keyword
https://read.qxmd.com/read/19403179/experience-of-the-school-aged-child-with-tracheostomy
#21
JOURNAL ARTICLE
Mihir R Patel, Carlton J Zdanski, Kathleen A Abode, Cynthia A Reilly, Elizabeth B Malinzak, Jacob N Stein, William T Harris, Amelia F Drake
BACKGROUND: Little is known about the school experience of children with tracheostomy tubes. These children may represent a population that qualifies for special services in school. Understanding how tracheostomy affects school-aged children may provide information needed to develop programs that provide these children with invaluable experiences. OBJECTIVE: To understand what children with tracheostomies experience in school as it relates to tracheostomy care and how their condition affects academic achievement and social adjustment...
July 2009: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/19117281/drilling-speaking-valves-a-modification-to-improve-vocalization-in-tracheostomy-dependent-children
#22
JOURNAL ARTICLE
Matthew T Brigger, Christopher J Hartnick
Pediatric tracheostomy dependence is associated with a variety of sequelae. Vocalization delay is commonplace and may result in long-term communication disability. Passy-Muir speaking valves are routinely used to allow such children to vocalize. Unfortunately, not all tracheostomy dependent children can tolerate the placement of a speaking valve. Elevated transtracheal pressures are often associated with failure. We describe a method of modifying a standard Passy-Muir valve to decrease transtracheal pressures and thus improve tolerance of the valve...
January 2009: Laryngoscope
https://read.qxmd.com/read/16874606/-nursing-care-of-patients-fitted-with-a-tracheostomy-speaking-valve
#23
REVIEW
Shu-Chen Liao, Chia-Ling Lin, Wei-Hwa Kao, Yueh-Jiuan Chang
As the number of patients who are ventilator dependent increase, the tracheostomy has become an increasingly popular procedure. Inability to either communicate verbally or take food and liquids orally constitute the main distress symptom of patients, which can delay progress in treating the conditions of patients undergoing tracheostomies. Passy-Muir speaking valves (PMV) succeed in overcoming the abovementioned problems and clinical practice is gradually broadening. This article introduces the relevant underlying principles, indications, advantages, disadvantages and nursing principles of PMV...
August 2006: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/15647980/-the-management-of-dysphagia-part-2-therapy
#24
REVIEW
R Schönweiler, M Raap
In the first part of the article we described diagnostic methods aiming to resolve the individual underlying pathomechanism of chronic swallowing disorders (dysphagia). From these, we deducted different therapeutic measures that can be applied either alone or in combination. Weakening of the upper esophageal sphincter with botulinum toxin is reserved for patients with structural stenosis or a relative hyperfunction of the sphincter. It can be tried to use the "Passy-Muir Valve" for tracheostomized patients that aspirate...
January 2005: Laryngo- Rhino- Otologie
https://read.qxmd.com/read/15611909/-the-management-of-dysphagia-part-1-diagnostics
#25
JOURNAL ARTICLE
R Schönweiler
Patients with chronic dysphagia are often in need of artificial nutrition; though being well balanced in terms of energy and vitamins, patients are at a high risk for the loss of resistance and body weight. Dysphagia also causes a severe drawback of the overall quality of life. This paper gives an overview of the present management of dysphagia from the point of view of otolaryngologists, head-neck-surgeons, phoniatricians, and medical speech-language-voice-pathologists. The physiology of swallowing and typical symptoms of dysphagia are first explained...
December 2004: Laryngo- Rhino- Otologie
https://read.qxmd.com/read/10900066/effect-of-the-passy-muir-tracheostomy-speaking-valve-on-pulmonary-aspiration-in-adults
#26
JOURNAL ARTICLE
E H Elpern, M Borkgren Okonek, M Bacon, C Gerstung, M Skrzynski
PURPOSE: We determined instances of aspiration in adults with tracheostomies and investigated the effect of the Passy-Muir tracheostomy speaking valve on occurrences of aspiration. METHODS: Adults with tracheostomies scheduled for videofluoroscopic swallowing examinations who met inclusion criteria were enrolled. According to study protocol, 6 presentations of thin liquids were recorded, 3 with and 3 without the Passy-Muir tracheostomy speaking valve. If a cuffed tube was present, the cuff was deflated fully for all presentations...
