what to do during passy muir valve treatment

^{How do you clean the Passy-Muir Valve?}

• Swish Valve daily in soapy, warm water (not hot water).
• Rinse Valve very thoroughly in warm running water.
• Allow Valve to air dry thoroughly before placing in storage container. Do not apply heat to dry Valve.
• DO NOT use hot water, peroxide, bleach, vinegar, alcohol, brushes or cotton swabs to clean Valve.

Full Answer

What should I do if the Passy Muir valve is hard to breathe?

When the Passy Muir Valve was placed on the tracheostomy tube, it seemed harder to breathe. What should I do? If you are having trouble breathing with the Valve in place, remove the Valve immediately.

How do I dry the Passy Muir valve (“PMV”)?

Allow the Passy Muir Valve (“PMV”) to air dry on its side. Do not place in the storage container to dry. Do not use a blow dryer to heat or dry.

Can I use my Passy Muir valve with a fenestrated tracheostomy tube?

The clinician should never attempt to use a Valve with a patient on a fenestrated tracheostomy tube while the cuff is inflated. Can I use a cool or warm mist aerosol with my Passy Muir Valve in place? Yes, non-medicated cool or warm humidification can be applied via trach collar with the Valve in place on the hub of the tracheostomy tube.

What precautions should be taken when using the Passy-Muir valve?

Safety Precautions: 1 Patients must not use the valve while sleeping. 2 The valve should only be used under direct supervision of caregivers who know how it works... 3 Remove the valve immediately if the patient has difficulty breathing. 4 The entire manufacturer’s instruction booklet must be read prior to using the Passy-Muir Valve.

What must always be done before applying a Passy Muir valve?

Section A: General guidelines Tracheostomy tube cuffs must be completely deflated prior to placement of Passy Muir Valve (PMV)! Use of a PMV with a foam-filled trach cuff is contraindicated!

What must you ensure before a speaking valve is used?

How to use the Passy-Muir Speaking Valve: Suction the tracheostomy tube as needed before placing the valve. It may not be possible to use the valve if the patient has a lot of secretions or very thick secretions. If the tracheostomy tube has a cuff, deflate it (remove the air from it) before placing the valve.

Do you deflate cuff with Passy Muir?

The cuff must be completely deflated before placing the PMV. If not, the PATIENT WILL BE UNABLE TO BREATHE.

What benefits may be offered to the individual receiving mechanical ventilator support when the Passy Muir valve is placed in-line?

In addition to voice and speech production, Passy Muir Valves improve swallow, secretion management, and the sense of smell and taste. The Valves may reduce aspiration and assist with infection control, ventilator weaning, and decannulation.

Can you use trach collar with Passy Muir?

Can I use a cool or warm mist aerosol with my Passy Muir Valve in place? Yes, non-medicated cool or warm humidification can be applied via trach collar with the Valve in place on the hub of the tracheostomy tube.

When should you deflate the cuff on a tracheostomy?

However, an air-filled cuff can cause pressure on the wall of the trachea (windpipe) and cause damage if the cuff is not flattened regularly. Stay with your child and deflate the cuff every 8 hours, 15 to 20 minutes each time.

Do you deflate cuff before suctioning?

It is not necessary to deflate the cuff to perform suctioning. After determining amount of air needed to obtain minimum occluding volume, note amount on patient care plan. The pressure in the tracheostomy tube cuff should be monitored at least every 8 hours if the cuff is inflated continuously.

Can you swallow with trach cuff inflated?

A reason for closely monitoring tracheostomy tube cuff status is that it may have a negative impact on swallowing. While a consensus does not exist in the research, it has been reported that an inflated cuff may impinge upon swallowing by tethering the larynx and reducing hyolaryngeal excursion during the swallow.

What happens if a tracheostomy cuff is deflated?

When the cuff is deflated, some airflow is reestablished through the upper airway. There is movement of airflow both through the tracheostomy tube as well as through the upper airway. This increases the effective airway diameter.

Does Passy Muir valve decrease subglottic pressure?

Occluding the tracheostomy tube with a Passy Muir Valve may improve subglottic air pressure and have an overall impact on improving safety and effectiveness of the swallowing mechanism.

How often should PMV be replaced?

The PMV should last at least two months if you care for it properly. If the PMV becomes sticky, noisy or vibrates during use, it is time to replace it. Need suctioning – Remove the PMV and suction/ cough as needed. The cuff is not deflated completely – Immediately remove the PMV and deflate the cuff completely.

How do you talk on a valve on a ventilator?

