The American Respiratory Care Foundation is again honored to provide an unrestricted education grant to the American Association for Respiratory Care and Daedalus Inc., so that they can hold the 58th Respiratory Care Journal Conference in St. Petersburg, FL, on June 10–11. This year’s conference will focus on monitoring respiratory function in adult acute care.
There are many techniques available for monitoring and bedside assessment of the adult patient. This technology can be used across the continuum of acute care including critical care, in the general care wards, and during transport. It is also standard care in the operating room, but this is beyond the focus of this conference. In this conference, a variety of technologies will be reviewed including monitoring of gas exchange, ventilator graphics, esophageal manometry, lung volume, diaphragmatic function, and breathing pattern. Monitors are usually used with alarms and appropriate alarm settings will be discussed. Beyond the technology itself is the prudent clinical use of such. This part of the conference will include discussions of monitoring during invasive and noninvasive ventilation, on the general care wards, and during transport. Patient-ventilator interactions have received much recent interest; monitoring of synchrony will be discussed. With the ability to collect data continuously form many monitors on and patients and groups of patients, the term “big data” has entered the academic and clinical lexicon. The potential clinical value of this will be discussed.
Objectives for this conference are:
- Describe gas exchange monitors (pulse oximetry, capnography, transcutaneous).
- Discuss physiologic use of ventilator graphics.
- Explain how lung volume can be assessed in mechanically ventilated patients.
- Discuss the use of esophageal manometry in passively breathing and spontaneously breathing patients.
- Describe how breathing frequency, pattern, and effort can be assessed.
- Discuss approaches to assessment of diaphragmatic function.
- Explain how to maximize alarm sensitivity and specificity.
- Discuss the appropriate application of respiratory monitoring during invasive ventilation, noninvasive ventilation, in the general care wards, and during transport.
- Discuss the role of big data in the care of acutely ill adult patients.