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Restrepo, Ruben Dario

School of Health Professions
Respiratory Care
(210) 567-7964
restrepor@uthscsa.edu

As a foreign physician from Colombia, little did I know that few years after my arrival in the United States I would consider teaching Respiratory Care as the pillar of my professional career. I am a very passionate educator; I strongly believe we graduate outstanding professionals who offer the best care to patients. I am a strong supporter of teaching students the benefits of multidisciplinary interactions and team work in simulated and real clinical scenarios to improve patient?s outcomes. I strive to instill in the students the importance of application and critical thinking versus mere memorization. I believe my students have rewarded me over these 20 years of teaching with their enlightenment. There has not been a better testament to my personal achievement as a mentor than to witness so many of my mentees leading the profession. The students have blessed me with excellent evaluations because they appreciate my philosophy of teaching. Teaching respiratory care at a global and interprofessional level has been my motto from the time I started teaching because our profession is still young and not widely recognized. By accepting invitations to speak at both medical and respiratory conferences around the globe, I have been able to serve the professions of Medicine and Respiratory Care while proudly representing UT Health San Antonio. I have exposed our scientific journal to the Spanish-speaking medical community by creating the first bilingual podcast of a medical journal. The bestowment of the credential as a Fellow of the American Association of Respiratory Care (FAARC) and the American College of Chest Physicians (CHEST), the recognition as a Distinguished Teaching Professor and Distinguished CHEST Educator, the induction to the Kenneth I. Shine Academy of Health Science Education, and the Regents Outstanding Teaching Award, have stimulated my desire to become a better teacher and offer my best to my learners. As I have mentored my undergraduate and graduate students, I look forward to seeing them sharing the same passion I have for teaching in their future. I am strongly convinced that I have achieved excellence in teaching because I have closely followed the example set by those giants in the profession who have mentored me. It is my passion to continue serving the Respiratory Care profession and the Health Science Center by providing exemplary teaching.

Appointments Education Expertise Teaching Publications Grants

8/2018 - Present	Coordinator of Research Division of Respiratory Care and Coordinator of Research Division of Respiratory Care	UT Health San Antonio, Respiratory Care, San Antonio, TX
3/2010 - Present	Professor	UT HSC San Antonio, Respiratory Care, San Antonio, TX

Capnography

- I have conducted research on the Integrated Pulmonary Index, which heavily relies on information abstained from capnography. I have been invited to present at International and National meetings on the importance of CO2 monitoring and have submitted a two-part manuscript on CO2 monitoring. I am the co-author of the Clinical Practice Guideline on Capnography for the American Association for Respiratory Care and recently gave a Webinar on using capnography to detect respiratory depression.

High Frequency Oscillatory Ventilation

- I have been invited to present numerous times on the use of high-frequency oscillatory ventilation in the critically ill pediatric and adult patient at national and international conferences. I have published in Respiratory Care, AARC Times, Int J of Appl Respir Care Tech.

Pharmacotherapy of Obstructive Pulmonary Disease

- I have been invited to write and review articles in current and emerging trends in the pharmacotherapy of obstructive pulmonary diseases. Publications are listed in Respiratory Care, Current Opinion in Pulmonary Medicine, Journal of Asthma, and Current Medical Literature Pulmonary Medicine. I have been invited to present on the topic of current and emerging therapies at medical and respiratory care conferences to both national and international audiences.

Respiratory Aerosol Research

- I have conducted bench studies on respiratory aerosol for the last 10 years with emphasis on inhaled drug mass available to the respiratory tract under simulated conditions. I have tested devices and medications under simulated spontaneous and mechanical breathing. I have presented my findings at national and international medical and respiratory care audiences. I review articles on aerosolized medications for Respiratory Care, International Journal of COPD, Journal of Therapeutics and Clinical Risk Management, Pulmonary Pharmacology and Therapeutics Journal, and Open Allergy Journal. I have published my research in Respiratory Care. I do share with my students the research findings in the pharmacology course.

Ventilator Waveforms

- I have developed two educational modules that are distributed worldwide to teach clinicians how to interpret ventilator graphics. I have been invited as faculty to the American College of Chest Physicians to participate in their Advanced Mechanical Ventilation Course. I have been in charge of the classroom setting instruction as well as the break-out sessions (hands-on) for Interpretation of Waveforms.

