Before PMV
®
During PMV
After PMV
My heart rate is
My heart rate range is
My respiratory rate is
My respiratory rate range is
For Ventilator Use
Peak Inspiratory Pressure (PIP)
The measurement of
Peak Inspiratory Pressure (PIP)
can be
found on the front panel of a ventilator. In most cases it is a
manometer (gauge) with a needle that rises with each breath the
ventilator delivers (Fig. 4). It tells you how much pressure it takes
to give you a ventilator breath. The reading on the manometer
should be checked before deflating the cuff of your tracheostomy
tube and putting on the PMV. Record this number below in the
“Before PMV” column.
Before PMV
Before PMV During PMV After PMV Off
My PIP is
WARNING: REMOVE PMV IMMEDIATELY IF PIP GOES OUTSIDE OF RANGE
RECOMMENDED BY YOUR DOCTOR AND/OR HEALTHCARE PROFESSIONAL.
CONTACT YOUR PHYSICIAN FOR FURTHER INSTRUCTION.
III. PLACEMENT OF THE PMV
®
WARNING: YOU MUST BE EVALUATED AND MONITORED BY A QUALIFIED
HEALTHCARE PROFESSIONAL WHEN TRYING THE PMV FOR THE FIRST TIME
TO ENSURE YOUR SAFETY AND PROPER USE OF THE PMV. NEVER ATTEMPT
TO USE THE PMV UNTIL 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 Ventilator Use.
Thorough hand washing and the use of gloves are necessary when working
with the tracheostomy tube and when handling the PMV (including
1. Positioning
Before putting the PMV on the tracheostomy tube, place yourself
in a comfortable position as this will help air move freely around
the tracheostomy tube. The tracheostomy tube should be positioned
help to make you comfortable.
2. Checking Vital Signs
It is important to take the following measurements before, during
and after PMV placement. This will help alert you to any possible
problems you may be having before they become serious. The
Heart Rate
(number of beats per minute)
Respiratory Rate (number of breaths per minute)
Oxygen Saturation (measured with a
pulse oximeter
if available)
Color of Skin (especially around the eyes and mouth)
Work of Breathing
what range each of these vital signs should stay within when you
If while using the PMV the vital signs do not stay in the normal
remove the PMV immediately and consult your doctor.
Fig. 4 Manometer on a ventilator used to measure PIP
This Manometer is reading 23 cmH
2
O
