Dean Hess, PhD, RRT, FAARC is Assistant Director of Respiratory Care, Massachusetts General Hospital, and Associate Professor of Anesthesia, Harvard Medical School, Boston, MA. He has over 35 years of experience in respiratory care, including clinical, research, teaching, and administrative responsibilities. Since January, 2008, Dean Hess has been Editor-in-Chief of RESPIRATORY CARE, the official science journal of the American Association for Respiratory Care. He is on the Editorial Boards of the Journal of Aerosol Medicine, International Anesthesiology Clinics, and Critical Care Alert. His research interests include aerosol delivery techniques, adult mechanical ventilation, and critical care monitoring. He is a Fellow of the American Association for Respiratory Care, the American College of Chest Physicians, and the Society of Critical Care Medicine. He has published over 200 papers and 7 books. His books have been translated to several from English to several foreign languages. He has had a high level of professional activity, including committee appointments with the American Association for Respiratory Care, the American College of Chest Physicians, the American Thoracic Society, the Society of Critical Care Medicine, and 2 years as President of the National Board for Respiratory Care. He has lectured extensively throughout the United States, as well as in Europe, Southeast Asia, Africa, and South America.

 

Shelley C. Mishoe, PhD, RRT, FAARC, received a PhD in Adult Education from the University of Georgia, Athens, MEd in Education from Augusta State University, and BS in Respiratory Therapy from SUNY Upstate Medical University. At the present time, she is Associate Provost for Academic Strategic Initiatives, Professor of Respiratory Therapy, and Interim Director of the Center for Patient and Family Centered Care at Medical College of Georgia, Georgia’s Health Sciences University. She has held faculty positions at Chang Gung University in Taiwan, Capella University, Medical College of Georgia, and SUNY Upstate Medical University. Mishoe is Director, Quality Enhancement Plan (QEP) for reaffirmation by SACSCOC since 2009; CoA Rep, Commission on Accreditation for Allied Health Professions (CAAHEP) since 2007; a Member of the Georgia Hospital Association; a member of the Editorial Board for RESPIRATORY CARE since 1994, and is a 2009-2010 Fellow of the American Council on Education (ACE) Fellows Program. Mishoe has a high level of professional activity, including past leadership appointments with Commission for Accreditation in Respiratory Care (CoARC), Committee for Accreditation in Respiratory Care (CoARC), Southern Association of Allied Health Deans at Academic Health Centers, Healthcare Education Accreditation Services Corporation, Association of Schools of Allied Health Professions, Lambda Beta National Honor Society, Southern Association of Allied Health Deans at AHC, House of Delegates - American Association for Respiratory Care, Committee for AARC House of Delegates Strategic Planning, Georgia Delegate to the AARC House of Delegates, and Georgia Society for Respiratory Care.

 

Neil MacIntyre, MD is a native of Southern California but received his medical degree and internal medicine training at Cornell University in New York City. After three years of service as a US Navy flight surgeon at the Naval Aerospace Medical Research Lab in Pensacola FL, he returned to California for a pulmonary disease fellowship at the University of California, San Francisco. He was then recruited to the faculty at Duke University where he has spent the remainder of his career. At the present time, he is a Professor of Medicine (with tenure), Clinical Chief of the Pulmonary/Critical Care Division, and Medical Director of Respiratory Care Services. His research interests range from clinical pulmonary physiology to large scale randomized trials in COPD and acute respiratory failure. Currently he is on the Steering Committee of two large NIH multicenter trials: the Long Term Oxygen Trial (LOTT), and the Acute Respiratory Distress Syndrome Network (ARDSnet). To date he has over 200 peer reviewed articles and reviews, is the editor/co-editor of eight books, and is on the editorial board of five important journals. He is the past president of the American Lung Association of North Carolina, the National Association of Medical Directors of Respiratory Care, and the current Vice-Chair of the American Respiratory Care Foundation. Important honors include Alpha Omega Alpha, The Surgeon Generals Award for Aviation Medicine, the Forrest Bird Award for lifetime scientific achievement, and the Jimmy Young Medal from the American Association for Respiratory Care. He is listed both in “Best Doctors in America” and “Who’s Who in the World”.

