A VAI patient has expressed the desire to be able to speak. The ...

[Ebrown]

A VAI patient has expressed the desire to be able to speak. The most appropriate speaking device to use in-line with this ventilator patient is which of the following?
 
  a. Voice TT
  b. Passy-Muir
  c. Portex Speaking TT
  d. Pitt Talking TT

Question 2

Which of the following is an essential step the respiratory therapist must perform when setting up a speaking valve for a ventilator-assisted individual?
 
  a. Turn up the required flow to 6-8 L/min.
  b. Make sure the cuff is inflated before ap-plying the valve.
  c. Make sure the cuff is deflated before ap-plying the valve.
  d. Place the speaking valve in a 22-mm cor-rugated tube.

[tuate]

Answer to Question 1

ANS: B
The Passy-Muir currently is the only valve that the U.S. Food and Drug Administration (FDA) has approved for use in-line with a ventilator.

Answer to Question 2

ANS: C
For the speaking valve to work, the cuff of the TT must be deflated. A speaking valve does not require a separate air source. The speaking valve can be placed in a corrugated tube that is at-tached to the ventilator's Y-connector.

[Ebrown]

TY

[tuate]

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