Features of Passy-Muir Tracheostomy & Ventilator Swallowing and Speaking Valve
- Improves Swallow & May Reduce Aspiration:
- The closed position "No Leak" design of the Passy-Muir Valves restores the patient to more normal physiology.
- This design facilitates increased pharyngeal/ laryngeal sensation and restores subglottic air pressures which improve swallow and may reduce aspiration.
- Restores subglottic pressure only the closed position "No Leak" design of the Passy-Muir Valve reestablishes a closed respiratory system and restores subglottic pressure, which improves swallowing and may reduce aspiration
- Restores Positive Airway Pressure:
- Due to the closed position "No Leak" design of the Passy-Muir Valves and the more normal closed respiratory system it creates, positive airway pressure is restored.
- This in turn promotes a louder voice, improved swallow, stronger cough, and increased oxygenation.
- Superior Voice/Speech Production:
- Patients can produce clearer voice with more normal phrasing, better voice quality, and increased volume because all exhaled airflow is redirected up past the vocal cords.
- In-Line Ventilator use:
- Adult, pediatric, and neonatal ventilator-dependent patients can utilize the Passy-Muir Valve during mechanical ventilation.
- All Passy-Muir Valves are interchangeable and can be used both on or off acute care and portable ventilators.
- Expedites Weaning:
- The Passy-Muir Valves are used as an augmentative tool for weaning patients from the ventilator as it reestablishes physiologic PEEP, which in turn may improve oxygenation.
- As the patient becomes accustomed to exhaling through the upper airway, patient confidence is improved and respiratory muscle retraining is facilitated.
- Reduces Decannulation Time:
- The Passy-Muir Valves can be utilized as an interim step in the decannulation process by allowing the patient to begin to adjust to a more normal breathing pattern through the upper airway on exhalation.
- This allows the patient to gain confidence and the physician to assess for airway patency and can significantly shorten the decannulation process.
- Improves Oxygenation:
- The closed position "No Leak" design of the Passy-Muir Valves restores a more normal closed respiratory system.
- As a result, Positive End Expiratory Pressure (PEEP) is reestablished which facilitates improved oxygenation.
- Facilitates Secretion Management:
- The Passy-Muir Valve design improves swallowing and facilitates a stronger, more effective cough with oral expectoration of secretions.
- Evaporation of secretions occurs due to the redirection of air through the upper airway during exhalation.
- May reduce suctioning needs and associated costs by restoring the function of the bronchial hygiene system.
- Facilitates Infection Control:
- The Passy-Muir Valve eliminates the need for finger occlusion of the tracheostomy tube which can lead to infections and offers protection from particulates entering the trachea.
- The Passy-Muir Valves redirect secretions through the upper airway allowing oral expectoration and reducing contamination of the patient's immediate environment.
- Interchangeability between Tracheostomy and Ventilator use:
- All Passy-Muir Valves can be used both on and off the ventilator with both pediatric and adult patients.
- This includes non-ventilator-dependent tracheostomized patients, patients who are weaning from the ventilator, and patients who are ventilator dependent.
- The Passy-Muir Valves can be placed in line with the ventilator using disposable tubing (with PMV 007 only) or non-disposable flexible rubber tubing (with PMV 005, PMV 007).
Frequently Bought Together
Frequently Asked Questions
1. How does the Passy-Muir Valve work?
The Passy-Muir Valve is a one-way valve that allows air to flow in through the endotracheal or tracheostomy tube during inhalation, but redirects exhaled air up and out through the patient's mouth and nose. This helps to reduce the risk of aspiration and improve the patient's ability to speak and swallow.
2. Can the Passy-Muir Valve be used during sleep?
Yes, the Passy-Muir Valve can be used during sleep, but the healthcare provider should closely monitor the patient's respiratory status and ability to tolerate the device.
3. Is the Passy-Muir Valve easy to use?
The Passy-Muir Valve is easy to use and can be easily attached to the endotracheal or tracheostomy tube. It does not require any special tools or equipment.
4. How does a speaking valve improve swallowing?
If your child is wearing a speaking valve during eating and drinking, it closes and stops air from escaping from the tracheostomy tube during swallowing. This allows subglottal pressure to build under the vocal cords and helps prevent microaspiration. It also assists your child to exhale after swallowing.
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