New Online Module

Advisory Board

Pyramid of Care: Pediatric Edition

By Matthew S. Pavlichko, MS, RRT, RRT-NPS


As our healthcare landscape changes, reimbursement difficulties, cost containment, readmission penalties, and the role and scope of the future respiratory therapist is up for debate. Identifying and providing value to the patient and the organization is imperative for any respiratory care department, large or small.  Our value is never more evident than during a respiratory emergency, most importantly, of a pediatric patient.  This article will review the historical need for winter pediatric preparations in respiratory care as well as the treatment theory called the “Respiratory Pyramid of Care: Pediatric Edition.”



Panel Discussion: NIV and HFNC for Neonates

and Pediatric Patients

Moderator:  Kathleen Deakins, RRT-NPS FAARC

Panelists:  Rob DiBlasi, RRT-NPS

                   Lee Williford, RRT-NPS, RCP

                   Keith Hirst, MS, RRT-ACCS, RRT-NPS, AE-C


Several methods are used in pediatric and infant populations to ensure adequate breathing and sufficient levels of blood oxygen. These methods are placed along a continuum or pyramid of utility. Two of the most popular methods are: High-Flow nasal cannula (HFNC) which adds heat and humidity to the air flow to create a level of comfort that other oxygen devices are lacking, and continuous positive pressure airway pressure (CPAP) devices, which is a noninvasive method of delivering air to the lungs under mild pressure. In this panel discussion, three experts discuss the pros and cons of HFNC as well as CPAP, and when and how they should be used.


Click here to download the article

This program is sponsored by Teleflex


Richard Branson, MS, RRT, FAARC

Professor of Surgery

University of Cincinnati College of Medicine

Cincinnati, OH


Kathleen Deakins, MS, RRT, NPS

Supervisor, Pediatric Respiratory Care

Rainbow Babies & Children’s Hospital of University Hospitals

Cleveland, OH


William Galvin, MSEd, RRT, CPFT, AE-C, FAARC

Program Director, Respiratory Care Program

Gwynedd Mercy College,

Gwynedd Valley, PA.


Carl Haas, MS, RRT, FAARC

Educational & Research Coordinator

University Hospitals and Health Centers

Ann Arbor, MI


Richard Kallet, MSc, RRT, FAARC

Clinical Projects Manager

University of California Cardiovascular Research Institute San Francisco, CA


Neil MacIntyre, MD, FAARC

Medical Director of Respiratory Services

Duke University Medical Center

Durham, NC


Tim Myers, BS, RRT-NPS

Chief Business Officer, AARC


Tim Op’t Holt, EdD, RRT, AE-C, FAARC

Professor, Department of Respiratory Care and Cardiopulmonary Sciences University of Southern Alabama

Mobile, AL


Helen Sorenson, MA, RRT, FAARC

Assistant Professor, Dept. of

Respiratory Care

University of Texas Health Sciences Center

San Antonio, TX

Clinical Foundations is published quarterly by
Saxe Healthcare Communications.