Douglas McKim profile picture

Contact Information

Douglas McKim
613-737-8899 x 75318
dmckim@toh.on.ca

Douglas McKim

Clinician Investigator, Clinical Epidemiology Program
Ottawa Hospital Research Institute
Medical Director, CANVent Resoiratory Rehablitation Services
The Ottawa Hospital Rehabilitation Centre
Medical Director, The Ottawa Hospital Sleep centre
The Ottawa Hospital
Associate Professor, Department of Medicine
University of Ottawa
Investigator, Centre for Rehabilitation Research and Development
The Ottawa Hospital Rehabilitation Centre

Research Interests

Brief Biography

Dr. Douglas McKim a specialist in Respiratory Medicine with sub-specialty expertise in respiratory rehabilitation, particularly noninvasive ventilation and airway management in neuromuscular diseases as well as sleep medicine. He directs the in and out patient respiratory rehabilitation program and has developed the CANVent Program (Canadian Alternatives in Noninvasive Ventilation) with unique clinical management strategies including noninvasive airway clearance techniques, entirely out patient initiation of noninvasive ventilation and the provision of 24 hour NIV using mouthpiece ventilation. Over 200 patients using noninvasive ventilation in the community are managed through the out patient program. The same airway management techniques have been successfully introduced to the critical care areas to assist in weaning &ldquounweanable” NMD patients from invasive tracheostomy ventilation to facilitate discharge in to the community.  

 In spite of a very busy clinical practice, Dr. McKim has been dedicated to establishing evidence for the indications and effectiveness of noninvasive airway management techniques including lung volume recruitment (LVR). He was the first to establish that regular LVR may have a beneficial effect on the rate of decline of respiratory function in Duchene muscular dystrophy and publish these results and is the co-PI on the first RCT of LVR in NMD as well as a co-investigator on the first RCT of LVR in Duchene muscular dystrophy.  His research work is directly intended to improve the respiratory care of individuals with NMDs. Dr. McKim is the first author of the Canadian (and one of the few international) guidelines on Home Mechanical Ventilation and is Co-Chair of the Home Mechanical Ventilation Clinical Assembly for the Canadian Thoracic Society. He is a founding member of the steering committee for the CANuVENT research group (PI- Dr. Louise Rose) which is actively involved in providing a programmatic approach to long term mechanical ventilation in Canada, funded by CIHR. This group has published recent information on LTV in Canada which will be important for health care providers and health ministries. Dr. McKim is currently Chair of the Scientific Committee for the Canadian Thoracic Society. Dr. McKim is one of two Canadians appointed to the Scientific Committee of the International Conference on Home Mechanical Ventilation.

Selected Publications

Rose L, Fowler R, Goldstein RS, Katz S, Leasa D, Pedersen S, McKim D., The CanuVent Group Patient transitions relevant to individuals requiring on-going ventilator assistance: A Delphi study. Can Respir J 2014 (in press)

Sandoz J, LeBlanc C, McKim DA (Senior Author). Digital downloads to optimize non-invasive ventilation in patients with neuromuscular disease. Respir Care. 2013 Aug 13. Epub ahead of print PMID:23942753

LeBlanc, Carole, Lavallee, Lyne, King, Judy, Taylor-Sussex, Rebecca, Woolnough, Andrew, McKim, DA. (Senior Author) A Comparative Study of Three Portable Oxygen Concentrators during a 6-Minute Walk Test in Patients with Chronic Lung Disease.  Respiratory Care 2013 58(10):1598–1605

McKim DA, Griller N, LeBlanc C, Woolnough A, King J. 24 hour non-invasive ventilation in Duchenne muscular dystrophy: a safe alternative to tracheostomy. Can Respir J 2013:20(1); e5 - e9

Srour N, LeBlanc C, King J, McKim DA (Senior Author). Lung volume recruitment in Multiple Sclerosis. PLoS One 2013 8(1):e56676. doi:10.1371/journal.pone.0056676, http://www.plosone.org/article/info:doi/10.1371/journal.pone.0056676

McKim DA, Hendin A, LeBlanc C, et al. Tracheostomy Decannulation and Cough Peak Flows, Am J Phys Med Rehab 2012 Aug;91(8):666-70

Katz S, McKim DA, Hoey L, et al. Respiratory management strategies for Duchenne muscular dystrophy: Practice variation amongst Canadian subspecialists, Ped Pulmonol, 2012: 10.1002

McKim DA, Katz SL, LeBlanc C, et al. Lung Volume Recruitment Slows Lung Function Decline in Duchenne Muscular Dystrophy, Archives of Phys Med Rehab 2012 Jul;93(7):1117-22

McKim DA, King J, Walker K, LeBlanc C, Timpson D, Wilson KG, Marks M, Curran D, Woolnough A. Formal ventilation patient education for ALS predicts real-life choices. Amyotrophic Lateral Sclerosis, 2012; 13: 59–65

McKim DA, Road J, Avendano M, et al. Canadian Thoracic Society Clinical Practice Guidelines; Home Mechanical Ventilation. Can Respir J 2011;18(4):197-215.