Respiratory Therapy - Speaking Valves with Tracheostomy Tubes

Pass your TMC and CSE with help from The Respiratory Coach Academy

This video discusses the importance of understanding normal airflow through and around a tracheostomy tube, and emphasizes the importance of deflating the cuff and assessing proper tracheostomy tube size when using a speaking valve.

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*All information provided in this video is strictly for educational purposes, and is not provided to guide a specific careplan for any specific patient.

[AlyshawithaY]

I passed my TMC with a 103 on Monday! I scheduled my CSE for 11/13. I wanted to thank you for your videos. I used Kettering's study guides but I supplemented with your videos. Your videos on ABG analysis were especially helpful for me. You made it so clear that it was easy! I got my RRT license back in 2014 but didn't work in the field and let my license expire. I am ready to work in the field now, so that's why I had to re-sit for my boards. Not a bad score for being out of college for 10 years! Just one more exam to go until I can apply for my license. I haven't looked yet, but I hope you have some simulation problems on your channel that I can practice with. You are amazing, Coach! Just wanted to say thank you for helping me.

[clarewhite]

Last month I got a page from ER about a patient needing a "filter" for his trach. Turned out someone threw his PMV away!!! The ER doctor was looking through the trash but had no idea what he was looking for. I dug it out, got soap and a trach care kit with a brush, and scrubbed the bejeezus out of that thing. He said he'd coughed up something and plugged his trach up, so he'd removed his IC and come to the ER because it still felt wrong. He was pretty nervous after the experience of feeling like he'd lost his airway for a moment, so I made sure to effusively praise him for doing the correct thing by removing the IC and coming to see us. I got a nasty plug out of the outer cannula, gave him some new ICs, then got him set up on ATC and told him to drink lots of water to hydrate his seretions. I infodumped on the doctor about speaking valves, then apologized for taking over (AKA running my autistic mouth about obscure information and doing a long education session while the doctor was still there and possibly being too polite to say that he wasn't finished with the patient yet), to which he said, "Nope, this is exactly what he needed!" and let the guy stay overnight to sleep on the aerosol.

Speaking valves ARE fascinating though. They're such a simple concept and yet they give people their lives back, with physical benefits to boot! I really admire Mr. Passey for coming up with a practical solution to his problem and restoring communication to hundreds of thousands of other disabled folks. I did an informal inservice on speaking valves and other aspects of trach care for the med-surg nurses with a frequent flyer patient who let me demonstrate with him. (RIP, he passed away a week later. He was a total jerk when we met, but he had no one anymore except caregivers, and he really came around; we developed a rapport before he died.)

[farhanqadeer]

Hey what do you think if you talk about types of tracheostomy, tracheostomy care, vent weaning after trach, when and how to start eating while trach, how and when to use valve, what kind of trach to use cuff/ uncuff when transition and eat ??