title: Thomas L Petty's lessons for the respiratory care clinician of today.
abstract: Because of the importance of his original contributions and their practical relevance today, Thomas L Petty (1932-2009) was arguably the most important physician in the history of respiratory care. As much as any single individual, he was responsible for the concept of intensive and multidisciplinary respiratory care. In the 1960s and 1970s, he made key observations and introduced pioneering therapies in the ICU and in the home. He was the first to describe and name ARDS and to show how to use PEEP to treat life-threatening hypoxemia. He was one of the first anywhere to organize a pulmonary rehabilitation program and to show the beneficial effects of long-term oxygen therapy in COPD. Dr Petty emphasized the importance of practical, hands-on respiratory care education for both physicians and non-physicians using a collaborative team approach. He targeted educational activities and practical resources specifically to patients, and he showed how researchers and clinicians could interact responsibly with innovators in industry to the benefit of both. His life and career provide 6 important lessons for respiratory clinicians today and in the future: (1) whatever their roles, RTs and other clinicians in this field need to be experts in its core areas, such as mechanical ventilation, ARDS, and COPD; (2) respiratory care is a team activity: every member is important, and all the members need to communicate well and work together; (3) education needs to be targeted to those in the best position to benefit the patient, including primary care providers and family members; (4) everyone in the field needs to understand the important role of the respiratory care industry and to deal with it responsibly; (5) it must never be forgotten that it is all about the patient; and (6) respiratory care should be exciting and fun.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, and with Harborview Medical Center, Seattle, Washington. djp@u.washington.edu.
authors.forename: David J
authors.initials: DJ
authors.lastname: Pierson
mesh_terms: D049673:History, 20th Century; D015272:Pulmonary Medicine / Q000266:history*; D012128:Respiratory Distress Syndrome / Q000175:diagnosis / Q000266:history* / Q000628:therapy; D012138:Respiratory Therapy / Q000266:history*; D014481:United States
keywords: ARDS; COPD; PEEP; acute respiratory failure; education; history; long-term oxygen therapy; mechanical ventilation; patients; pulmonary rehabilitation; respiratory care