Featured Patient: Luis

Case Study: Voicing with a cuffless trach compared to the Passy Muir® Valve

Luis received a tracheostomy due to respiratory failure from COPD. He is currently weaned from mechanical ventilation and is receiving 40% fraction of inspired oxygen (FiO2) by a tracheostomy mask. Luis has a Shiley #6 cuffless tracheostomy tube. Since there is no cuff, airflow takes the path of least resistance with some airflow through the tracheostomy tube and a minimal amount of airflow escaping through the upper airway. Therefore his voice sounds weak and breathy without the Passy Muir® Valve. It is necessary for him to take a deep breath before each word in order to produce a voice.

Once Luis places his PMV 2001, all expired air is redirected through the upper airway. You will notice that his voice is stronger and he has uninterrupted speech. Play the video to see the difference before and after the Passy Muir® Valve is placed.

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