0:143:53Before cuff deflation baseline peak inspiratory pressures. And exhaled volumes should be noted. OnceMoreBefore cuff deflation baseline peak inspiratory pressures. And exhaled volumes should be noted. Once the cuff is completely deflated volumes.

How to contact Passy Muir?

If you are having trouble locating a company to provide you with your Valve, or have other questions on this issue, call 1-800-634-5397 and ask to speak with one of our Passy Muir Clinical Specialist, for assistance.

What to do if you have trouble breathing with a valve?

If you are having trouble breathing with the Valve in place, remove the Valve immediately. The following are several things you should consider before trying to put the Valve back on again:

How does the valve work in coughing?

Placement of the Valve redirects exhalation through the upper airway, restoring sensation, and stimulating a cough. Coughing may continue until the secretions have settled, or have moved into a position that will allow you to remove them. This is beneficial as you now have a more effective secretion clearing mechanism in place with the Valve on.

How to clean a swish valve?

Swish. Pour a few drops of mild liquid dishwashing soap (soap with no lotion or fragrance) into a cup. Add lukewarm (not hot) water. Swish the Valve in the water for about 10 seconds. Rinse. Next, rinse the Valve thoroughly in lukewarm (not hot) running water. Dry.

When should a medicated valve be removed?

If the Valve is inadvertently used during a medicated treatment, it should be removed immediately and washed according to the cleaning instructions.

How to say "ahhh" while exhaling?

Take a breath in, and then open your mouth to say “ahhh” while you exhale. Practice this a few times.

Can you breathe through a tracheostomy tube?

Secretions may have built up in the tracheostomy tube. If excess secretions are not removed, breathing can become more difficult and make you uncomfortable. Check the amount and type of secretions coming from the tracheostomy tube.

What is a passy muir valve?

A Passy Muir Valve fits onto this tube and helps redirect airflow so that it passes over the mouth, nose and vocal folds. What this means is that patients are able to communicate and swallow whilst the tube is still inserted.

Who invented the tracheostomy?

The device was invented by David Muir, who was a muscular dystrophy patient at the time and it has helped transform care for those who require a tracheostomy. Essentially, when a procedure like this is performed, a cut is made in the throat and tube inserted.

Does aspiration cause choking?

There’s evidence to suggest that it reduces the risk of aspiration. This is where food or liquid moves into the windpipe by mistake. Aspiration can cause choking and can also lead to infection.

What is a Passy Muir speaking valve?

The Passy Muir Speaking Valve ( PMV) may be used with patients with tracheostomy tubes with or without ventilator support. Benefits of the PMV include, but are not limited to:

How many times can you do a PMV trial?

Initial PMV trials will be done by SLP only. Trials will be done 4-5 times within a 7 day period to closely monitor tolerance of PMV, vital signs and increase length of trial time.

Why use a Passy Muir valve?

The use of the Passy Muir Valve in mechanically ventilated patients facilitates independent vocalization, allowing them to become active participants in their healthcare. Improving communication between the patient and the healthcare team reduces patients’ anxiety and improves their sense of well-being, dignity, and motivation to wean. 4-6

Why do patients feel anxious when they are on mechanical ventilation?

The inability to communicate causes the most anxiety for patients on mechanical ventilation. Fear-induced anxiety markedly compromises respiratory function and contributes to subsequent weaning failures. 3

How long does it take to wean a Madonna ventilator?

Following incorporation of the Passy Muir Valve into their weaning protocol, Madonna Rehabilitation Hospital was able to wean 62% of their ventilator patients in an average of 12.5 days. This is well above the benchmark of 50% in an average of 20 days set by the National Association of Long Term Hospitals. 10,11

How many patients with SIRS go on to develop diffuse pathological muscle weakness?

Up to 50% of intensive care unit patients who require mechanical ventilation present with Systemic Inflammatory Response Syndrome (SIRS). 50-70% of those patients with SIRS go on to develop diffuse pathological muscle weakness (myopathy) and peripheral nerve disorders. 1

What hospital successfully weaned patients with cervical spinal cord injury who had failed all other weaning attempts?

Southport and Ormskirk Hospital successfully weaned patients with cervical spinal cord injury who had failed all other weaning attempts by using a progressive ventilator-free breathing method in conjunction with the speaking valve. 9

Is speaking valve a routine strategy?

Multidisciplinary teams that incorporate the Valve as a routine strategy in ventilator weaning have improved outcomes. In one critical care study, University College London Hospital found a reduction in ICU and hospital mortality, as well as duration of mechanical ventilation (average reduction of 11 days) following a team approach with speaking valve use. 8