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wouldhaveallowedmanymorepatientstobenefit fromspeakingvalves. Usingmanometry in our study (2) of 100 consecutive patients in a long-term acute care hospital, tube downsize was recommended for expiratory pressures above 5 or inspiratory pressuremore negative… Click to show full abstract
wouldhaveallowedmanymorepatientstobenefit fromspeakingvalves. Usingmanometry in our study (2) of 100 consecutive patients in a long-term acute care hospital, tube downsize was recommended for expiratory pressures above 5 or inspiratory pressuremore negative than 23, speaking valve for expiratory pressures below 5, and capping/ decannulation for capped inspiratory pressure 0 to23 cmH2O. Tube downsizeoccurredin94patients, speechwithin2daysin93,andcapping in 11 before downsize and 71 after downsize. Therewere no instances of early intoleranceof therecommendations.Atracheostomycarepathway that incorporates tracheostomy tube manometry, speaking valves, and downsizing expedites speech and decannulation.
Journal Title: Annals of the American Thoracic Society
Year Published: 2021
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