66/1/179?etoc   The Authors Respond Bruno V Pinheiro, Júlia R Silva and Maycon M Reboredo Respir Care, January 2021 66:180-181 doi:10.4187/respcare.08672 http://rc.rcjournal.com/content/66/1/180?etoc    Copyright (c) 2020 by the American Association for Respiratory Care.

COLUMNS   Clinical Perspectives | Neonatal ETTs: How to Keep Them in & When to Take Them Out An Unplanned extubation (UE) is any unintentional dislodgement of an endotracheal tube (ETT) from the trachea. In the NICU setting, unplanned extubations result in serious harm to critically ill infants each year. In this discussion, the author will focus on optimizing management of mechanically ventilated neonates by addressing the balance between UE prevention and appropriate evaluation for extubation readiness. By Stephen Hepditch, BS, RRT, RRT-NPS, RCP     Clinical Perspectives | Building Channels of Communication During Rounds Effective rounding requires interpersonal communication. A good place to start for the respiratory therapist may be with understanding the value of the RT role in rounds, identifying potential roadblocks, and having the tools to overcome communication barriers. It is imperative that the respiratory therapist attends multidisciplinary rounds by building channels of communication and consistently presenting pertinent information. By Madison Fratzke, BSRT, RRT, RRT-ACCS     Chronic Disease Manager | COPD: A Disease by Assumption Assumptions can often be helpful when guiding clinical decisions that provide efficient, effective therapies for the people in our care. However, assumptions can also be dangerous, leading us to overlook some of the very basics of health. By Mike Hess, MPH, RRT, RPFT     Improve Knowledge, Improve Patient Care Anthony L. DeWitt, JD, RRT, CRT, discusses the value and importance of improving your knowledge and skills.

 

FEATURE ARTICLES   Kansas Educators Go Back to the Bedside When their rural community was inundated with COVID-19 patients, Janae Zachary and Arlette Austin knew they had to pitch in and help. By Debbie Bunch     The Final Chapter Meets a New Beginning AARC Times gives way to The AARC Newsroom in January. By Debbie Bunch

Editor's Commentary 

 

Respir Care, December 2020 65:i

http://rc.rcjournal.com/content/65/12/i 

 

Editor's Choice 

 

Transition From an ICU Ventilator to a Portable Home Ventilator in Children

L Denise Willis, Gary Lowe, Phyllis Pearce, Beverly J Spray, Randy 
Willis, Angela Scott, John L Carroll and Amit Agarwal

Respir Care, December 2020 65:1791-1799 doi:10.4187/respcare.07641

http://rc.rcjournal.com/content/65/12/1791

 

Original Research

 

Invasive Home Mechanical Ventilation: 10-Year Experience of a Pediatric Home Care Service

Eliza Fernanda Borges, Laerte Honorat Borges-Júnior, Antônio José Lana Carvalho, Hyster Martins Ferreira, Wallisen Tadashi Hattori and Vivian Mara Gonçalves de Oliveira Azevedo

Respir Care, December 2020 65:1800-1804 doi:10.4187/respcare.07406

http://rc.rcjournal.com/content/65/12/1800

 

Effects of Zero PEEP and < 1.0 FIO₂ on SpO₂ and PETCO₂ and During Open Endotracheal Suctioning

Jacqueline Rodrigues de Freitas Vianna, Valéria Amorim Pires Di Lorenzo, Miléa Mara Lourenço da S Simões, Jorge Luís Guerra and Maurício Jamami

Respir Care, December 2020 65:1805-1814 doi:10.4187/respcare.07435

http://rc.rcjournal.com/content/65/12/1805

 

Home Overnight Gas Exchange for Long-Term Noninvasive Ventilation in Children

Lucie Griffon, Samira Touil, Annick Frapin, Theo Teng, Alessandro Amaddeo, Sonia Khirani and Brigitte Fauroux

Respir Care, December 2020 65:1815-1822 doi:10.4187/respcare.07488

http://rc.rcjournal.com/content/65/12/1815

 

Comparison of Prognostic Factors Between Direct and Indirect Pediatric ARDS

Da Hyun Kim, Eun Ju Ha, Seong Jong Park and Won Kyoung Jhang

Respir Care, December 2020 65:1823-1830 doi:10.4187/respcare.07605

http://rc.rcjournal.com/content/65/12/1823

 

