Contraindications - Passy-Muir PMV 005 Mode D'emploi

CONTRAINDICATIONS

• Unconscious and/or Comatose Patients
• Inflated Tracheostomy Tube Cuff
• Foam Filled Cuffed Tracheostomy Tube
• Severe Airway Obstruction Which May Prevent Sufficient Exhalation
• Thick and Copious Secretions
• Severely Reduced Lung Elasticity That May Cause Air Trapping
• Severe Aspiration
• This device is not intended for use with endotracheal tubes
INSTRUCTIONS FOR USE OF PASSY-MUIR TRACHEOSTOMY
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These guidelines should be used in conjunction with physician direction:
FOR TRACHEOSTOMIZED NON-VENTILATOR DEPENDENT PATIENTS, THE PMV MAY
BE PLACED 48 TO 72 HOURS AFTER THE TRACHEOTOMY IS PERFORMED IF THE
PATIENT'S TRACHEAL EDEMA AND/OR SECRETIONS FROM THE SURGICAL
PROCEDURE HAVE DECREASED.
FOR VENTILATOR DEPENDENT PATIENTS SEE VENTILATOR APPLICATION
INSTRUCTIONS.
IF THE TRACHEOSTOMY TUBE HAS BEEN CHANGED, PMV PLACEMENT MAY NEED
TO BE DELAYED 48-72 HOURS AS THIS PROCEDURE MAY HAVE INDUCED TRACHEAL
SWELLING AND/OR BRONCHOSPASM.
IT IS RECOMMENDED THAT UNIVERSAL PRECAUTIONS BE FOLLOWED.
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PLACEMENT GUIDELINES FOR PASSY-MUIR TRACHEOSTOMY
NON-VENTILATOR DEPENDENT APPLICATION
PMV placement should occur in conjunction with physician order using, but not limited to, the
following guidelines:
1. Education: To reduce anxiety and ensure successful transition to the PMV, the patient,
family and all personnel (all shifts) working with the patient should be instructed in the
directions for use of the PMV including contraindications, cautions and warnings. Review
all package inserts and labeling with patient, family and staff. Free patient information
and clinical inservice videos are available from Passy-Muir, Inc. to assist you with your
educational efforts.
2. Patient Assessment: The patient should be assessed before, during and after PMV
placement for the following:
• Vital signs (e.g., heart rate, respiratory rate, oxygen saturation)
• Breath sounds
• Change in patient's color and responsiveness
• Work of breathing
• Tracheal and oral secretion status
3. Suctioning: It is recommended that both tracheal and oral suctioning be performed as
needed. This includes before and after deflating the tracheostomy tube cuff (if present).
4. Cuff Deflation: Slowly deflate the cuff of the tracheostomy tube (if present). The
patient may need to be suctioned again following cuff deflation to remove secretions
that were present on and/or above the cuff. The patient with a cuffed tracheostomy
tube should be evaluated for a cuffless tracheostomy tube if medically appropriate to
eliminate the need for cuff deflation with use of the PMV.
AND VENTILATOR SPEAKING VALVES
AND VENTILATOR SPEAKING VALVES
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