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Passy muir valve tolerance in medically complex infants and children: Are there predictors for success?

Laura Brooks1, Janet Figueroa2, Tracy Edwards1

  • 1Children's Healthcare of Atlanta, Emory School of Medicine, Atlanta, Georgia, U.S.A.

The Laryngoscope
|December 12, 2019
PubMed

Insights

Predictors for successful Passy Muir Valve (PMV) use in medically complex pediatric patients include transtracheal pressure, voicing, age over two years, weight, and ventilator rate. These factors aid in determining candidacy for PMV trials.

Area of Science:

  • Pediatric critical care
  • Respiratory medicine
  • Speech-language pathology

Background:

  • Medically complex pediatric patients often require tracheostomies.
  • The Passy Muir Valve (PMV) is a device used to improve communication and swallowing in these patients.
  • Identifying predictors for successful PMV use is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To investigate predictors of successful Passy Muir Valve (PMV) placement in medically complex pediatric patients.
  • To identify factors associated with a successful PMV trial in pediatric intensive care and acute care units.

Main Methods:

  • Retrospective chart review of 52 pediatric patients with tracheostomies.
  • Analysis of patients who underwent PMV assessments between October 2017 and October 2018.
  • Univariate analysis and logistic regression modeling to identify associated factors.

Main Results:

  • Transtracheal pressure measurement was associated with successful PMV trials.
  • Presence of voicing, patient age over 2 years, patient weight, and ventilator rate were also identified as significant predictors.
  • These factors indicate potential for successful PMV use.

Conclusions:

  • Medically complex pediatric patients, both on and off ventilators, can be candidates for PMV use.
  • Several key factors can predict the success of a Passy Muir Valve trial in this population.
  • These findings can guide clinical decision-making for PMV implementation.
Abstract

Keywords:
quality of lifetracheaventilator Passy Muir Valve

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