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Below are the handouts for lectures being presented at the FOCUS 2019 Conference. They'll become live and accessible to you on September 15th, 2019. Our speakers were kind enough to give us their full PowerPoint presentations. As such, they are the full presentations comprised of proprietary research developed into formal presentations. Please do not utilize these PowerPoints for any reason except to print out as handouts to have during the presentation itself and to have as notes afterward. These presentations will only be available on the FOCUS website until October 15th, 2019 and will not be available at the conference. Scroll down below the lecture handouts to see the OBJECTIVES for each lecture.

RESPIRATORY THERAPY LECTURE HANDOUTS

Lecture 1 - Michael McPeck RRT FAARC
Aerosol Delivery During Mechanical Ventilation

Lecture #2 - Thom Petty BS RRT
Transpulmonary Pressure Guided Ventilation

Lecture #3 - Kenneth Miller MEd, MSRT, RRT-ACCS, NPS, AE-C, FAARC
Pressure Injuries During Invasive & Non-Invasive Ventilation

Lecture #4  - Neil MacIntyre MD FAARC
Using Waveforms to Optimize ARDS Management

Lecture #5 - Kenneth Miller MEd, MSRT, RRT-ACCS, NPS, AE-C, FAARC
Highly Infectious Respiratory Diseases

Lecture 6 - Thom Petty BS RRT
Volumetric Capnography

Lecture 7 - Ken Miller MEd, MSRT, RRT-ACCS, NPS, AE-C, FAARC
Sepsis: The Spiral of Doom

Lecture 8 - Thom Petty BS RRT
ARDS Pathophysiology & Non-Ventilatory Therapies

Lecture 9 - Ken Miller MEd, MSRT, RRT-ACCS, NPS, AE-C, FAARC
Managing Retained Secretions

Lecture 10 – Anthony Asciutto RRT
Building Relationships with Physicians

Lecture 11 - Michael McPeck RRT FAARC
Worth Its Salt - Hypertonic Saline Treatments Revisited

Lecture 12 - Anthony Asciutto RRT
Disruptive Behavior – A Threat to Patient Safety

SLEEP MEDICINE LECTURE HANDOUTS

Lecture #1 - Kathryn Hansen R.EEG T CPC
The Use of Sleep Aides in Our Society

Lecture #2 - David Rapoport MD  
OSA – Whom Should We Treat

Lecture #3 - Rochelle Goldberg MD
Sleep In Women Thru the Ages

Lecture #4 - David Rapoport MD
CPAP and Variants – How do They Work  

3:10pm - Lecture #5 - David Rapoport MD
How To Do CPAP and Bi-Level Titrations – Practical Issues

Lecture 6 - Rochelle Goldberg MD
Insufficient Sleep – Macho No More

Lecture 7 - Jose Colon MD
The Fundamental Nature of Movement, Nutrition, and Sleep

Lecture 8 - Rochelle Goldberg MD
Hospital Sleep Medicine – Saving Lives and Health Care Costs

Lecture 9 - Jose Colon MD
Dreams and the Science of Nightmares

Lecture 10 – Christopher Hart MD
Oral Appliances in Today’s Treatment of OSA and Snoring  

Lecture 11 - Jose Colon MD
An Integrative Approach to Treating Sleep Disorders

Lecture 12 - Kathryn Hansen R.EEG T CPC
Marketing Your Sleep Lab and its Services

PULMONARY FUNCTION LECTURE HANDOUTS

Lecture 1 – Plethysmographic Lung Volume & Airway Resistance Measurement
Jim Sullivan RPFT BS

Lecture 2 – Using and Abusing Predicted Values in the PFT Lab
Gregg Ruppel MEd, RRT, RPFT

Lecture 3 - Matt O’Brien RRT RPFT FAARC
Lab Economics – Why Optimizing Productivity Matters in the PFT Lab

Lecture 4 – Gregg Ruppel MEd, RRT, RPFT
Testing for Exercise-Induced Bronchospasm

Lecture 5 - Carl Mottram RRT, RPFT, FAARC, and Katrina Hynes RPFT
PFT Lab Accreditation Readiness Part 1 - The On-Site Visit & Mechanical Models

Lecture 6 - Carl Mottram RRT, RPFT, FAARC, and Katrina Hynes RPFT
PFT Lab Accreditation Readiness Part 2 - Biological Control Subjects & Reporting Requirements

Lecture 7 – Neil MacIntyre MD
The Six Minute Walk Test and O2 Titration Testing

Lecture 8 - Jim Sullivan RPFT BS
The Finer Points of Pulmonary Function Testing

Lecture 9 - Neil MacIntyre MD
DLCO – Getting with the ATS/ERS Guidelines

Lecture 10 - Jeff Haynes RRT RPFT FAARC
Spirometry - Getting with the ATS/ERS Guidelines

