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All rights reserved.
EMERGO EUROPE
Prinsessegracht 20
2514 AP The Hague
The Netherlands
0050
PH/R0718
P
-M
®
T
ASSY
UIR
RACHEOSTOMY
S
WALLOWING AND
P
E
ATIENT
DUCATION
David A. Muir
Inventor of the Passy-Muir Tracheostomy & Ventilator
Swallowing and Speaking Valves
"I was diagnosed with muscular dystrophy at age five. Over the years I
gradually weakened and became a quadriplegic. I was twenty-three and studying
biochemical engineering in college when I had a respiratory arrest and became
ventilator dependent. I had accepted that I could not walk and I accepted the
other difficulties of my disease. However, when I realized I could not talk, I
wanted to give up. Then I realized I was not ready yet. I said to myself, 'Wait a
minute, you've never given up this easily before and you're not going to this
time. There has to be a way around this problem.' These thoughts became my
theme for three agonizing months while I was working on my design for the
speaking valve. As corny as it sounds, every rain cloud has a silver lining. This
is absolutely true. Ask me, I know first hand.
It has been very rewarding to know my valve has helped to improve the quality
of life for so many people."
& V
ENTILATOR
S
V
PEAKING
ALVES
H
ANDBOOK
David A. Muir
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Summary of Contents for Passy-Muir PMV 005
- Page 1 DUCATION ANDBOOK David A. Muir Inventor of the Passy-Muir Tracheostomy & Ventilator Swallowing and Speaking Valves “I was diagnosed with muscular dystrophy at age five. Over the years I gradually weakened and became a quadriplegic. I was twenty-three and studying biochemical engineering in college when I had a respiratory arrest and became ventilator dependent.
- Page 2 However, through our efforts to educate clinicians, patients and families about speaking with David’s valves, his spirit continues. We at Passy-Muir Inc. believe that communication is the essence of the human ❑ Yes ❑ No spirit and it is essential to individual rights and dignity. We are committed in our efforts to offer tracheostomized and ventilator dependent patients a step towards independence and dignity through speech.
- Page 3 PATIENT EDUCATION HANDBOOK I. INTRODUCTION TABLE OF CONTENTS Introduction ................... dependent patients, their caregivers and families. Each person involved ® with the care and use of the Passy-Muir Tracheostomy & Ventilator ® II. Passy-Muir ® ) requires the appropriate training .............
- Page 4 Use of the PMV with Different Types of Tracheostomy Tubes Your doctor has ordered a Passy-Muir Tracheostomy & Ventilator Types of PMVs All PMVs covered by this handbook can be used with adults, children and (hub) of your tracheostomy tube. It will enable you to talk without using ™...
- Page 5 ® CAUTION: PMV must be completely clean and dry before placing it in container to prevent growth of bacteria that can cause respiratory infection. ® ® ™ ) are designed to be used ® Container should also be cleaned occasionally to prevent bacterial growth. with the PMV ®...
- Page 6 ® ® III. PLACEMENT OF THE PMV Before PMV During PMV After PMV My heart rate is WARNING: YOU MUST BE EVALUATED AND MONITORED BY A QUALIFIED My heart rate range is HEALTHCARE PROFESSIONAL WHEN TRYING THE PMV FOR THE FIRST TIME TO ENSURE YOUR SAFETY AND PROPER USE OF THE PMV.
- Page 7 3. Suctioning Suction your tracheostomy tube and mouth (as needed) to remove ® secretions from your airway before using the PMV will allow air to move more freely around the tracheostomy tube and will make you feel more comfortable while wearing the PMV. These secretions can removed.
- Page 8 5. PMV ® Placement Removing the PMV ® Secure-It ® from the tracheostomy tube tie. suctioning before placing the PMV on the tracheostomy tube. 2. Remove the PMV ® from the hub of the tracheostomy tube as Removing the PMV Please note ®...
