Keys to Success

A significant amount of literature has been published providing evidence that a multidisciplinary team approach is critical to the care of tracheostomized patients. Tracheostomy teams are essential to earlier and more consistent use of the Passy Muir® Valve as a critical intervention for communication, swallowing, rehabilitation and decannulation which results in reduced total tracheostomy time, length of stay, adverse events and cost of care.


  • Develop a facility-wide program for all tracheostomy and mechanically ventilated patients to be evaluated for candidacy for the Passy Muir® Valve within 24 hours of admission, and at appropriate times throughout their stay.

Form a Tracheostomy Team

  • Identify a champion who will lead the team.
  • Involve key clinical staff including physicians, speech-language pathologists, respiratory therapists, and nursing.
  • Additional disciplines that should be considered are dietary, physical therapy, occupational therapy, recreational therapy, psychology, case manager, social worker, etc.
  • Establish team roles and responsibilities.
  • Complete Passy Muir on-line educational webinar (Free CEUs):

Develop an Education Program

Establish Policies & Procedures

  • Incorporate the Passy-Muir Valve into ventilator weaning and decannulation policies and procedures.
  • Samples of policy and procedures, including those from our Centers of Excellence facilities are available
  • Implement competencies for all clinical staff.

Ensure Your Success

  • Passy Muir clinical specialists are available for bedside consult during trial placements. To schedule, please call 800-634-5397.

Address these Common Barriers:

Clinicians often have a misconception that the tracheostomy cuff prevents aspiration. However, evidence indicates that aspiration occurs at the level of the vocal folds. Therefore, any material that reaches the tracheostomy cuff has already been aspirated...
Read more.
Clinicians sometimes have a misconception that the valve cannot be used because the patient has too many secretions. However, evidence indicates that excess secretions are a natural response to the tracheostomy tube...
Read more.
Many clinicians are unaware that larger tracheostomy tubes cause resistance to airflow through the upper airway and reduced airway patency...
Read more.
Many clinicians believe it is necessary to wait until the patient is weaned from mechanical ventilation to place the Passy Muir® Valve. However, evidence indicates that:...
Read more.
Clinicians are often uncertain of how to make appropriate ventilator adjustments for cuff deflation and placement of the valve in-line...
Read more.

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