Objective Measures of Vest Therapy Adherence Among Pediatric Subjects With Cystic Fibrosis

Christine M Benoit, Eric Christensen, Amanda J Nickel, Sophie Shogren, Mahrya Johnson, Elizabeth Franck Thompson and John McNamara

Respir Care, December 2020 65:1831-1837 doi:10.4187/respcare.07421

http://rc.rcjournal.com/content/65/12/1831

 

Avoidance of Routine Endotracheal Suction in Subjects Ventilated for ≤ 12 Hours Following Elective Cardiac Surgery

Eileen Gilder, Shay P McGuinness, Alana Cavadino, Andrew Jull and Rachael L Parke

Respir Care, December 2020 65:1838-1846 doi:10.4187/respcare.07821

http://rc.rcjournal.com/content/65/12/1838

 

Prediction of Mortality With the Use of Noninvasive Ventilation for Acute Respiratory Failure

Francesca Innocenti, Laura Giordano, Simona Gualtieri, Arianna Gandini, Lucia Taurino, Monica Nesa, Chiara Gigli, Alessandro Becucci, Alessandro Coppa, Irene Tassinari, Maurizio Zanobetti, Francesca Caldi and Riccardo Pini

Respir Care, December 2020 65:1847-1856 doi:10.4187/respcare.07464

http://rc.rcjournal.com/content/65/12/1847

 

Involvement of Respiratory Muscles During the Timed Inspiratory Effort Index Measurement With Surface Electromyography

Helson Lino Leite de Souza Costa, Leonardo Cordeiro de Souza, Arthur Evangelista da Silva Neto, Bruno Leonardo da Silva Guimarães, Leandro Miranda de Azeredo, Marcos David Parada Godoy and Jocemir Ronaldo Lugon

Respir Care, December 2020 65:1857-1863 doi:10.4187/respcare.07465

http://rc.rcjournal.com/content/65/12/1857

 

A Comprehensive Bench Assessment of Automatic Tube Compensation in ICU Ventilators for Better Clinical Management

Louis-Marie Galerneau, Nicolas Terzi, Emanuele Turbil, Zakaria Riad, Carole Schwebel, Martin Cour, Laurent Argaud, Claude Guérin and Bruno Louis

Respir Care, December 2020 65:1864-1873 doi:10.4187/respcare.07608

http://rc.rcjournal.com/content/65/12/1864

 

Comparison of the Oxygenation Factor and the Oxygenation Ratio in Subjects With ARDS

Mohamad F El-Khatib, Imad J Bouakl, Chakib M Ayoub, Robert L Chatburn, Hatem Farhat, Mayyas Msheik, Mohamad H Fakih and Ali H Hallal

Respir Care, December 2020 65:1874-1882 doi:10.4187/respcare.07669

http://rc.rcjournal.com/content/65/12/1874

 

Earlier Is Better: Evaluating the Timing of Tracheostomy After Liver Transplantation

Samuel M Miller, Raymond A Jean, Alexander S Chiu, Kristin Oliveira and Peter S Yoo

Respir Care, December 2020 65:1883-1888 doi:10.4187/respcare.07519

http://rc.rcjournal.com/content/65/12/1883

 

Education Experiences of Adult Subjects and Caregivers for Mechanical Insufflation-Exsufflation at Home

Craig M Dale, Doug McKim, Reshma Amin, Sarah Carbone, Tom Fisher, Roger Goldstein, Sherri Katz, Andrea Gershon, David Leasa, Mika Nonoyama, Regina Pizutti, Anu Tandon and Louise Rose

Respir Care, December 2020 65:1889-1896 doi:10.4187/respcare.07534

http://rc.rcjournal.com/content/65/12/1889

 

In COPD, Nocturnal Noninvasive Ventilation Reduces the FIO₂ Delivered Compared With Long-Term Oxygen Therapy at the Same Flow

Michael Cardinale, Pierre-Julien Cungi, Pierre Esnault, Olivier Castagna, Cédric Nguyen, Erwan Daranda, Julien Bordes, Jean-Michel Arnal, Eric Meaudre and Philippe Goutorbe

Respir Care, December 2020 65:1897-1903 doi:10.4187/respcare.07570

http://rc.rcjournal.com/content/65/12/1897

 

Emergency Department Airway Management for Status Asthmaticus With Respiratory Failure

Haley T Godwin, Megan L Fix, Olesya Baker, Troy Madsen, Ron M Walls and Calvin A Brown III