 

William F. Galvin is an Assistant Professor for the School of Allied Health Professions, Program Director for the Respiratory Care Program and a member of the teaching and administrative faculty for the TIPS (Teacher Improvement Project System) Program at Gwynedd-MercyCollege. He has been a respiratory therapist for over 35 years and been on faculty at GMC since December of 1981 where he first served as Director of Clinical Education for two years before becoming the Director of the Respiratory Care Program in 1983. He holds an administrative and teaching faculty position for the TIPS Program (Teacher Improvement Project System), a national program designed to prepare practicing health care professionals to assume roles as clinical and classroom teachers. Additionally, he teaches in the Center for Life Long Learning and in the Bachelors of Health Science Degree Program. He earned his Bachelor’s degree in political science from La SalleCollege and his Master’s degree in Education (with a concentration in Health) from St. Joseph’s University. He is a registered and certified respiratory therapist, certified pulmonary function technologist and certified asthma educator. He has significant publishing experience. He has provided numerous article reviews, abstracts, and contributing chapters for such publishing companies as; Springhouse Corporation, Delmar/ Cengage Learning, FA Davis, CV Mosby, Williams and Wilkins, W B Saunders/ Elsevier, and Jones and Bartlett Learning. He has presented at the local, state and national level on topics such as communication skills, wellness, health promotion, disease prevention, patient education, interviewing and assessment skills, programmatic and regional accreditation, outcome assessment, recruitment and retention, and a variety of student survival topics and concepts related to the art of teaching and learning.

