• AARC Times November 2020


    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.


    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

  • AARC Times - October 2020


    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.


    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

  • October 2020 RESPIRATORY CARE Journal


    Editor's Commentary 


    Respir Care, October 2020 65:i


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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


    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 


    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


    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


    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


    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


    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


    Inhaled Pulmonary Vasodilators in the Neonatal and Pediatric ICU

    Brian K Walsh

    Respir Care, October 2020 65:1611-1623 doi:10.4187/respcare.08265




    Innovation in Aerosol Drug Delivery During Adult Mechanical Ventilation

    Ariel Berlinski

    Respir Care, October 2020 65:1624-1625 doi:10.4187/respcare.08470


    The Basic Problem

    Bruce K Rubin

    Respir Care, October 2020 65:1626 doi:10.4187/respcare.08405


    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


    Copyright (c) 2020 by the American Association for Respiratory Care.

  • Introducing the AARC Corporate Partners Podcast

    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!
  • AARC Congress 2020 LIVE! - Advanced Pricing

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

    Save Your Spot Today
  • AARC Human Resource Survey Extended to Oct. 11

    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
  • Chance to Highlight Your RT Program

    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 for more details. This is a great opportunity to get publicity for your schools RT program!
  • Now Open! 2021-2022 AARC Apex Recognition Award

    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.
  • RESPIRATORY CARE Journal: RT Internship Opportunity!

    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. 
  • Register for the COVID-19: What’s Next? Preparing for the Second Wave Virtual Event

    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.
  • Get Ready! 2021-2022 AARC Apex Recognition Award

    The AARC Apex Recognition Award is a premier recognition program for respiratory therapy departments and educational programs. The AARC developed the Apex Recognition Award to acknowledge the significant contributions of respiratory therapists. The Apex application period opens Sep. 1, 2020 and closes Nov. 30, 2020. Application materials are now available so you can start getting ready. PREPARE YOUR APPLICATION 

  • 2020 Zenith Award Voting Open

    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.

    Vote June 15 – August 14

  • 50% discount on Job Ad Posts in qualifying states with Emergency COVID-19 Staffing Needs

    Email for more details or review our recruitment kit.
  • May is Allergy/Asthma & Cystic Fibrosis Month

    Take advantage of AARC resources as well as the Asthma and Allergy Foundation and Cystic Fibrosis Foundation’s resources to let your communities know about these conditions.

  • Resources for COVID-19 Community

    The AARC has a community dedicated to sharing COVID-19 resources and dialoguing about challenges and solutions during this outbreak. The AARConnect community is free and open to all AARC members. Just go to the community page and join the discussion and, if you are able, share resources that could help all AARC members.
  • COVID-19 Community available

    The AARC has opened a community dedicated to sharing COVID-19 resources and dialoguing about challenges and solutions during this outbreak. The AARConnect community is free and open to all AARC members. Just go to the community page and join the discussion and, if you are able, share resources that could help all AARC members.