Web Instruction and Design

- I was the first faculty member to post course content on WebCT at the Department of Cardiopulmonary Care Sciences, Georgia State University. I designed a total of 6 undergraduate and 2 graduate WebCT-enhanced courses between 2000 and 2003. I was also the first to incorporate online quizzing and interactive online games for the purpose of evaluating content. I have presented findings of my descriptive study on correlation of number of visits to Web-based courses and student performance at a state and national level. I have published several abstracts and one original manuscript on my findings.

Date	Description	Institution	# Students
2/2014 - Present	Introduction to Research	The University of Texas Health Science Center	27 students
Course Director - FALL 2015. Students Enrolled: 19 (17 face-to-face) FALL 2014. Students Enrolled: 22 (20 face-to-face) FALL 2013. Students Enrolled: 27 (22 face-to-face) This course teaches fundamentals of research with emphasis on conducting a literature review, writing a concept paper, and critiquing the literature.
2/2014 - Present	Special Topics in Nursing	The University of Texas Health Science Center	35 students
Guest Lecturer to provide an overview of mechanical ventilation and the role of the nurses in the care of critically ill patients connected to a mechanical ventilator.
12/2013 - Present	Membership on Supervising Committee	University of Texas San Antonio

3/2013 - Present	Essentials of Ventilator Graphics	The University of Texas Health Science Center at San Antonio	42 students
I have designed and implemented an Interdisciplinary Instructional Modules on Interpretation of Ventilator Graphics for respiratory therapy students, critical care fellows (adult and pediatric), pulmonary physicians, and critical care attendings. This course meets every week over 4 to 5 weeks and covers the most important aspects of mechanical ventilation. The sessions are interactive and the clinical cases are simulated with a mechanical ventilator and a test lung. Pre and Post course assessments are administered. Presentations are followed by case-based approach to interpretation using audience response. The adult critical care fellows from UT HSC scored the highest in the area of ventilator graphics on their Critical Care Boards in 2013.
1/2013 - Present	RESC4030 Research Practices and Principles		17 students
Course Director - FALL 2015. Student Enrollment: 19 (17 face-to-face) FALL 2014. Student Enrollment: 22 (19 face-to-face) FALL 2013. Student Enrollment: 22 Since becoming the course director in 2013, 20 abstracts have been submitted and accepted for poster presentations at the American Association for Respiratory Care International Congress. This is the largest number of posters presented by students since the program opened almost 20 years ago.
8/2009 - Present	Pediatric & Neonatal Resp Care	The University of Texas Health Science Center	18 students
Course Director - SPRING 2018: Enrollment: 7. Student Evaluation of Instructor: 4.6 SPRING 2017: Enrollment: 12. Student Evaluation of Instructor: 4.3 SPRING 2016: Enrollment: 49.Student Evaluation of Instructor: 4.4 2014-2015: Taught by other faculty FALL 2013 - Enrollment:17. Student Evaluation of Instructor: 4.5 FALL 2012 - Enrollment:19. Student Evaluation of Instructor: 4.6 FALL 2011 - Enrollment:22. Student Evaluation of Instructor: 4.5 FALL 2010 - Enrollment:15. Student Evaluation of Instructor: 4.6 FALL 2009 - Enrollment:14. Student Evaluation of Instructor: 4.8. Method of Teaching: Team-Based Learning. Case-based approach. This course summarizes the most important elements in the assessment of the neonatal and pediatric patients. In addition, it reviews diseases that affect the respiratory system in this age group. The course includes a preclinical competency check off on neonatal simulation for the Neonatal Resuscitation Program and the use of mechanical ventilation.
3/2009 - Present	Membership on Supervising Committee	UTHSCSA

