background image

5. 

Other Metal Tracheostomy Tubes (Fig. 13.4)

 

฀ ฀

฀ ฀

steel instead of plastic or silicone like other tracheostomy 

฀ ฀

฀ ฀

hub which is needed to attach the PMV

®

. These tubes can be 

฀ ฀

฀ ฀

฀ ฀

฀ ฀

endotracheal tube (ETT) connector sized to the tracheostomy 
tube. This connector can be obtained by your homecare 
supplier, pharmacy, or from the manufacturer.

6. 

Neonatal and Pediatric Tracheostomy Tubes (Fig. 13.5)

 

Tracheostomy tubes designed for babies and children. These 
tubes are most commonly made of plastic and usually have 

฀ ฀

฀ ฀

vocal cords and out of the mouth and nose when properly 

฀ ฀

have cuffs. 

If a cuff is present it must be 

completely 

deflated

 before using the PMV

.

 

7. 

Foam Filled Cuffed Tracheostomy Tubes (Fig. 14)

 

Do not use the PMV with a foam filled tracheostomy tube. 

฀ ฀

฀ ฀

on its own without using a syringe even if the pilot balloon is 
closed off. This makes it unsafe to use with a PMV because 
severe airway blockage can occur making it difficult if not 

฀ ฀

WARNING:  DO NOT USE PMV WITH A FOAM FILLED CUFFED TRACHEOSTOMY 
TUBE. SEVERE AIRWAY BLOCKAGE FROM CUFF CAN OCCUR WHICH WILL 
PREVENT PMV USER FROM BEING ABLE TO BREATHE.

2. 

Cuffless Tracheostomy Tubes (Fig. 13.2)

 

฀ ฀

฀ ฀ ฀

around the tracheostomy tube and up through the vocal cords 
and out the nose and mouth. This tube is used when a “seal” 
between the upper and 

lower airway

 is not required. Most 

฀ ฀

3. 

Fenestrated Tracheostomy Tubes (Fig. 13.3)

 

A tracheostomy tube that has holes (or fenestrations) in the 
curved part of the tube that allow some air to be directed 
through the tube up past the vocal cords and out the mouth 
and nose. This type of tube may or may not have a cuff. 

 

If a cuff is present, it must be 

completely deflated

 before 

using the PMV

®

)

.

4. 

Premier Medical or Pilling Weck Metal  
Jackson Improved Tubes

 

 

฀ ฀

only

 light 

weight one-way closed position “no leak” 
valve designed to attach to the Premier 
Medical or Pilling Weck metal Jackson 

฀ ฀ ฀

 

or equivalent) with use of the PMA

®

  

 

Inc. for additional information.

Note: This handbook is not to be used with the PMV 2020 (clear).

Fig. 14  Foam Filled Cuffed Tracheostomy Tube  

with and without valves

1. Cuffed

2. Cuffless

3. Fenestrated

4. 

Metal with 

endotracheal tube  

connector

5. Pediatric & Neonatal

Fig.  13 Types of tracheostomy tubes

PMV

®

 2020 (clear)

Fig. 

13a

PMA

®

 2020-S Adapter

Summary of Contents for PMV 005

Page 1: ...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...

Page 2: ...alves his spirit continues We at Passy Muir Inc believe that communication is the essence of the human spirit and it is essential to individual rights and dignity We are committed in our efforts to of...

Page 3: ...d as a guide only Additional and patient specific instructions will be provided by your doctor nurse respiratory therapist and or speech language pathologist PATIENT EDUCATION HANDBOOK TABLE OF CONTEN...

Page 4: ...ostomy to be much smaller in size PMV 2000 clear with PMV Secure It PMV 007 AquaColor PMV 005 white PMV 2001 Purple Color with PMV Secure It Open Position Speaking Valves have Air Leak During Exhalati...

Page 5: ...tracheostomy tube must always wearing the PMV 7 Patient Parameters Chart Label this adhesive label is used in your medical chart or care plan to alert all caregivers to your use of level of supervisi...

Page 6: ...IL AFTER YOU HAVE BEEN EVALUATED AND TRAINED TO USE IT BY A QUALIFIED HEALTHCARE PROFESSIONAL ventilator will require additional instructions found at the end of each section denoted by a For Ventilat...

Page 7: ...he PMVs with Different Types of Tracheostomy Tubes Fig 5 Cuffed Tracheostomy Tube A Inflated Cuff air in cuff and B Deflated Cuff no air in cuff A B can be completely deflated to most amount of room p...

Page 8: ...riodically while the PMV is in place If these vital signs fall healthcare professional remove the PMV immediately and contact your doctor Note grunting unusual sleepiness as well as changes in vital s...

Page 9: ...4 Although all of the PMVs can be used with a ventilator the PMV 007 Aqua Color is designed to be the most convenient PMV to use WARNING IFYOUAREHAVINGANYDIFFICULTYBREATHING REMOVETHE PMV IMMEDIATELY...

Page 10: ...ine with the ventilator The PMV should be placed near your tracheostomy tube either directly on the hub of your tracheostomy tube or on a swivel adapter Fig 10 1 Omniflex Fig 10 2 or attached to a clo...

Page 11: ...self to adjust to this new breathing pattern you should gradually become more comfortable at working towards wearing the PMV as much as you can tolerate The following are some things you may be able t...

Page 12: ...ng can become more difficult and make you uncomfortable while the PMV is worn d Check amount and type of secretions coming from the tracheostomy tube A weak cough requiring frequent suctioning or an i...

Page 13: ...ce the PMV If you have been using the PMV for less than two months put it through one cleaning cycle as Cleaning Care and Lifetime of the PMV further information 6 My tracheostomy tube does not have a...

Page 14: ...the airway No if used properly and cleaning instructions are followed infection Respiratory infections caused by using one s finger to close off the tracheostomy tube to speak should be reduced with u...

Page 15: ...When I first started using the PMV on the ventilator the feeling of the airflow in my throat nose and mouth was the hardest adjustment to make It felt like a hurricane blowing through my head However...

Page 16: ...ROM CUFF CAN OCCUR WHICH WILL PREVENT PMV USER FROM BEING ABLE TO BREATHE 2 Cuffless Tracheostomy Tubes Fig 13 2 around the tracheostomy tube and up through the vocal cords and out the nose and mouth...

Page 17: ...Esophagus Inhaled Air From Lungs Exhaled Air A Airflow Before Tracheotomy B Airflow After Tracheotomy Fig 15 Diagram of structures and airflow A Before Tracheotomy B After Tracheotomy The following a...

Page 18: ...r to blow your nose and sneeze while you are wearing the PMV which helps to keep your sinuses and nasal passages clear Thus the PMV can help to make your tracheostomy less noticeable which may make yo...

Page 19: ...e aspirated everything With the PMV she was able to tolerate a regular diet right away At first it was wonderful just to hear Nicole giggle and laugh Now only one year after using the PMV she is able...

Page 20: ...ral Palsy www ucp org United States Access Board www access board gov American Association for Homecare www aahomecare org American Association for Respiratory Care www aarc org American Cancer Societ...

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