Respir Care, December 2020 65:1904-1907 doi:10.4187/respcare.07723

http://rc.rcjournal.com/content/65/12/1904

 

Postoperative Pulmonary Complications in the Morbidly Obese: The Role of Tidal Volume and Type of Abdominal Surgery

Carlos E Guerra-Londono, Xiaoxia Han and Donald H Penning

Respir Care, December 2020 65:1908-1915 doi:10.4187/respcare.07777

http://rc.rcjournal.com/content/65/12/1908

 

 

Narrative Review

 

Transition From Pediatric to Adult Care for Young Adults With Chronic Respiratory Disease

L Denise Willis

Respir Care, December 2020 65:1916-1922 doi:10.4187/respcare.08260

http://rc.rcjournal.com/content/65/12/1916

 

 

Special Article

 

A Flexible Enclosure to Protect Respiratory Therapists During Aerosol-Generating Procedures

Cameron R Smith, Nikolaus Gravenstein, Thomas E LeMaster, Ceri M Borde and Brenda G Fahy

Respir Care, December 2020 65:1923-1932 doi:10.4187/respcare.08568

http://rc.rcjournal.com/content/65/12/1923

 

 

Editorials

 

To Change Is to Improve

Christopher JL Newth and Narayan P Iyer

Respir Care, December 2020 65:1933-1935 doi:10.4187/respcare.08576

http://rc.rcjournal.com/content/65/12/1933

 

The Current State of Home Mechanical Ventilation in Children

L Denise Willis

Respir Care, December 2020 65:1936-1938 doi:10.4187/respcare.08412

http://rc.rcjournal.com/content/65/12/1936

 

Can Hyperinflation Before and After Open Endotracheal Suctioning Improve Clinical Outcomes?

Ruben D Restrepo

Respir Care, December 2020 65:1939-1940 doi:10.4187/respcare.08483

http://rc.rcjournal.com/content/65/12/1939

 

 

Correspondence 

 

Monitoring Respiratory Mechanics During Multiplex Ventilation?

Ehab G Daoud

Respir Care, December 2020 65:1941 doi:10.4187/respcare.08373

http://rc.rcjournal.com/content/65/12/1941.1

 

The Authors Respond

Robert L Chatburn, Richard D Branson and Umur Hatipoğlu

Respir Care, December 2020 65:1941 doi:10.4187/respcare.08582

http://rc.rcjournal.com/content/65/12/1941.2

  

COLUMNS Clinical Perspectives | Is Your Post Accident Incident Plan Ready for Primetime? One can only hope your Post Accident Incident Plan may never need to be activated, but one never knows when it may be needed. It is best to know how your Post Accident Incident Plan is structured and tested to be the most helpful to staff, their families as well as the transport program. By Steven E. Sittig RRT, RRT-NPS, FAARC Chronic Disease Manager | Cost Burden of COPD & Comorbidities The health care field focuses on ways to decrease readmission rates, but it can overlook the impact of comorbidities for each patient and does not address these for each patient. The complexity of COPD makes it difficult to manage patients consistently and to account for all the possible cost variables. Researchers should continue to look for links between certain comorbidities and COPD. By Lanny Inabnit, MS, RRT, RRT-ACCS, RRT-NPS, RCP, FAARC Wherever life plants you, bloom with grace. AARC President Karen Schell, DHSc, MHSc, BSRC, RRT, RRT-NPS, RRT-SDS, RPFT, RPSGT, AE-C, CTTS, discusses her pride in the members of the profession, reflecting on the grace she has seen in respiratory therapists everywhere. Understanding Hospital Boards Anthony L. DeWitt, JD, RRT, CRT, explains the valuable role board members play in ensuring the hospital (or really, any business) stays on the straight and narrow.