- Page 9 PMV with a ventilator dependent person can be found in the ® ® Passy-Muir ® Passy-Muir Instruction Booklet that comes packaged with each PMV in the Patient Care Kit.
- Page 10 Continue to monitor PIP periodically to ventilator (Fig. 9). ensure adequate ventilation while the PMV is in place. WARNING: DO NOT USE THE PMV 005 (WHITE), PMV 2000 (CLEAR) OR PMV 2001 (PURPLE COLOR) WITH DISPOSABLE VENTILATOR TUBING AS THERE IS A POTENTIAL FOR DISCONNECT.
- Page 11 6. Removing the PMV ® When removing the PMV from your tracheostomy tube, place one hand on your tracheostomy tube neckplate to keep the tracheostomy tube from moving and with the other hand gently twist the PMV off of the hub of the tube. Record your vital signs in the “After” rotates it may be necessary to use a rocking rather than twisting involve blowing air out of the mouth - blowing a party horn, motion to remove the PMV.
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Page 12: Troubleshooting
PMV. Reading a. Check your position and the position of the tracheostomy (available free of charge from Passy-Muir Inc.) and talking to your tube. If possible, sit upright in a chair or bed as this is generally... - Page 13 c. Tracheostomy tube changes sometimes create swelling of the 6. My tracheostomy tube does not have a 15mm hub to attach the ® surrounding tissues in your airway. When you have your tracheostomy . What do I do? tube changed, you might find it helpful to wait a day or so before You can use an endotracheal tube (ETT) connector sized to fit your ®...
- Page 14 CAUTION: Store PMV in a cool, dry place. follow this reimbursement guideline. If you have difficulty obtaining reimbursement for the PMV, please contact Passy-Muir Inc. Cleaning Procedure (Figs. 11.1 - 11.4) 10. Does the presence of the PMV increase the risk of bacterial...
- Page 15 Lifetime of the PMV ® VI. USE OF THE PMVs WITH DIFFERENT TYPES OF TRACHEOSTOMY TUBES Each PMV is guaranteed to last for a minimum of two months. Lifetime cannot be guaranteed if the PMV is not cleaned or used There are several manufacturers of tracheostomy tubes;...
- Page 16 Other Metal Tracheostomy Tubes (Fig. 13.4) 1. Cuffed steel instead of plastic or silicone like other tracheostomy 2. Cuffless Metal with ® hub which is needed to attach the PMV . These tubes can be endotracheal tube connector endotracheal tube (ETT) connector sized to the tracheostomy with and without valves tube.
- Page 17 ® ® Benefits VII. UNDERSTANDING YOUR TRACHEOSTOMY/PMV BENEFITS Having a tracheostomy tube in place can disrupt several basic physical Understanding Your Tracheostomy tube can make it more difficult to speak, swallow, smell and taste. It (A) Airflow Before Tracheotomy Inhaled Air present in your mouth as well as in your trachea when you have a tracheostomy tube.
- Page 18 Improves Senses of Smell and Taste Many PMV users have reported that the PMV positively impacts the quality of their lives. We at Passy-Muir Inc. hope that you too find to restore the senses of smell and taste which are lost when a your quality of life is improved with use of the PMV.
- Page 19 Closed Position “No Leak”: Design pertaining to the PMV ® . The PMV the ability to talk. Because of the Passy-Muir ® Valve, that gift was given opens on inhalation and automatically closes at the end of inhalation. It back to me by the dedicated people who work toward that goal.
- Page 20 FACES - www.myasthenia.org www.access-board.gov American Cancer Society The National Craniofacial Association National Disabled Rights www.spinalcord.org Network (NDRN) www.cancer.org American Heart Association PASSY-MUIR ® CLINICAL SUPPORT www.faces-cranio.org AND EDUCATIONAL MATERIALS www.ndrn.org Lung Line Clinical Support www.heart.org National Jewish Medical National Institute of ®...