Lecture 11 - Katrina Hynes RPFT
Therapist Driven Protocols in the PF Lab

Lecture 12 - Matt O’Brien RRT RPFT FAARC and Jeff Haynes RRT RPFT FAARC
Controversies in Pulmonary Function Testing - Pro/Con

Lecture 13 - Matt O’Brien RRT RPFT FAARC
Broncho-Provocation/Methacholine Challenges – Getting with the ATS/ERS Guidelines

Lecture 14 - Carl Mottram RRT RPFT FAARC
High Altitude Simulation Testing in the PFT Laboratory

Lecture 15 - Jeff Haynes RRT RPFT FAARC
So You Think You Can Diagnose Asthma

LECTURE OBJECTIVES

 

Sleep Medicine Track

The Use of Sleep Aids in our Society

Objective #1  Discuss the challenges associated with the use of sleep aids for the sleep technologist

Objective #2  Identify the mechanism of sleep aids and their impact on sleep

OSA – Whom Should We Treat?

Objective #1        Define thresholds for attributing consequences to OSA in different dimensions

Objective #2        Present an algorithm for whom to treat depending on the severity and symptoms.

Sleep in Women Thru the Ages

Objective #1 Describe sleep disorders’ risks for women at different life stages

Objective #2  Review treatment considerations for sleep disorders during pregnancy

CPAP and its Variants – How Do They Work?

Objective #1:   Learn the effects CPAP on the airways and the lung including the use of CPAP on OSA.

Objective #2    Discuss variations of the CPAP mode of treatment for OSA.

Conducting CPAP and Bi-Level Titrations – Practical Issues

Objective #1        Understand different approaches to titration between CPAP and Bi-Level

Objective #2        Review examples of adjustments to make for different findings during the titration study

Insufficient Sleep – Macho No More

Objective #1  Define Insufficient Sleep and

Objective #2  List the health risks related to insufficient sleep

The Fundamental Nature of Movement, Nutrition, and Sleep

Objective #1   list effects that exercise and nutrition have on sleep

Objective #2   state the impact of sleep on chronic disease

Hospital Sleep Medicine – Saving Lives and Health Care Costs

Objective #1 Outline the impact of sleep disorders on hospitalized patients and their care

Objective #2 Review hospital economics and the role of untreated sleep disorders and readmission rates

Dreams and the Science of Nightmares

Objective #1        understand the physiology of REM and dreams

Objective #2        identify practical treatments for nightmares

Oral Appliances in Today’s Treatment of OSA and Snoring

Objective #1        Compare the differences between the various types of oral appliances

Objective #2        Assess performance criteria and patient outcomes related to the use of oral appliances

An Integrative Approach to Treating Sleep Disorders

Objective #1 Recognize the standard of care for the pharmacotherapy treatment of insomnia.

Objective #2 Identify nutraceuticals and complementary alternative treatments for insomnia                         

Marketing Your Sleep Lab and Its Services

Objective#1   Discuss the elements of a successful marketing strategy/campaign

Objective #2 Correlate how to measure effective marketing with performance improvement monitoring

Respiratory Care Track 

Aerosol Delivery During Mechanical Ventilation

Objective #1: State the mechanisms that complicate aerosol drug delivery during mechanical ventilation.

Objective #2: Recognize the positive and negative attributes of both pneumatic jet nebulizers and vibrating mesh nebulizers with respect to reliable, controlled and predictable aerosol delivery during mechanical ventilation.

Transpulmonary Pressure-Guided Ventilation

Objective #1        Identify limitations Respiratory Mechanics impose upon managing mechanical ventilators.

Objective #2        Introduce the measurement of Transpulmonary Pressure as a valuable ventilator management tool

Pressure Injuries in Invasive & Non-invasive Ventilation

Objective #1        Define the different classifications of a pressure injury

Objective #2        Describe the clinical interventions to reduce the chance of pressure injury during NIV

Using Waveforms to Optimize ARDS Management

Objective #1        Recognize mechanical aspects of lung injury

Objective #2        Use pressure/flow/volume graphics to minimize lung injury

Highly Infectious Respiratory Diseases

Objective #1    Describe the epidemiology  and prevalence of infectious respiratory diseases

Objective #2    Define the clinical manifestation of infectious respiratory diseases

Volumetric Capnography

Objective #1        state the physiology of CO2 production and the mechanisms for measuring exhaled CO2

