The safety and efficacy of prolonged use of one-way speaking valves

O'Connor, Lauren Rachel; Morris, Norman; Paratz, Jennifer

doi:10.1016/j.aucc.2020.09.003

Cited by 8 publications

(6 citation statements)

References 29 publications

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“…O uso prolongado de uma válvula de fala unilateral é seguro para pacientes que atingiram o limiar de duas horas não havendo alterações nos parâmetros cardiorrespiratórios (frequência cardíaca, frequência respiratória, pressão arterial sistólica, diastólica, média (mmHg) e saturação de oxigênio (O´Connor, Morris, & Paratz, 2020).…”

Section: Discussionunclassified

Benefícios da Válvula de fala em crianças traqueostomizadas: uma revisão integrativa

Abreu¹,

Saráty²,

Monte³

et al. 2021

RSD

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Objetivos: desenvolver uma revisão integrativa como forma de alertar os profissionais da área da saúde sobre os benefícios do uso da válvula de fala em crianças traqueostomizadas. Métodos: Os artigos foram pesquisados na base de dados on line MEDLINE (Literatura Internacional), LILACS (Literatura Latino- Americana e do caribe de informação em ciências da saúde) e SCIELO (Scientific eletronic library online) entre janeiro de 2012 a março de 2021. Para a busca foram utilizados as palavras chaves: tracheostomy, child e “speech, language and hearing sciences”, extraídos do Mesh/Decs; além de “passy-muir” e “speaking valve”. Da pesquisa foram incluídos 37 artigos, e após exclusões totalizaram 11 artigos que responderam a questão norteadora. Resultados: após análise dos dados notou-se diversas vantagens que a adaptação da válvula de fala oferece as crianças traqueostomizadas. Conclusão: Demonstrou-se na literatura os benefícios que a válvula fonatória proporciona as crianças no processo de reabilitação, os mais citados foram que permite a fala, melhora deglutição, reduz secreção, acelera a decanulação, usado na reabilitação, pode ser usada em ventilação mecânica e previne infecções. Observou-se ainda pesquisas restritas voltadas a crianças traqueostomizadas com o uso da válvula de fala.

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Section: Discussionunclassified

Benefícios da Válvula de fala em crianças traqueostomizadas: uma revisão integrativa

Abreu¹,

Saráty²,

Monte³

et al. 2021

RSD

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“…SVs are one-way valves that can be placed over the end of the tracheostomy hub or in line with the ventilator circuit to redirect expiratory airflow into the upper airways via the vocal folds, enabling phonation and restored upper airway resistance when the tracheostomy cuff is deflated. [143][144][145] They have been shown to be safe to use with patients requiring MV and can assist patients to restore their verbal communication sooner, reduce work of breathing, and may facilitate lung recruitment. 143,144 While commonly recommended and used as a tool to assist with weaning from MV, there is no evidence to support that SVs can successfully assist with this.…”

Section: Speaking Valves and Leak Speechmentioning

confidence: 99%

“…[143][144][145] They have been shown to be safe to use with patients requiring MV and can assist patients to restore their verbal communication sooner, reduce work of breathing, and may facilitate lung recruitment. 143,144 While commonly recommended and used as a tool to assist with weaning from MV, there is no evidence to support that SVs can successfully assist with this. 146 Instead, it is probably more accurate to suggest that they are an important tool to assist with tracheostomy weaning.…”

Section: Speaking Valves and Leak Speechmentioning

confidence: 99%

An Update on Cardiorespiratory Physiotherapy during Mechanical Ventilation

Tronstad

Martí

Ntoumenopoulos

et al. 2022

Semin Respir Crit Care Med

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Physiotherapists are integral members of the multidisciplinary team managing critically ill adult patients. However, the scope and role of physiotherapists vary widely internationally, with physiotherapists in some countries moving away from providing early and proactive respiratory care in the intensive care unit (ICU) and focusing more on early mobilization and rehabilitation. This article provides an update of cardiorespiratory physiotherapy for patients receiving mechanical ventilation in ICU. Common and some more novel assessment tools and treatment options are described, along with the mechanisms of action of the treatment options and the evidence and physiology underpinning them. The aim is not only to summarize the current state of cardiorespiratory physiotherapy but also to provide information that will also hopefully help support clinicians to deliver personalized and optimal patient care, based on the patient's unique needs and guided by accurate interpretation of assessment findings and the current evidence. Cardiorespiratory physiotherapy plays an essential role in optimizing secretion clearance, gas exchange, lung recruitment, and aiding with weaning from mechanical ventilation in ICU. The physiotherapists' skill set and scope is likely to be further optimized and utilized in the future as the evidence base continues to grow and they get more and more integrated into the ICU multidisciplinary team, leading to improved short- and long-term patient outcomes.

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“…Also, at the end of the study, patients in the accelerated implant group using the speaking valve significantly longer than the standard implant group, and more patients had their cannula removed at discharge ( 29 ). There are also studies looking at the safety and efficacy of prolonged use of the speaking valve ( 30 ). The study by O’Connor et al found that in patients who used the speaking valve for a total time of more than two hours and a maximum of 17 h, there were no significant changes in cardiopulmonary function indicators, and no significant adverse events occurred ( 30 ).…”

Section: Speaking Valve Use In Clinical Practicementioning

confidence: 99%

“…There are also studies looking at the safety and efficacy of prolonged use of the speaking valve ( 30 ). The study by O’Connor et al found that in patients who used the speaking valve for a total time of more than two hours and a maximum of 17 h, there were no significant changes in cardiopulmonary function indicators, and no significant adverse events occurred ( 30 ). In their study, Freeman-Sanderson et al also assessed the impact of early use of a speaking valve on length of stay in the ICU.…”

Section: Speaking Valve Use In Clinical Practicementioning

confidence: 99%

Clinical utility and future direction of speaking valve: A review

et al. 2022

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This paper summarizes and analyzes the clinical research progress of the speaking valve in recent years, including the structure and function of the speaking valve, the impact of the speaking valve on the patient’s vocalization or speech, the impact on ventilator weaning and tracheal intubation and extubation, and the effect on aspiration and swallowing function, the impact on patient mobility and quality of life. Related issues in clinical use are also described.

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The safety and efficacy of prolonged use of one-way speaking valves

Cited by 8 publications

References 29 publications

Benefícios da Válvula de fala em crianças traqueostomizadas: uma revisão integrativa

Benefícios da Válvula de fala em crianças traqueostomizadas: uma revisão integrativa

An Update on Cardiorespiratory Physiotherapy during Mechanical Ventilation

Clinical utility and future direction of speaking valve: A review

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