July 2000: Heart & Lung: the Journal of Critical Care
https://read.qxmd.com/read/10595665/passy-muir-valve-in-children-with-tracheotomy
#27
JOURNAL ARTICLE
J E Cho Lieu, H R Muntz, D Prater, M Blount Stahl
INTRODUCTION: Early vocalization and speech production remains a goal in children who require tracheotomy for airway obstruction or chronic ventilation. Although studies document the efficacy of the Passy-Muir valve (PMV) in adults, none have reviewed its efficacy in children. We performed this study to better understand the clinical complexity of its use in children. MATERIALS AND METHODS: Retrospective evaluation of 55 consecutive cases of children with tracheotomy using the PMV...
November 5, 1999: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/9744025/long-term-ventilator-dependent-children-a-vocal-profile-analysis
#28
JOURNAL ARTICLE
J Fraser, A Pengilly, Q Mok
PURPOSE: Ventilator dependent children need to be able to communicate effectively to be able to re-integrate into society. This study was performed to see if the Vocal Profile Analysis can be used to assess the voice quality produced by speaking aids in ventilated children, and therefore help to direct speech therapy input. METHODS: This study attempted to evaluate vocal function using a perceptual rating scale in four ventilator-dependent children fitted with the Passy-Muir Tracheostomy Speaking Valve...
April 1998: Pediatric Rehabilitation
https://read.qxmd.com/read/9429513/tolerance-of-the-passy-muir-speaking-valve-in-infants-and-children-less-than-2-years-of-age
#29
JOURNAL ARTICLE
S G Engleman, C Turnage-Carrier
Research literature confirms the intuitive reasoning that tracheotomy may adversely influence speech acquisition in infants and children. The Passy-Muir Speaking Valve (PMSV) permits inspiration through the tracheotomy stoma and expiration through the glottis, allowing for phonation. Although adults with tracheostomies have demonstrated the ability to speak using the valve without respiratory compromise, there is scant literature regarding the use of this valve in the infant or child population. A retrospective review of 64 charts was conducted to examine documented evidence of tolerance of the PMSV in infants and children 2 years of age and less...
November 1997: Pediatric Nursing
https://read.qxmd.com/read/9016018/passy-muir-speaking-valve
#30
REVIEW
K Kaut, J C Turcott, M Lavery
The Passy Muir speaking valve is a device that facilitates communication and airway maintenance for patients who require artificial airways. The critical care nurse's role includes collaboration with speech and respiratory therapy in identifying, preparing, and monitoring the patient who uses the Passy Muir valve.
November 1996: Dimensions of Critical Care Nursing: DCCN
https://read.qxmd.com/read/8882104/selection-of-pediatric-patients-for-use-of-the-passy-muir-valve-for-speech-production
#31
JOURNAL ARTICLE
S A Gereau, G C Navarro, B Cluterio, E Mullan, M Bassila, R J Ruben
A potential side effect of tracheotomy in the pediatric population is poor speech development. It has been well documented that children with tracheotomies have delays in expressive and receptive language out of proportion to the child's degree of intellectual functioning. While numerous methods of augmentative devices have been proposed, none are ideal for the child with a tracheotomy. Of the choices available, the Passy-Muir valve is best suited for use in the pediatric population. We present a method of selection of patients for Passy-Muir valve placement currently in use at Blythedale Children's Hospital...
March 1996: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/8697778/use-of-passy-muir-tracheostomy-speaking-valve-in-mechanically-ventilated-neurological-patients
#32
JOURNAL ARTICLE
S D Bell
No abstract text is available yet for this article.
February 1996: Critical Care Nurse
https://read.qxmd.com/read/8583860/scintigraphic-quantification-of-aspiration-reduction-with-the-passy-muir-valve
#33
JOURNAL ARTICLE
R J Stachler, S L Hamlet, J Choi, S Fleming
The Passy-Muir "speaking" tracheostomy valve has been noted to aid in swallowing, based on videofluoroscopy to assess aspiration. In this study scintigraphy was used to quantify the amount of material aspirated. Eleven patients were studied who currently had a tracheostomy in place and were either known to aspirate or were suspected of aspirating. Most were post-treatment head and neck cancer patients who were tumor free at the time of testing. Swallowing was evaluated using videofluoroscopy and scintigraphy...