1/2007 - Present	Pharmacology	The University of Texas Health Science Center	52 students
Course Director - FALL 2015 - Enrollment: 52. Student Evaluation of Instructor: pending FALL 2012 - Enrollment: 22. Student Evaluation of Instructor:4.7 FALL 2010 - Enrollment: 26. Student Evaluation of Instructor:4.6 SPRING 2009 - Enrollment:14. Student Evaluation of Instructor: 4.65 SPRING 2008 - Enrollemnt:14. Student Evaluation of Instructor:4.7. SPRING 2007 - Enrollment:20. Student Evaluation of Instructor:4.7. Course Description: This course covers in great detail respiratory pharmacology and provides an overview of antiinfective and cardiovascular agents. TEACHING METHODS: Oral presentations, clinical vignettes, asthma and COPD action plans, student demonstration of drug calculations and dose schedules, student presentations, web assignments.
8/2006 - Present	Preceptor - Advanced Clinical Examination Skills (ACES) -INTD 2006	UT Health Sciences Center at San Antonio	700 students
Responsible for coordinating participation of the Respiratory Care Department for 8 years. Preceptor on ongoing collaborative effort with the School of Medicine (every Fall) to provide instruction and hands on breath sounds, pulse oximetry, spirometry, and use of inhalers for 2nd year Medical Students (over 110 each year). In 2012 the focus has changed to instruction on Spirometry.
1/2006 - Present	Clinical Practice I	The University of Texas Health Science Center	25 students

1/2006 - Present	Clinical Practice III	The University of Texas Health Science Center	25 students

1/2006 - Present	Clinical Practice II	The University of Texas Health Science Center	25 students

8/2005 - Present	Individual Instruction	UT Health Science Center at San Antonio

Abstract

Wiatrek S, Janes C, Alsharifi A, Rodriguez R, Restrepo RD. Incidence of Underinflation and Overinflation of Endotracheal Tube Cuffs in the PICU; 2017 Nov. (Respir Care; vol. 62, no. 11).

Bhasin P, Tran K, Sanchez J, Restrepo RD. Use of Standarized Patients in Respiratoy Care: Preclincal Experience in a Master And Baccalaureate Degree Programs; 2017 Oct. (Respir Care; vol. 62, no. 10).

Alzahrani A, molina C, Estrada J, Guzman L, Payen V, Restrepo RD. Albuterol: A Useful But Often Unnecessarily Ordered Bronchodilator; 2017 Oct. (Respir Care; vol. 62, no. 10).

Cuevas S, Heng K, Prakash P, Wang J, Restrepo RD. Are Oxygen Weaning Protocols Used Consistently? A Follow Up Study; 2017 Oct. (Respir Care; vol. 62, no. 10).

Bhasin P, Tran J, Sanchez J, Restrepo RD. Do Students From an MSRC Program Apply the Skills to Become Advanced Practitioners Better Than Those Prepared in a BSRC Program? Results of a Preclinical Simulation Experience; 2017 Oct. (Respir Care; vol. 62, no. 10).

Restrepo RD, Mathai AA, Luna AA, Ramirez C, Olaniyi-Adegbola O. How deep can we go? Following the endotracheal suctioning clinical practice guidelines; 2016 Oct. (Respir Care; vol. OF36).

Restrepo RD, Alarcon J, Palacio S. Use of noninvasive ventilation in pediatric patients with pleural effusion associated with dengue virus infection: A retrospective review; 2016 Oct. (Respir Care; vol. OF40).

Bhasin P, Deng S, Restrepo RD. Do respiratory therapist students apply the skills to become advanced practitioners? Results of preclinical simulation experience; 2016 Oct. (Respir Care; vol. OF48).

Hoch A, Leal-Garza T, King J, Kendall J, Restrepo RD. Are we keeping our nonintubated patients on oxygen therapy way too long? A retrospective chart review; 2016 Oct. (Respir Care; vol. 10).

Restrepo RD, Rowley D, Lamb K, Inkrott JC, Scott B, Hinkson CR, Kriner EJ, Tanner D, Pasewald R, Satalin J, Jain S. A quest to finding the optimal mechanical breath profile for the management of ARDS: A pilot animal study; 2016 Oct. (Respir Care; vol. OF39).

Restrepo RD, Rowley D, Lamb K, Inkrott JC, Scott B, Hinkson CR, Kriner EJ, Tanner D, Pasewald R, Satalin J, Jain S. "Identifying the optimal mechanical breath profile: An animal case study in ventilation approaches to the ARDS lung model" A consensus by the INDIVENT work group; 2016 Oct. (Respir Care; vol. OF40).

Deng S, Bhasin P, Restrepo RD. Is a simulated patient encounter a valuable preclinical experience for BSRC students? Results of a post-simulation survey; 2016 Oct. (Respir Care; vol. OF47).