　Creating a Therapeutic Climate

　Components of the Health History

　Vital Signs

　Techniques of Assessment

　Physical Examination of the Lungs and Thorax

　Assessment of Other Body Systems

　Physiology of Gas Exchange

　Assessment of Gas Exchange

　Physiologic Mechanisms of Hypercapnia

　Physiology of Acid–Base Balance

　Definition of Acid and Base

　Concept of pH

　Buffer Solutions

　Henderson-Hasselbalch Equation

　Base Excess

　Anion Gap

　Strong Ion Difference

　Regulation of pH

　Erythrocytes and Acid–Base Control

　Acid Production and Excretion

　Acid–Base Disorders

　Interpretive Strategies for Acid–Base Disorders

　History of Arterial Blood Gas Analysis

　Blood Gas Analyzers

　Blood Gas Sampling

　Quality Control

　Pulse Oximetry

　Capnography

　Transcutaneous Blood Gas Monitoring

　Respiratory Rate and Pattern

　Cardiac Rate and Rhythm

　Arterial Blood Pressure

　Central Venous Pressure Monitoring

　Pulmonary Artery Catheters

　Clinical Use of Hemodynamic Measurements

　Evaluation of Ventricular Function

　Valvular Function

　Coronary Artery Disease

　Cardiac Conduction System

　Serum Electrolytes

　Serum Chemistries Associated with Renal Function

　Serum Enzyme Activity

　Cardiac Enzymes and Proteins

　Miscellaneous Serum Chemistries

　Coagulation Tests

　Hematology

　Laboratory Standards and Quality Control

　Density and Contrast

　The Normal Chest Radiograph

　Abnormalities Seen on Chest Radiographs

　Cross-Sectional Imaging Techniques

　Goals of Pulmonary Function Testing

　Spirometry

　Lung Volumes and Capacities

　Diffusing Capacity

　Specialized Pulmonary Function Tests

　Diagnostic Bronchoscopy

　Therapeutic Bronchoscopy

　Airway Stenting

　Pleural Disease

　Future Directions

　Normal Sleep and Sleep Stages

　Polysomnography Components

　Scoring Criteria

　Polysomnography Report

　Effects of Nutrition on Respiratory Function

　Nutrition Assessment

　Calculation of Energy Requirements

　Nutritional Support Guidelines

　Normal Cardiopulmonary Response to Exercise

　Incremental Exercise Testing

　Interpreting the Results of Incremental Cardiopulmonary Exercise Testing

　Timed Walk Tests

　Indications for Cardiopulmonary Exercise Testing

　Safety Issues

　Chemical and Physical Properties of Therapeutic Gases

　Therapeutic Gases in Respiratory Care

　Storage and Distribution of Medical Gases

　The Rationale for Supplemental Oxygen

　Patient Conditions Commonly Warranting Oxygen Therapy

　Limitations of Supplemental Oxygen

　Complications and Hazards of Oxygen Therapy

　Dosage Regulation and Administration Devices

　Oxygen Administration Devices

　Monitoring the Physiologic Effects of Oxygen

　Clinical Application of Oxygen Therapy

　Helium–Oxygen Therapy

　Carbon Dioxide Therapy

　Nitric Oxide Therapy

　Humidity

　Normal Heat and Moisture Exchange

　Goals of Humidity Therapy

　Devices Used for Humidification

　Bland Aerosol Therapy

　Device Selection for Humidity Therapy

　Aerosol Drug Administration

　Aerosol Generators

　Aerosol Delivery During Mechanical Ventilation

　Aerosol Delivery by Tracheostomy

　Selection of an Aerosol Delivery Device

　Normal Mechanisms of Mucociliary Transport

　Sputum Collection

　Airway Clearance

　Lung Expansion Therapy

　Oropharyngeal Airways

　Nasopharyngeal Airways

　History of Intubation

　Selection and Training of Personnel

　Indications for Endotracheal Intubation

　The Difficult Airway: Assessment and Strategy

　Endotracheal Intubation

　Tracheostomy

　Tracheostomy Tubes

　Airway Cuff Concerns

　Airway Clearance

　Cardiopulmonary Resuscitation

　Basic Life Support

　Advanced Cardiovascular Life Support

　Ethical Concerns

　Basic Concepts

　Input Power

　Power Transmission and Conversion

　Control System

　Control Variables

　Phase Variables

　Modes of Ventilation

　Targeting Scheme

　Output

　Effects of the Patient Circuit

　Ventilator Alarm Systems

　The Equation of Motion

　Indications for Mechanical Ventilation

　Complications of Mechanical Ventilation

　Ventilator Settings

　Monitoring the Mechanically Ventilated Patient

　Choosing Ventilator Settings for Different Forms of Respiratory Failure

　Ventilatory Support Involves Trade-Offs

　Liberation from Mechanical Ventilation

　Interfaces

　Noninvasive Positive Pressure Ventilation

　Continuous Positive Airway Pressure

　Negative Pressure Ventilation, Rocking Beds, and Pneumobelts

　Neonatal Assessment

　Oxygen Therapy

　Mechanical Ventilation

　Manual Ventilation

　Airway Management

　Nasal Continuous Positive Airway Pressure

　Noninvasive Positive Pressure Ventilation

　Conventional Infant and Pediatric Ventilation

　High-Frequency Ventilation

　Adjuncts to Neonatal and Pediatric Mechanical Ventilation

　Mechanisms of Functional Deterioration in Patients with Chronic Lung Disease

　Program Structure

　The Process of Pulmonary Rehabilitation

　Outcomes from a Pulmonary Rehabilitation Program

　Reimbursement Issues

　Home Care Services

　Goals of Home Care

　The Medicare Program

　Requirements for Home Medical Equipment Companies

　The Respiratory Therapist as Home Care Provider

　The Initial Home Visit

　Bag Technique

　Home Environment Evaluation

　Long-Term Oxygen Therapy

　Home Mechanical Ventilation

　History

　The Threat

　Planning for Mass Casualty Respiratory Failure

　Ventilator Performance Characteristics

　Ventilators for Mass Casualty Respiratory Failure

　Triage

　The Demography of Aging

　Aging Pulmonary Anatomy and Physiology

　Geriatric Patient Assessment

　Atypical Disease Presentation

　Geriatric Pharmacotherapy

　Communicating with Older Adults

　Pulmonary Disease After Age 65 Years

　Medical Information Management

　Electronic Medical or Health Records

　Appropriate Handling of Patient Information

　Patient Safety

　Safety Initiatives and Respiratory Care Applications

　Forces Driving Disease Management

　History and Evolution of Disease Management

　Terms, Factors, and Concepts Associated with Disease Management

　Goals of Disease Management

　Basic Principles of Disease Management

　Diseases Targeted for Disease Management Programs

　Steps to Develop a Disease Management Program

　Barriers and Opportunities

　Respiratory Therapists as Disease Managers

　Making the Case for Patient Education

　Definition of Terms

　Teaching and Learning Aspects of Patient Education

　Indications and Goals in Patient Education

　Process of Patient Education

　Examples of Patient Education Programs

　The Evolving Role of Respiratory Therapists as Decision Makers and Consultants

　Introduction to Guidelines, Protocols, and Pathways

　Outcomes Evaluation and Evidence: What Do the Data Show?