February 1996: Laryngoscope
https://read.qxmd.com/read/8502098/passy-muir-tracheostomy-speaking-valve-on-ventilator-dependent-patients
#34
JOURNAL ARTICLE
V Passy, A Baydur, W Prentice, R Darnell-Neal
Communication for handicapped ventilator-dependent patients is a problem, not only for the patient but also for the healthcare personnel. The inability of these patients to vocalize is a paramount problem in their care. This study evaluates the efficacy of a one-way speaking valve on ventilator-dependent patients and evaluates the resulting effectiveness of their speech. Fifteen ventilator-dependent patients were fitted with the one-way Passy-Muir Tracheostomy Speaking Valve and their communicative skills and ease of vocalization were evaluated...
June 1993: Laryngoscope
https://read.qxmd.com/read/8472569/verbal-communication-of-ventilator-dependent-patients
#35
JOURNAL ARTICLE
J L Manzano, S Lubillo, D Henríquez, J C Martín, M C Pérez, D J Wilson
OBJECTIVE: To assess whether communication capabilities of ventilator-dependent patients are improved by the use of the Passy-Muir unidirectional valve. DESIGN: Prospective study. SETTING: An 18-bed multidisciplinary intensive care unit (ICU) at the University Hospital, Las Palmas, Spain. PATIENTS: Ten chronic ventilator-dependent patients who had undergone tracheostomy and met the following criteria: ability to eliminate tracheobronchial secretions in order to maintain a patent and unobstructed airway, adequate gas exchange while ventilated with an FIO2 of < or = 0...
April 1993: Critical Care Medicine
https://read.qxmd.com/read/8472563/improved-communication-with-the-passy-muir-valve-the-aim-of-technology-and-the-result-of-training
#36
EDITORIAL
R J Byrick
No abstract text is available yet for this article.
April 1993: Critical Care Medicine
https://read.qxmd.com/read/8159501/enhancing-communication-with-the-passy-muir-valve
#37
JOURNAL ARTICLE
D Jackson, S Albamonte
The Passy-Muir Valve is a speaking valve. It is one alternative for enhancing communication skills in children with long-term tracheostomies. As this population of children continues to grow, nurses must have an awareness of interventions that can promote language development.
March 1994: Pediatric Nursing
https://read.qxmd.com/read/7877289/perceptual-rankings-of-speech-quality-produced-with-one-way-tracheostomy-speaking-valves
#38
JOURNAL ARTICLE
S B Leder
Perceptual speech quality rankings, mechanical functioning, and maintenance of respiration as measured by oxygen saturation were determined for four different one-way tracheostomy speaking valves. Results indicated significant differences in speech quality rankings, with the Montgomery and Passy-Muir valves ranked significantly better than the Kistner and Olympic valves, and the Olympic valve ranked significantly better than the Kistner valve. The Passy-Muir valve was identified with the best speech quality most often by both listeners and subjects, and exhibited the fewest clinically relevant mechanical problems...
December 1994: Journal of Speech and Hearing Research
https://read.qxmd.com/read/7672970/effect-of-the-passy-muir-valve-on-aspiration-in-patients-with-tracheostomy
#39
JOURNAL ARTICLE
M A Dettelbach, R D Gross, J Mahlmann, D E Eibling
OBJECTIVE: To assess potential benefit of a Passy-Muir Speaking Valve (PMV) in decreasing aspiration in patients with a tracheostomy. BACKGROUND: Many patients with tracheostomy exhibit clinically significant aspiration. It has been previously noted that aspiration can often be reduced or eliminated by plugging or removing the tracheostomy tube. Some patients, however, do not tolerate removal or plugging of their tracheostomy tube, which then leads to persistent aspiration...
July 1995: Head & Neck
https://read.qxmd.com/read/3108769/passy-muir-tracheostomy-speaking-valve
#40
JOURNAL ARTICLE
V Passy
No abstract text is available yet for this article.
September 1986: Otolaryngology—Head and Neck Surgery
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