Najmi M, Davidson J, Valdes M, Zamudio I, Restrepo RD. Endotracheal obstruction in the ICU: How bad is it and why? A pilot study; 2016 Oct. (Respir Care; vol. OF36).

Deng S, Bhasin P, Restrepo RD. Use of standardized patients in respiratory care: Preclinical experience in a baccalaureate program; 2016 Oct. (Respir Care; vol. OF47).

Restrepo RD, Wettstein RB. Are We Routinely Using a Lung Protective Strategy in Our Mechanically Ventilate Patients Without ARDS?; 2015 Nov. (Respir Care; vol. 60, no. 10).

Restrepo Serrato DM, Adasme R, Alcantar R, Campos L, Restrepo RD. Are Ventilator Alarm Parameters Selected Differently in Latin American ICUs? Results of a Multinational Survey; 2015 Nov. (Respir Care; vol. 60, no. 10).

Restrepo RD, Alotaibi A. Correlation Between The Integrated Pulmonary Index and Arterial Blood Gases in A Medical-Surgical ICU in Saudi Arabia; 2015 Nov. (Respir Care; vol. 60, no. 10).

Restrepo RD, Sidhu H. Do Level of Confidence and Training Translate Into Actual Knowledge of Ventilator Graphics; 2015 Oct. (Respir Care; vol. 60, no. 10).

Restrepo RD, Alotaibi A. Validation of Mean Predicted PaO2 (MPP) As A Reliable Oxygenation Index in Ninety Simulated ICU Conditions; 2015 Oct. (Respir Care; vol. 60, no. 10).

Restrepo RD, Arevalo, A. Base Knowledge of Ventilator Graphics in A Group of Respiratory Therapists in a Large Metropolitan City of Colombia; 2015 Oct. (Respir Care; vol. 60, no. 10).

Restrepo RD, Banguera E, Restrepo Serrato DM, Arevalo A. Do Respiratory Therapists Have Better Ventilator Graphics Interpretative Skills Than Physiotherapists in Cali, Colombia?; 2015 Oct. (Respir Care; vol. 60, no. 10).

Restrepo RD, Marquette A. Evaluation of Humidification Settings in Three New ICUS Using Heated Wires: An Observational Study; 2014 Oct. (Respir Care; vol. 59, no. 10).

Restrepo RD, Tate A. AARC Endotracheal Suction Clinical Practice Guideline: Is It Impacting Our Practice in the ICU?; 2014 Oct. (Respir Care; vol. 59, no. 10).

Restrepo RD, Acevedo D. Does Our Practice Change When Presented With Evidence? Results of Follow Up Study On Ventilator Alarm Selection In A Medical-Surgical ICU; 2014 Oct. (Respir Care; vol. 59, no. 10).

Restrepo RD, Fernandez J. Do Undergraduate Respiratory Therapy Students Have Better Ventilator Graphics Interpretative Skills Than Critical Care Physicians?; 2014 Oct. (Respir Care; vol. 59, no. 10).

Restrepo RD, Serrato DM. The Who and How Ventilator Settings and Alarms Are Selected in Latin American Countries: Results of A Multinational Survey; 2014 Oct. (Respir Care; vol. 59, no. 10).

Book Chapter

Restrepo RD, Restrepo-Serrato DM. Inhaloterapia en Recien Nacidos. In: William Cristancho Gomez. Inhaloterapia. Mexico City: Manual Moderno; 2018.

Restrepo RD. Oxigenoterapia. In: Hernandez A, Martin I, Restrepo M, Sabate A, Torres A. Medicina Intensiva en el Enfermo Critico. Ciudad de Mexico: Panamericana; 2018. p. 219-223.

Restrepo RD. Neurologic Assessment. In: Heuer AJ, Scanlan CL. Clinical Assessment in Respiratory Care. Saint Louis: Mosby; 2018. p. 99-117.

Restrepo RD. Patient Ventilator Interaction and Lung Mechanics. In: Villar SR, John AD. Critical Care. Madrid, Spain: Marban Libros; 2017. p. 239-246.

Restrepo RD, Serrato DM. Aerosolized Drug Delivery in Neonates and Children. In: Gardenhire D. Rau`s Respiratory Care Pharmacology. Saint Louis: Elsevier; 2015.