FEATURE ARTICLES 2020 Jimmy A. Young Medal | A Robust Career Set on Talent and Drive When the phone call came informing Terry Volsko that she was to be the 2020 Jimmy A. Young Medalist, she was at a regional NICU with a nursing colleague from Akron Children’s. They were waiting to join the Ohio Department of Health onsite survey team for a tour of the new unit and a one-on-one interview. The upcoming tour had taken a momentary backseat as she tried to contain her delight at the thought of joining the ranks of the elite group of professionals who call themselves Jimmy A. Young Medalists. By Debbie Bunch Precious Cargo | Lake Charles RTs keep infants safe during Hurricane Laura A lot has been written in recent months about the health care heroes who have made a difference in the COVID-19 pandemic. Respiratory therapists are certainly among them. The parents of 19 newborns in Lake Charles, LA, would say hurricanes bring out the health care heroes too. And again, RTs are front and center. By Debbie Bunch

COLUMNS Ventilation for Life | Assessment and Treatment of Anxiety During Mechanical Ventilation This article will review the assessment and treatment of anxiety as it relates to mechanical ventilation. By Karsten Roberts, MSc, RRT, RRT-ACCS Chronic Disease Manager | The Role of Wearable Technology and Smart Phone Applications in COPD Management Many of us these days have established a physical and somewhat emotional connection with wearable technology. It is no wonder that many of us working in health care see the potential benefits that wearable technology and smartphone applications may provide our patients with COPD. By Adam Mullaly, BSRT, RRT, AE-C Invaluable Role of Patient Education AARC Executive Director Thomas Kallstrom, MBA, RRT, FAARC, discusses the importance of patient education as a vital tool in helping ensure their well-being once they are discharged from the hospital. FEATURE ARTICLES The Making of a Virtual Conference AARC Congress LIVE! promises to deliver everything the traditional Congress does, and then some. By Debbie Bunch Following Protocol to Break Barriers Sometimes, it’s about thinking outside the box to find the solutions you need. By Anthony L. DeWitt, JD, RRT, CRT

