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Big Ideas Theater | Diaphragm Protective Ventilation

23 September 2020

In this episode of Big Ideas Theater we hear from Thomas Piraino, RRT, FCSRT, FAARC, as he discusses Diaphragm Protective Ventilation. [More]

Good Press | September 2020

16 September 2020

In the September edition of Good Press we recognize members who have received awards, managed programs, and more. [More]

This is What it Takes to Recruit the Next Generation of RTs

16 September 2020

We speak with RT veterans to discuss best practices to recruit the next generation of RTs. Read their advice. [More]

Big Ideas Theater | RTs Revolutionizing CPAP Adherence: How Technology is Improving Outcomes

10 September 2020

In this episode of Big Ideas Theater, Felonda Parker, BHS, RRT, RRT-SDS, discusses CPAP aderence and how the RT plays a role. [More]

AARC Disaster Relief Fund Activated

9 September 2020

The AARC has activated its Disaster Relief Fund for AARC members in the following areas: California, due to the recent destruction caused by wildfires, Iowa, due to the recent severe weather and flooding on August 10, 2020, and Louisiana, due to the recent destruction caused by Hurricane Laura beginning on August 22, 2020. Members living... Read more » [More]

Editor's Commentary

24 September 2020

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Comparison of Vibrating Mesh, Jet, and Breath-Enhanced Nebulizers During Mechanical Ventilation

24 September 2020

BACKGROUND:This study compared 3 nebulizer technologies for inter- and intradevice reproducibility, humidification, and fill volume sensitivity during mechanical ventilation: a breath-enhanced jet nebulizer, a vibrating mesh nebulizer, and a jet nebulizer. The breath-enhanced jet nebulizer featured a new design located on the wet side of the humidifier to reduce aerosol loss and potential humidifier contamination. The vibrating mesh nebulizer and the jet nebulizer were placed on the dry side.METHODS:Aerosol delivery was measured using multiple ventilator settings (inspiratory time = 0.45–1.01 s). Using radiolabeled saline and a gamma camera, bench studies were performed using a ventilator to test 4 breathing patterns.… [More]

Local Effects of Two Intravenous Formulations of Pulmonary Vasodilators on Airway Epithelium

24 September 2020

BACKGROUND:Intravenous formulations of epoprostenol are frequently delivered via nebulizer to treat pulmonary hypertension in acutely ill patients. Although their efficacy as pulmonary vasodilators has been shown to be comparable to inhaled nitric oxide, the local effects of these formulations within the airways have not been determined. We hypothesized that the alkaline diluents of these compounds would lead to increased airway epithelial cell death and ciliary cessation.METHODS:Human bronchial epithelial cells were exposed to epoprostenol in glycine and arginine diluents or control fluid. Ciliary beat frequency, lactate dehydrogenase, and total RNA levels were measured before and after exposure. Results were compared between… [More]

Oxygen Conservation Methods With Automated Titration

24 September 2020

BACKGROUND:Oxygen titration is recommended to avoid hyperoxemia and hypoxemia. Automated titration, as well as the SpO2 target, may have an impact on oxygen utilization, with potential logistical effects in emergency and military transportation. We sought to assess the oxygen flow required for different SpO2 targets in spontaneously breathing subjects, and to evaluate individualized automated oxygen titration to maintain stable oxygenation in subjects with COPD and healthy subjects with induced hypoxemia.METHODS:In the first part of the study, oxygen flow was evaluated in hospitalized subjects for different SpO2 targets from 90% to 98%. Oxygen requirements to reach these targets were determined using… [More]

Importance of Nebulizer Drying for Patients With Cystic Fibrosis

24 September 2020

BACKGROUND:Nebulizer therapy is an important treatment component for patients with cystic fibrosis (CF). Nebulizer manufacturers’ guidelines advocate thorough nebulizer drying after washing. The aim of this study, therefore, was to examine the microbiology associated with nebulizer drying, particularly related to Pseudomonas control, and to examine microbiologically non-adherence to the recommended drying procedures.METHODS:Four aspects of nebulizer drying were examined in 3 common nebulizers, including examination of the drying profile, improvement to the drying profile of assembled nebulizers, survival of Pseudomonas aeruginosa in tap water and in tap water plus 0.5% (v/v) dishwashing detergent, and the effect of drying of P. aeruginosa… [More]

8.13 Open Topics - Question and Answer Session with CoARC CEO

We appreciate the participation of those who came!This media type is not supported by your browser.(starts at .22 )...Read More [More]

CoARC 2020 Awards Brochure

Congratulations to all who received an award this year! Attached is a copy of our 2020 awards brochure Read More [More]

Key Personnel Academy Fall Registration

Registration for the Fall Key Personnel Academy has been filled and is now closed. We will be opening registration for the Spring in the near future. Please use the following link to...Read More [More]

Free Education Materials

One of our corporate sponsors, Jones and Bartlett just released free education materials on Mechanical Ventilation related to the SARS-2CoV epidemic (see below). The news release is Read More [More]

Key Personnel Academy Spring 2021 Registration

Registration for the Spring 2021 Key Personnel Academy is now open. Please use the following link to reserve your spot: https://forms.gle...Read More [More]

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PEEPity LLC
1624 Market St STE 226 #60445
Denver, CO 80202
(e) [email protected]
(p) (833) 733-7489

*Please note PEEPity is run by an active Respiratory Therapist and Clinical Director of Education. Email is the best way to reach out for questions and support. Access to help through the phone number during working hours (Monday-Friday 8:00 am - 4:30 pm MST) is unavailable at this time.