　Consultation Skills for Healthcare Professionals

　Respiratory Therapists as Healthcare Consultants

　Transmission of Infection

　Strategies for Infection Control

　Regulatory Agencies

　Cleaning, Disinfection, and Sterilization

　Precautions

　Healthcare-Associated Infections Related to Respiratory Care Equipment

　Epidemiology

　Pathophysiology

　Pathogenesis

　Risk Factors

　Other Asthma Phenotypes

　Disease Severity Classification

　Assessing Control of Asthma

　Objective Measurements

　Pharmacologic Therapy

　Aerosol Therapy

　Adjunctive Treatments

　Education

　Burden of Chronic Obstructive Pulmonary Disease

　Definitions and Staging of Disease

　Etiology of Chronic Obstructive Pulmonary Disease

　Pathophysiology of Chronic Obstructive Pulmonary Disease

　Diagnosis and Clinical Course

　Outpatient Care of Stable Chronic Obstructive Pulmonary Disease

　Surgery

　Overview of Management of Stable Chronic Obstructive Pulmonary Disease

　Managing Exacerbations

　Palliative and End-of-Life Care

　Pathophysiology

　Classification

　Clinical Presentation and Diagnostic Evaluation

　Pathology

　Prognosis

　Management

　Associated Diseases

　Pathophysiology

　Epidemiology

　Diagnosis

　Management of Selected Pulmonary Vascular Diseases

　Definition and Classification of Pneumonia

　Diagnostic Workup

　Bacterial Causes of Pneumonia

　Anaerobic Bacterial Infection

　Viral Causes of Pneumonia

　Mycobacterial Causes of Pneumonia

　Fungal Respiratory Infections

　Actinomycosis and Nocardiosis

　Community-Acquired Pneumonia

　Healthcare-Associated Pneumonia and Hospital-Acquired Pneumonia

　Pneumonia in Immunocompromised Patients Without HIV Infection

　Pneumonia in Patients with HIV Infection

　Pneumonia in Children

　History

　Pathogenesis

　Diagnosis

　Extrapulmonary Manifestations

　Respiratory Manifestations

　Major Respiratory Complications

　Standard Therapy of Lung Disease

　Definition

　Incidence

　Etiology

　Clinical Manifestations

　Pathobiology

　The National Institutes of Health ARDS Network

　Management

　Outcomes

　Preoperative Assessment and Management

　Preoperative Testing

　Intraoperative Risk Factors

　Postoperative Respiratory Failure: Assessment and Management

　Atelectasis

　Pulmonary Emboli and Pulmonary Thromboembolic Disease

　Pneumonia

　Mechanical Ventilation

　Definition

　Cardiac Physiology

　Determinants of Ventricular Function

　Pathophysiology of Cardiac Failure

　Pathophysiology of Pulmonary Edema

　Heart–Lung Interactions

　Clinical Aspects of Cardiac Failure

　Measurement and Monitoring of Cardiac Function

　Treatment Guidelines for Chronic Cardiac Failure

　Treatment Guidelines for Acute Cardiac Failure

　Acute Myocardial Infarction

　Ventilatory Support of the Patient with Cardiac Failure

　The Primary and Secondary Surveys

　Thoracic Trauma

　Airway and Breathing Injuries

　Circulation Injuries

　Injuries Encountered During the Secondary Survey

　Head Trauma

　Primary Survey Issues of Head Injury

　Secondary Survey Issues of Head Injury

　Treatment of Head Injuries

　Burn Injury

　Inhalation Injury

　Management of Inhalation Injury

　Overview

　Pathophysiology of Neuromuscular Disease on Respiratory Function

　Evaluation of Respiratory Function in Patients with Neuromuscular Disease

　Upper Motor Neuron Disorders

　Lower Motor Neuron Disorders

　Disorders of the Peripheral Nerves

　Disorders of the Neuromuscular Junction

　Inherited Myopathies

　Acquired Inflammatory Myopathies

　Treatment of Neuromuscular Dysfunction

　Descriptions and Common Terms

　Obstructive Sleep Apnea

　Complications of Obstructive Sleep Apnea

　Diagnosis of Obstructive Sleep Apnea

　Treatment of Obstructive Sleep Apnea

　Mortality Associated with Obstructive Sleep Apnea

　Classification

　Epidemiology

　Risk Factors and Etiology

　Presentation