Editor's Commentary    Respir Care, October 2020 65:i http://rc.rcjournal.com/content/65/10/i?etoc   Editor's Choice    Comparison of Vibrating Mesh, Jet, and Breath-Enhanced Nebulizers During Mechanical Ventilation Sunya Ashraf, Michael McPeck, Ann D Cuccia and Gerald C Smaldone Respir Care, October 2020 65:1419-1426 doi:10.4187/respcare.07639 http://rc.rcjournal.com/content/65/10/1419.abstract?etoc   Original Research   Local Effects of Two Intravenous Formulations of Pulmonary Vasodilators on Airway Epithelium Bradley A Kuch, Rosalie Linssen, Hiroki Yoshikawa, Craig D Smallwood and Michael D Davis Respir Care, October 2020 65:1427-1432 doi:10.4187/respcare.07938 http://rc.rcjournal.com/content/65/10/1427.abstract?etoc   Oxygen Conservation Methods With Automated Titration Stéphane Bourassa, Pierre-Alexandre Bouchard, Marc Dauphin and François Lellouche Respir Care, October 2020 65:1433-1442 doi:10.4187/respcare.07240 http://rc.rcjournal.com/content/65/10/1433.abstract?etoc   Importance of Nebulizer Drying for Patients With Cystic Fibrosis John E Moore, Rachel E Moore, Jane Bell and B Cherie Millar Respir Care, October 2020 65:1443-1450 doi:10.4187/respcare.07362 http://rc.rcjournal.com/content/65/10/1443.abstract?etoc   Clinical Efficacy of Vibrating Mesh and Jet Nebulizers With Different Interfaces in Pediatric Subjects With Asthma Gerald B Moody, Peter M Luckett, Courtney M Shockley, Rong Huang and Arzu Ari Respir Care, October 2020 65:1451-1463 doi:10.4187/respcare.07538 http://rc.rcjournal.com/content/65/10/1451.abstract?etoc   Feasibility of Aerosol Bronchodilators Delivery Through High-Flow Nasal Cannula in Pediatric Subjects With Respiratory Distress Awni M Al-Subu, Vu T Nguyen, Yousef AlAli, Rhonda A Yngsdal-Krenz, Michael R Lasarev, Marlowe W Eldridge and Scott A Hagen Respir Care, October 2020 65:1464-1469 doi:10.4187/respcare.07147 http://rc.rcjournal.com/content/65/10/1464.abstract?etoc   Influence of Gender on Inhaler Technique Birsen Ocakli, Ipek Ozmen, Eylem Acarturk Tuncay, Sinem Gungor, Aylin Ozalp, Yesim Yasin, Nalan Adiguzel, Gokay Gungor and Zuhal Karakurt Respir Care, October 2020 65:1470-1477 doi:10.4187/respcare.06917 http://rc.rcjournal.com/content/65/10/1470.abstract?etoc   Reliability and Minimum Important Difference of Sputum Weight in Bronchiectasis Beatriz Herrero-Cortina, Victoria Alcaraz-Serrano, Antoni Torres and Eva Polverino Respir Care, October 2020 65:1478-1487 doi:10.4187/respcare.07175 http://rc.rcjournal.com/content/65/10/1478.abstract?etoc   Isolated Small Airway Dysfunction and Ventilatory Response to Cardiopulmonary Exercise Testing Aaron B Holley, Donovan L Mabe, John C Hunninghake, Jacob F Collen, Robert J Walter, John H Sherner, Nikhil A Huprikar and Michael J Morris Respir Care, October 2020 65:1488-1495 doi:10.4187/respcare.07424 http://rc.rcjournal.com/content/65/10/1488.abstract?etoc   Adherence to an Oxygen-Weaning Protocol in Mechanically Ventilated Adults in the Medical ICU Kristina E Ramirez, Richard W Wettstein, Sylvia Cuevas, Donna D Gardner and Ruben D Restrepo Respir Care, October 2020 65:1496-1501 doi:10.4187/respcare.07432 http://rc.rcjournal.com/content/65/10/1496.abstract?etoc   Changes in Attitudes and Actual Practice of Oxygen Therapy in ICUs after Implementation of a Conservative Oxygenation Guideline Chloe CA Grim, Hendrik JF Helmerhorst, Marcus J Schultz, Tineke Winters, Peter HJ van der Voort, David J van Westerloo and Evert de Jonge Respir Care, October 2020 65:1502-1510 doi:10.4187/respcare.07527 http://rc.rcjournal.com/content/65/10/1502.abstract?etoc   Phased Quality Improvement Interventions in Reducing Unplanned Extubation in the Neonatal ICU Vrinda Nair and Helena Smith Respir Care, October 2020 65:1511-1518 doi:10.4187/respcare.07643 http://rc.rcjournal.com/content/65/10/1511.abstract?etoc   Higher Class of Obesity Is Associated With Delivery of Higher Tidal Volumes in Subjects With ARDS Saminder S Kalra, Matthew Siuba, Anupol Panitchote, Eduardo Mireles-Cabodevila, Robert L Chatburn, Sudhir Krishnan and Abhijit Duggal Respir Care, October 2020 65:1519-1526 doi:10.4187/respcare.07110 http://rc.rcjournal.com/content/65/10/1519.abstract?etoc   Incidence, Predictors, and Outcomes of Failure of Noninvasive Ventilation in Acute Heart Failure Hospitalization Thomas S Metkus, P Elliott Miller, R Scott Stephens, Steven P Schulman and Shaker M Eid Respir Care, October 2020 65:1527-1533 doi:10.4187/respcare.07661 http://rc.rcjournal.com/content/65/10/1527.abstract?etoc   Respiratory Therapist Intubation Practice in Pediatric ICUs: A Multicenter Registry Study Andrew G Miller, Natalie Napolitano, David A Turner, Kyle J Rehder and Akira Nishisaki Respir Care, October 2020 65:1534-1540 doi:10.4187/respcare.07667 http://rc.rcjournal.com/content/65/10/1534.abstract?etoc   Restarting CPAP Therapy for Sleep Apnea After a Previous Failure Heidi Avellan-Hietanen, Paula Maasilta and Adel Bachour Respir Care, October 2020 65:1541-1546 doi:10.4187/respcare.07766 http://rc.rcjournal.com/content/65/10/1541.abstract?etoc   Impact of Early Passive Exercise With Cycle Ergometer on Ventilator Interaction Júlia R Silva, Maycon M Reboredo, Bruno C Bergamini, Cristiane B Netto, Rodrigo S Vieira, Sérgio PS Pinto, Lídia MC Fonseca and Bruno V Pinheiro Respir Care, October 2020 65:1547-1554 doi:10.4187/respcare.07517 http://rc.rcjournal.com/content/65/10/1547.abstract?etoc   Increased Ratio of Dead Space to Tidal Volume in Subjects With Inhalation Injury Thomas Granchi, Ashley Lemere, Neil Mashruwala, Colette Galet and Kathleen S Romanowski Respir Care, October 2020 65:1555-1560 doi:10.4187/respcare.07515 http://rc.rcjournal.com/content/65/10/1555.abstract?etoc    Systematic Reviews   Impact of Radiographic Bronchiectasis in COPD Lei Shi, Fengxian Wei, Tiantian Ma, Weixin Zhou, Min Li and Yixin Wan Respir Care, October 2020 65:1561-1573 doi:10.4187/respcare.07390 http://rc.rcjournal.com/content/65/10/1561.abstract?etoc   Noninvasive Ventilation as a Weaning Strategy in Subjects with Acute Hypoxemic Respiratory Failure Mengtian Shan, Xiaoqian Pang, Wei Wang, Chao Lan, Rongchang Chen, Changju Zhu and Qi Liu Respir Care, October 2020 65:1574-1584 doi:10.4187/respcare.07542 http://rc.rcjournal.com/content/65/10/1574.abstract?etoc   Narrative Reviews   Variation Among Spirometry Interpretation Algorithms Katrina A D’Urzo, Florence Mok and Anthony D D’Urzo Respir Care, October 2020 65:1585-1590 doi:10.4187/respcare.07294 http://rc.rcjournal.com/content/65/10/1585.abstract?etoc   Usual and Advanced Monitoring in Patients Receiving Oxygen Therapy François Lellouche and Erwan L’Her Respir Care, October 2020 65:1591-1600 doi:10.4187/respcare.07623 http://rc.rcjournal.com/content/65/10/1591.abstract?etoc   New Horizons Symposium   Ventilator Liberation in the Pediatric ICU Christopher JL Newth, Justin C Hotz and Robinder G Khemani Respir Care, October 2020 65:1601-1610 doi:10.4187/respcare.07810 http://rc.rcjournal.com/content/65/10/1601.abstract?etoc   Inhaled Pulmonary Vasodilators in the Neonatal and Pediatric ICU Brian K Walsh Respir Care, October 2020 65:1611-1623 doi:10.4187/respcare.08265 http://rc.rcjournal.com/content/65/10/1611.abstract?etoc   Editorials   Innovation in Aerosol Drug Delivery During Adult Mechanical Ventilation Ariel Berlinski Respir Care, October 2020 65:1624-1625 doi:10.4187/respcare.08470 http://rc.rcjournal.com/content/65/10/1624?etoc   The Basic Problem Bruce K Rubin Respir Care, October 2020 65:1626 doi:10.4187/respcare.08405 http://rc.rcjournal.com/content/65/10/1626?etoc   Automated Oxygen Delivery and Conservation: Promises and Pitfalls David W Kaczka and Jacob Herrmann Respir Care, October 2020 65:1627-1629 doi:10.4187/respcare.08480 http://rc.rcjournal.com/content/65/10/1627?etoc    Copyright (c) 2020 by the American Association for Respiratory Care.