Objective #2        Identify the limitations of ETCO2  monitoring and the clinical application of Volumetric Capnography values

Sepsis – The Spiral of Doom

Objective #1        Describe the clinical characteristics of Sepsis

Objective #2        Define the clinical goal targets in the treatment of Sepsis 

ARDS Pathophysiology & Non-Ventilatory Therapies

Objective #1        Understand the pathophysiology and definition of Acute Respiratory Distress Syndrome

Objective #2        Identify the non-ventilatory therapies currently available for  the treatment of ARDS

Managing Retained Secretions

Objective #1 Describe the clinical characteristics of retained secretions

Objective #2 Review the clinical interventions in the treatment of retained secretions 

Building Relationships with Physicians

Objective #1  Identify and understand the physician and healthcare organization structures as they regard transforming the patient care paradigm

Objective #2  Align and engage physicians in the organization to promote change and enhance the medical direction.

Worth Its Salt: Hypertonic Saline Revisited

Objective #1   Relate the history of saline inhalation therapy and its physiologic and mucoactive properties with respect to mucus, sputum, and the airway surface liquid.

Objective #2   Review and examine current clinical applications of saline inhalation plus potential 

Disruptive Behavior – A Threat to Patient Safety

Objective #1 Identify how disruptive employee behavior affects, influences the work environment and patient care.

Objective #2 Establish the criteria needed to help rectify this behavior.

Pulmonary Function Track    

Plethysmographic Lung Volumes & Airway Resistance

Objective #1:  State the measurement principles and physiology of Plethysmographic Vtg measurement.

Objective #2:   Identify and correct patient maneuver performance errors.

Using and Abusing Predicted Values in the PFT Lab

Objective #1 Define the lower limit of normal (LLN) and why it is preferable to a fixed percent predicted threshold.

Objective #2 Explain why using a fixed value for FEV1/FVC can result in false negatives and false positives for identifying airway obstruction.

Lab Economics: Why Optimizing Productivity in the PFT Lab Matters

Objective #1:  Discuss ways to justify your FTEs in the pulmonary lab.

Objective #2:  Discuss methods to improve productivity in the pulmonary lab.

Testing for Exercise-Induced Bronchospasm

Objective #1  Identify intensity and duration of exercise as key components of exercise-induced bronchospasm

Objective #2  Define EIB as a 10-15% fall in FEV1 after 6-8 minutes of exercise

PFT Lab Accreditation Readiness – The On-Site Visit and Mechanical Models

Objective #1    Explain the usefulness of mechanical models in PFT quality assurance

Objective #2     Name the various mechanical models and the expected data outputs associated with each

Objective #3      Demonstrate how to perform the mechanical model

PFT Lab Accreditation Readiness – Biological Control Subjects and Reporting Requirements 

Objective #1   Define the need for a biological control program

Objective #2   Illustrate the prerequisites for a biological control (BioQC) subject

Objective #3   Understand how the BioQC subject should respond to the data

The Six-Minute Walk Test and O2 Titration Testing

Objective #1        State the clinical utility of walk tests

Objective #2        Use a protocol for oxygen titration

The Finer Points of Pulmonary Function Testing

Objective #1:   Discuss various methods for obtaining accurate pulmonary measurements.

Objective #2:   Discuss “Tips & tricks” for obtaining accurate pulmonary measurements.

 DLCO:  Getting with the ATS/ERS Guidelines

Objective #1   State the determinants of CO uptake in the lung

Objective #2   Implement guidelines in performing/interpreting DLCO

Spirometry – Getting with the ATS/ERS Guidelines

Objective #1  Understand equipment specifications and test procedures

Objective #2  Recognize test quality criteria

Therapist Driven Protocols in the PF Lab

Objective #1   State benefits of using therapist driven protocols across all health care settings

Objective #2    Use protocols to develop evidence-based standards/guidelines for pulmonary function practice

Controversies in Pulmonary Function Testing – Pros and Cons

Objective #1: Describe the pros and cons of commonly performed PFTs

Objective #2: Understand the limitations of published guidelines

Bronchial Provocation/Methacholine Challenge Testing

Objective #1  Review the new ERS technical Lecture #1 standard for Methacholine testing

Objective #2  List indications and contraindications for testing.

High Altitude Simulation Testing in the PFT Laboratory

Objective #1  Review the current clinical practice guidelines for High Altitude Simulation Testing.

Objective #2  List the indications for High Altitude Simulation Testing

So You Think You Can Diagnose Asthma?

Objective #1: Recognize the limitations of symptoms and medication trials to diagnose asthma

Objective #2: Describe the role of pulmonary function testing in making an asthma diagnosis