Restrepo RD, Tate A. Inhalation Therapy for COPD. In: Dhand R. ISAM Textbook of Aerosol Medicine. 2015. p. 901-978.

Roldan L, Restrepo RD. Terapia de Alto Flujo de Oxigeno por Canula Nasal. In: William Cristancho Gomez. Fundamentos de Fisioterapia Respiratoria. Bogota, Colombia: Manual Moderno; 2014.

Restrepo RD. Respiratory Microbiology. In: Hess D, MacIntyre N, Mishoe S, Galvin B , Adams A. Respiratory Care: Principles and Practice. Boston, MA: Jones and Barlett; 2014.

Editorial

Restrepo R.D., Serrato D.M. Should We Nebulize Hypertonic Saline Prophylactically in Our Pediatric Intubated Patients? Respir Care 2016 May;61(5):716-718.

Restrepo RD. Interpretation of Ventilator Graphics: Do We Understand What We See? AARC Times 2015 Nov;39(11).

Journal Article

Gardner DD, Wettstein RB, Hart MK, Bhasin P, Tran K, Sanchez J, Restrepo RD. Using Standardized Patients as Part of a Preclinical Simulation Respiratory Care Education Annual Fall 2018 2018 Jul;27:43-55.

Fernandez-Restrepo L, Shaffer L, Amalakuhan B, Restrepo MI, Peters JI, Restrepo RD. Effects of intrapulmonary percussive ventilation on airway mucus clearance: a bench model World Journal of Critical Care Medicine 2017 Oct;.

Gonzalez NM, Wilches MR, Restrepo RD. Respiratory Therapy in Colombia: A Historical and Regulatory Perspective Respir Care Ed Annual 2017 Aug;26:18-23.

Ramirez I.I., Arellano D.H., Adasme R.S., Landeros J.M., Salinas F.A., Vargas A.G., Vasquez F.J., Lobos I.A., Oyarzun M.L., Restrepo R.D. Ability of ICU Health-Care Professionals to Identify Patient- Ventilator Asynchrony Using Waveform Analysis Respir Care 2017 Feb;.

Restrepo RD, Serrato DM, Adasme R. Assessing Respiratory System Mechanical Function Clinics in Chest Medicine 2016 Dec;37(4):615-632.

Restrepo RD. Year in Review 2014: COPD Respir Care 2015 Feb;9(1):97-107.

Restrepo RD, Braverman J. Current challenges in the recognition, prevention and treatment of perioperative pulmonary atelectasis Expert Rev Respir Med 2015 Feb;9(1):97-107.

Restrepo RD, Tate A, Gardner DD, Wittnebel L, Wettstein RB, Khusid F. Current approaches to the assessment and treatment of acute severe asthma Indian J Respir Care 2015 Jan;4(1):521-541.

Restrepo RD, Lin H. Comparison of Aerosol Medication Delivery Using Different Length Expiratory Reservoirs Ciencia y Salud 2014 Oct;3(10):11-16.

Restrepo RD, Nuccio P, Spratt G, Waugh J. Current applications of capnography in non-intubated patients Expert Rev Respir Med 2014 Oct;8(5):629-639.

Walsh BK, Daigle B, DiBlasi RM, Restrepo RD. AARC Clinical Practice Guideline. Surfactant replacement therapy: 2013 Respir Care 2013 Feb;58(2):367-375.

Wettstein RB, Wilkins RL, Gardner DD, Restrepo RD. Critical-thinking ability in respiratory care students and its correlation with age, educational background, and performance on national board examinations Respiratory Care 2011 Mar;56(3):284-289.

Year	Degree	Discipline	Institution
1994	BS	Respiratory Therapy (Magna Cum Laude)	Georgia State University Atlanta , GA
1987	MD	Medicine	Universidad Pontificia Bolivariana Medellin , Colombia

Private
Funding Agency	HillRom
Title	Airway Clearance Using the Metaneb
Status	Active
Period	1/2013 - Present
Role	Principal Investigator
Grant Detail	The primary aim of this study is to determine the ability of the Metaneb to promote airway clearance in a simulated spontaneously breathing adult. Research questions: 1. Does the Metaneb promote airway clearance? 2. Does viscosity of mucus impact ability of the Metaneb to promote airway clearance? 3. What are optimal settings to promote airway clearance?

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