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Brazilian tracheotomy speech valve: diaphragm pressure standardization

Tracheotomy is performed in cases of upper airway obstruction or chronic pulmonary disorders. The Tracheotomy Speech Valves (TSV) improve communication and airway hygiene and humidification of tracheotomized patients. Aim: To show the low cost Brazilian TSV and its use in speech rehabilitation of tr...

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Autores principales: Silveira, Ângela Rúbia Oliveira, Soki, Marcelo Naoki, Chone, Carlos Takahiro, Ng, Ronny Tah Y, Carvalho, Eduardo George B., Crespo, Agrício Nubiato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9442254/
https://www.ncbi.nlm.nih.gov/pubmed/19488569
http://dx.doi.org/10.1016/S1808-8694(15)30840-5
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author Silveira, Ângela Rúbia Oliveira
Soki, Marcelo Naoki
Chone, Carlos Takahiro
Ng, Ronny Tah Y
Carvalho, Eduardo George B.
Crespo, Agrício Nubiato
author_facet Silveira, Ângela Rúbia Oliveira
Soki, Marcelo Naoki
Chone, Carlos Takahiro
Ng, Ronny Tah Y
Carvalho, Eduardo George B.
Crespo, Agrício Nubiato
author_sort Silveira, Ângela Rúbia Oliveira
collection PubMed
description Tracheotomy is performed in cases of upper airway obstruction or chronic pulmonary disorders. The Tracheotomy Speech Valves (TSV) improve communication and airway hygiene and humidification of tracheotomized patients. Aim: To show the low cost Brazilian TSV and its use in speech rehabilitation of tracheotomized patients, to evaluate diaphragm opening resistance and comfort to the patient. Study Design: Experimental, contemporary cohort. Materials and methods: The TSV was used in 32 patients. The valve has a diaphragm within a stainless steel body with plastic fittings. We studied the level of respiratory comfort according to the degree of valve diaphragm resistance, 40, 50 and 60 shores. Results: All the patients used the TSV coupled to the cannula in a regular basis, 26 of them did it for more than 12 hours daily and from these, 14 used it for 24h daily. The diaphragm pressure obtained was that of 40 shores for 13 patients and 50 shores for 19 patients. 60 shores was never used. Conclusion: the metal TSV helps with speech without the need for closing the cannula with one’s finger, and breathing was comfortable. We achieved standard diaphragm resistance. Currently all the patients from this study use this TSV with speech and 43.75% use it full time.
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spelling pubmed-94422542022-09-09 Brazilian tracheotomy speech valve: diaphragm pressure standardization Silveira, Ângela Rúbia Oliveira Soki, Marcelo Naoki Chone, Carlos Takahiro Ng, Ronny Tah Y Carvalho, Eduardo George B. Crespo, Agrício Nubiato Braz J Otorhinolaryngol Original Article Tracheotomy is performed in cases of upper airway obstruction or chronic pulmonary disorders. The Tracheotomy Speech Valves (TSV) improve communication and airway hygiene and humidification of tracheotomized patients. Aim: To show the low cost Brazilian TSV and its use in speech rehabilitation of tracheotomized patients, to evaluate diaphragm opening resistance and comfort to the patient. Study Design: Experimental, contemporary cohort. Materials and methods: The TSV was used in 32 patients. The valve has a diaphragm within a stainless steel body with plastic fittings. We studied the level of respiratory comfort according to the degree of valve diaphragm resistance, 40, 50 and 60 shores. Results: All the patients used the TSV coupled to the cannula in a regular basis, 26 of them did it for more than 12 hours daily and from these, 14 used it for 24h daily. The diaphragm pressure obtained was that of 40 shores for 13 patients and 50 shores for 19 patients. 60 shores was never used. Conclusion: the metal TSV helps with speech without the need for closing the cannula with one’s finger, and breathing was comfortable. We achieved standard diaphragm resistance. Currently all the patients from this study use this TSV with speech and 43.75% use it full time. Elsevier 2015-10-18 /pmc/articles/PMC9442254/ /pubmed/19488569 http://dx.doi.org/10.1016/S1808-8694(15)30840-5 Text en © Neck Discipline, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, UNICAMP. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Silveira, Ângela Rúbia Oliveira
Soki, Marcelo Naoki
Chone, Carlos Takahiro
Ng, Ronny Tah Y
Carvalho, Eduardo George B.
Crespo, Agrício Nubiato
Brazilian tracheotomy speech valve: diaphragm pressure standardization
title Brazilian tracheotomy speech valve: diaphragm pressure standardization
title_full Brazilian tracheotomy speech valve: diaphragm pressure standardization
title_fullStr Brazilian tracheotomy speech valve: diaphragm pressure standardization
title_full_unstemmed Brazilian tracheotomy speech valve: diaphragm pressure standardization
title_short Brazilian tracheotomy speech valve: diaphragm pressure standardization
title_sort brazilian tracheotomy speech valve: diaphragm pressure standardization
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9442254/
https://www.ncbi.nlm.nih.gov/pubmed/19488569
http://dx.doi.org/10.1016/S1808-8694(15)30840-5
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