　Solitary Pulmonary Nodule

　Diagnosis

　Workup and Staging

　Treatment

　Prognosis

　Prevention

　Future Directions

　Apnea of Prematurity

　Respiratory Distress Syndrome

　Bronchopulmonary Dysplasia and Chronic Lung Disease

　Transient Tachypnea of the Newborn

　Pneumonia in the Neonate

　Meconium Aspiration Syndrome

　Persistent Pulmonary Hypertension of the Newborn

　Congenital Diaphragmatic Hernia

　Air Leak Syndrome

　Retinopathy of Prematurity

　Bronchiolitis

　Laryngotracheobronchitis

　Epiglottitis

　Design Factors

　Statistical Issues

　Study Types

　Basic Physics

　Gas Laws

　Gas Mixtures and Partial Pressures

　Humidity, Water Vapor, and Evaporation

　Gases in Solution, Diffusion, and Osmosis

　Conversion of Gas Volumes

　Conservation of Energy

　Flow of Gases and Other Fluids

　Application of Physical Principles to Measurement and Physiology

　Basic Chemistry

　Inorganic Molecules

　Organic Molecules

　Fluid Balance

　Metabolic Pathways

　Bacteria

　Viruses

　Fungi

　Parasites

　Common Respiratory Infections

　Sampling Methods

　Microbiology Techniques

　Antimicrobial Resistance

　The Heart

　Circulatory System

　Gross Anatomy of the Respiratory System

　Anatomy of the Thorax

　Microanatomy of the Respiratory System

　Functional Characteristics of the Respiratory System

　Routes of Delivery

　Principles of Pharmacotherapy

　Pharmacologic Therapies

　Drugs for Airway and Ventilator Management

　Diuretics

　Hemodynamic Control

　Historical Events and Key Advances in Medical-Related Sciences

　Evolution of Respiratory Care in the 20th and 21st Centuries

　Historical Events That Signaled the Evolution of Respiratory Care

　Milestones in the Organizations Within the Respiratory Care Profession: Beginning Years

　Respiratory Care Science: Contemporary and Future

　American Association for Respiratory Care

　American Respiratory Care Foundation

　National Board for Respiratory Care

　Commission on Accreditation for Respiratory Care

　National Association for Medical Direction of Respiratory Care

　American College of Chest Physicians

　American Thoracic Society

　American Society of Anesthesiologists

　Society of Critical Care Medicine

　The Joint Commission

　National Asthma Educator Certification Board

　Association of Asthma Educators

　American Academy of Sleep Medicine

　Board of Registered Polysomnographic Technologists

　Healthcare Trends

　Traditional Roles of Respiratory Therapists

　Nontraditional Roles for Respiratory Therapists

　What Is Critical Thinking, and Why Is It Important for Respiratory Therapists?

　The Essential Skills for Critical Thinking in Practice

　Abilities and Characteristics of Critical Thinkers

　Teaching Critical Thinking

　Definition of Ethics

　Foundations of Ethical Thinking

　Ethical Versus Legal Behavior

　Ethical Theories

　Ethical Principles

　Role of Professional Organizations in Ethics

　Ethics Committees

　Miscommunication: The Case for Effective Communication Skills

　Basic Concepts of Communication

　Principles and Assumptions

　Communication Defined

　Factors Affecting Communication

　Barriers to Effective Communication

　Basic Goals and Purpose of Communication

　Effective Communication

　Questioning Techniques

　Basic Healthcare Delivery Functions

　Stakeholders in Healthcare Reimbursement

　The Respiratory Therapist’s Role: Balancing Cost and Care

　Forces Influencing Healthcare Costs

　Financing Healthcare: A Brief History and Overview

　The Era of Managed Care

　Reimbursement Methodologies

　The Future of Healthcare Funding

　Reimbursement and the Respiratory Therapist

　What Is Evidence-Based Respiratory Care?

　Hierarchy of Evidence

　Evidence for a Diagnostic Test

　Evidence for a Therapy

　Meta-Analysis

　Finding the Evidence

　Narrative Reviews and Systematic Reviews

　Clinical Practice Guidelines