Title: COVID-19 and Critical Care
Length: 72 min
Note: This program was recorded on Monday, June 29th at 1:00 PM ET.


RT Magazine’s free webinar on aspects of critical care for COVID-19 patients is now available ON-DEMAND. Experts in cardiorespiratory and critical care discussed effective and successful strategies for treating COVID-19 patients in the ICU.

In this webinar, you will learn:

  • The pathophysiology of coronavirus
  • Critical care aspects of COVID-19, incuding ARDS
  • Successful strategies for treating COVID-19 patients using mechanical ventilation and other critical care interventions

Our panelists include:

  • Carlos L. Alviar, MD
    • Assistant Professor, Department of Medicine at NYU Grossman School of Medicine, Director, Coronary Care Unit, Bellevue Hospital Center
  • Kenneth Miller, MEd, MSRT, RRT-ACCS, NPS, AE-C, FAARC
    • Educational Coordinator, Wellness Champion, Respiratory Care Services, Lehigh Valley Health Network
  • Gary Nieman, BS, MS
    • Associate Professor and Director, Cardiopulmonary and Critical Care Lab, SUNY Upstate Medical University (Syracuse, NY)

About Our Panelists

Carlos L. Alviar, MD

Dr. Carlos Alviar received his medical degree from the Universidad CES in Medellin, Colombia. He then had several research positions, first at Baylor College of Medicine and then with the Cardiovascular Research Foundation/Columbia University, where he was actively involved in platelet and vulnerable plaque research.  Dr. Alviar then continued his internal medicine residency training and chief residency at St. Luke’s-Roosevelt Hospital Center, followed by his cardiovascular disease fellowship training with us at NYU.  He then moved to the Cleveland Clinic, where he was the inaugural fellow in their new fellowship in cardiac critical care.

After completing his training, Dr. Alviar transitioned to the University of Florida in Gainesville as Assistant Professor of Cardiovascular Medicine, where he served as Associate Medical Director of their Coronary Care Unit, Associate Program Director of their Cardiovascular Disease Fellowship and Co-Director of the Cardiogenic Shock Team. He has published numerous manuscripts and book chapters and presented his work at many national and international meetings. He is the recipient of several awards for his research endeavors.  His current academic interests include cardiogenic shock, cardiac arrest, hemodynamic support, cardiac critical care, ventilator management in the cardiac patient, HCM, atherothrombosis and medical simulation. He serves as a member of the working group for Cardiac Critical Care of the American College of Cardiology, where he is actively working in expanding the role of the critical care cardiologist in clinical practice. During the COVID-19 pandemic Dr. Alviar joint the faculty of the COVID-19 ICU at Bellevue Hospital Center, the largest public hospital in the country. He assisted with caring for ICU patients with COVID-19 and was a key member to develop management protocols and organizational changes in order to adapt to the patient surge that New York City experienced. He has also published two recent manuscripts about COVID-19 one in the New England Journal of Medicine and one in the Journal of the American College of Cardiology.

Kenneth Miller, MEd, MSRT, RRT-ACCS, NPS, AE-C, FAARC

Kenneth Miller is the Educational Coordinator and Wellness Champion of Respiratory Care Services at Lehigh Valley Health Network in Allentown, PA. Kenny has worked in respiratory care for the past 40 years, spending the majority of his career performing respiratory care in adult critical care units treating mechanical ventilated patients.

He is a fellow of the AARC and has received Master’s degrees from Canisius and Kutztown Universities. Kenny has authored many peer articles, lectured at the local and national level, and participated in clinical trials. During the COVID-19 pandemic, he worked for 48 straight days helping to coordinate and deliver bedside care.

Gary Nieman, BS, MS

Gary Nieman is a Professor and Senior Research Scientist in the Department of Surgery at the Upstate Medical University in Syracuse, NY. He is also the Director of the Critical Care Laboratory with a research focus on the pathogenesis and treatment of the acute respiratory distress syndrome (ARDS), ventilator induced lung injury (VILI) and multiple organ dysfunction syndrome (MODS).

Gary has over 140 publications and 5 patents. His main research focus is investigating the pathogenesis of ARDS and the role of ventilator induced lung injury (VILI) in this pathogenesis. Gary’s work has been instrumental in identify the mechanism of dynamic alveolar inflation using an innovative in vivo microscope to observe subpleural alveoli in real time during mechanical ventilation. Their studies have shown that alveoli open and collapse as a viscoelastic system such that the time of the mechanical breath at both inspiration and expiration is critical to keep the acutely injured lung open and stable. Gary and his collaborators have shown that their Time Controlled Adaptive Ventilation (TCAV) method to set and adjust the APRV mode to be very lung protective.

His current work is centered on developing mechanical ventilator protocols, based on dynamic alveolar mechanics, that can be used as a therapeutic tool to change the current paradigm from treating established ARDS to preventing ARDS before it develops. Gary has a NIH R01 in collaboration with Jason Bates (University of Vermont) and Don Gaver (Tulane University) to study the mechanism of ventilator induced lung injury. and a DoD grant installing TCAV method onto military transport ventilators. Gary is collaborating with Dr. Nader Habashi from R Adam Cowley Shock/Trauma Center in Baltimore and Dr Louis Gatto at SUNY Cortland on the use of a novel protective ventilation strategy known as the TCAV method as a preemptive treatment approach to reduce ARDS incidence and mortality and to increase the number of transplantable lungs from brain-dead donors.