UltraVoice has been used successfully to enable patients on ventilators to speak, especially in cases where the Passy-Muir valve has failed. Although the Passy-Muir is the first option to try, it is not always successful for a variety of reasons. Some of the reasons for failure would be too much saliva and secretions leading to valve clogging, problems with a person’s anatomy which would prevent the Passy-Muir valve from fitting properly and so forth.
Patients may be on a ventilator due to ALS or
Lou Gehrig’s disease, post polio syndrome, head or neck
injury, chronic obstructive pulmonary diseases (asthma,
bronchitis, emphysema, etc.), obstructive sleep apnea,
congestive heart failure, neuromuscular paralysis, etc.
As a former RRT with much ventilator experience, I knew most
of S.K.'s options. His ENT doctor had tried a conventional
ventilator speaking valve but, because of apparent anatomical
difficulties and copious pulmonary and oral secretions, it
didn't work. So, I decided against a speaking valve. I also
felt his family might have problems with possible volume changes
each time his cuff was deflated and the valve was placed.
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