Does Endurance Improve With the Use of Passy-Muir Valve for Patients With Tracheostomy?

Launched by GAYLORD HOSPITAL, INC · Jun 24, 2021

Keywords

ClinConnect Summary

A Passy-Muir Valve (PMV) is a one-way valve that blocks air flow from exhalation in patients with a tracheostomy, and redirects it through to the upper airway to enable functional use of the glottis.

Typically, PMVs are used to assist patients being weaned from mechanical ventilation to communicate more effectively after tracheostomy. Devices are available that can be used in-line with the ventilator, as well as after ventilator liberation with a tracheostomy collar. PMVs provide patients with the ability to communicate, swallow, and improve diaphragmatic strength, which lengthens the peri...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Individual with tracheostomy who can tolerate daily 30 minute Physical Therapy sessions with use of PMV and be able to maintain oxygen saturations above 88% with exertion.
• • 2. Ability to understand and respond to simple verbal instructions and one step commands in English well enough to consent without any interpretation.
• • 3. Ability to ambulate a minimum of 10 feet with/without assistive device and with/without physical assistance.
• Exclusion Criteria:
• • 1. Active seizures
• • 2. Active Pregnancy
• • 3. Uncontrolled hypertension
• • 4. Cognitive deficits that would disrupt ability to provide informed consent
• • 5. Enteric infection control precautions
• • 6. Ongoing orthostasis
• • 7. Actively on decannulation protocol
• • 8. Medical instability that would cause a doctor to put therapy program on hold