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AARC Undergoes Interim Leadership Changes

3 August 2021

Former AARC Executive Director Sam P. Giordano, MBA, RRT, FAARC, steps out of retirement to serve as interim executive director. [More]

Respiratory Care Currents

2 August 2021

In this week’s RC Currents we discuss preterm infants, COVID-19 risks in younger people, inhaled COVID-19 vaccine, and more. [More]

Meet the Candidates for AARC Election 2022

29 July 2021

Meet the candidates running for the 2022 AARC election. [More]

MoreRTs Contest Aims to Inspire Growth in Profession

29 July 2021

MoreRTs.com—a joint marketing collaboration among the AARC, NBRC, and CoARC—launched a new contest. We want to hear your story. To take part, send a video story of your lifesaving work in respiratory care. [More]

AARC Joins Statement in Support of Mandated Vaccines

29 July 2021

With President Tooley’s outreach to the Board of Directors for approval, we have asked that AARC be added to the list of co-signers [More]

Intraoperative Ventilation in the High-Risk Surgical Patient

23 July 2021

Postoperative pulmonary complications contribute to perioperative morbidity and mortality in addition to being associated with increased health care costs. In this review article, we outline risk factors for the development postoperative pulmonary complications, describe their impact on perioperative outcomes, and focus on the role of intraoperative ventilation strategies in decreasing postoperative pulmonary complications. [More]

Prediction of Extubation Failure in COVID-19

23 July 2021

BACKGROUND:SpO2/FIO2 may be a reliable noninvasive alternative to the PaO2/FIO2 index. Furthermore, the ROX index (ie, the ratio of SpO2/FIO2 to breathing frequency) has been validated to predict high-flow nasal cannula failure in subjects under spontaneous breathing. However, these indices have not been tested in subjects with COVID-19 receiving invasive mechanical ventilation. This study aims to verify the correlation between both the ROX index and SpO2/FIO2 with PaO2/FIO2 and the ratio of PaO2/FIO2 to breathing frequency, and to determine the accuracy of the indices that use SpO2 for the prediction of extubation failure in subjects with COVID-19.METHODS:A prospective cohort study… [More]

The Current Practice of Noninvasive Ventilation in Patients With Cystic Fibrosis

23 July 2021

In patients with cystic fibrosis (CF), despite the availability of many different pharmacologic agents, lung function deteriorates and lung disease progresses and leads to hypercapnic respiratory failure in some patients. In such cases, noninvasive ventilation (NIV) seems to be a promising technique that can be used on demand. This review summarizes the current applications of NIV in clinical settings as well as findings of the clinical trials that involved the delivery of NIV on variable occasions, such as an adjunct to physiotherapy, in nocturnal hypoventilation, and acute and chronic respiratory failure. NIV has been used in patients with CF and… [More]

Impact of a Formal Research Committee on Respiratory Therapists’ Publications

23 July 2021

BACKGROUND:Presenting research at national and international meetings is an important aspect of the practice of respiratory care. Our department regularly presented abstracts but few projects were written up as manuscripts. We also noted that we did not have a centralized strategy to evaluate individual projects and provide mentorship. To address these challenges, we formed a Research Committee that meets monthly. We hypothesized that the formation of this committee would be associated with an increase in published manuscripts.METHODS:We evaluated all original research abstracts authored or co-authored by Duke respiratory therapists presented at the AARC Open Forum between 2009 and 2019. Abstracts… [More]

Effects of Shake-Actuation Delay on Delivered Dose and Aerosol Characteristics of an Albuterol Suspension From a Pressurized Metered-Dose Inhaler

23 July 2021

BACKGROUND:Suspensions delivered via a pressurized metered-dose inhaler (pMDI) require shaking the canister before actuation to prevent drug sedimentation. We hypothesized that a shake-actuation delay of an albuterol hydrofluoroalkane (HFA) pMDI will increase and decrease delivered dose (DOSE) at the beginning and end of the canister’s life, respectively, and that aerosol characteristics will remain unchanged with the delay.METHODS:Albuterol HFA pMDIs (90 µg/actuation, 200 doses) operated with and without a 30-s shake-actuation delay, and with and without a valved holding chamber (VHC), were studied. Ten puffs, with a 30-s interval between puffs and 5s of shaking, were actuated into a drug-recovery apparatus.… [More]

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