  

The AARC Corporate Partner Program includes best-in-class organizations who support the goals and work of the AARC. That is why we want to familiarize you with our sponsors through podcast episodes. Listen to our first episode where we discuss the respiratory therapy industry with Medtronic, an AARC Platinum Sponsor.

Listen to the first episode now!

Book early and save! Advanced pricing for AARC Congress 2020 LIVE! ends November 2. Take advantage of this deal. 

Save Your Spot Today

Are you curious about how your salary compares with that earned by other therapists? Did you ever wonder how many therapists are involved in special procedures like conscious sedation and emergency intubation? The AARC’s 2020 Respiratory Therapist Human Resources Study will answer these questions and many others that relate to the respiratory therapist workforce. TAKE THE SURVEY HERE

Hello, 
As part of the Be An RT program the AARC would like to highlight some current Program Directors. If you are interested in being highlighted on the Be An RT Twitter page please email me at Addie.Matthews@AARC.org for more details. This is a great opportunity to get publicity for your schools RT program!

The AARC Apex Recognition Award is a premier recognition program for respiratory care departments. The 2021-2022 application period opened on Sept. 1, 2020 and will end Nov. 30, 2020. All applicants will be notified of their application status in early January 2021. If awarded, the recognition period will be valid for a two-year period from January 2021–December 2022.

The internship will allow a currently employed respiratory therapist an opportunity to learn the processes of peer-review, journal production, and other activities of RESPIRATORY CARE. The internship is a remote position. Deadline to apply is Oct. 1. 

Join colleagues worldwide for the COVID-19: What’s Next virtual event Sept. 11-12. In collaboration with the Society of Critical Care Medicine, this conference features the newest research findings, updates, and resources. Anthony S. Fauci, MD, will deliver the plenary lecture.