ric CO2 analysis is a must. Bedside assessment of compliance
and resistance is expected in all ventilated patients,
but in addition the RT must be competent in esophageal
manometry, and assessment of work of breathing, pressure
volume curves, oxygen consumption, metabolic rate, and
noninvasive techniques to assess cardiac output. The ability
to perform endotracheal intubation, insert arterial lines,
and provide bronchoscopy assist are key competencies of
the RT. The RTs of 2015 and beyond must also be competent
in the management of both endotracheal tubes and
tracheostomies. They should be able to select tracheostomy
tubes specific for a given patient and be able to
replace and manage the variety of tubes that are commercially
available, as well as determine when speaking valves
are indicated and tracheostomy tubes can be removed.