A 63-year-old man with a tracheostomy is being weaned from mechanical ventilation. He has been on a T-piece for progressive periods. The physiotherapi...

Question

A 63-year-old man with a tracheostomy is being weaned from mechanical ventilation. He has been on a T-piece for progressive periods. The physiotherapist asks about the role of a one-way speaking valve (e.g. Passy-Muir valve). Which of the following is a contraindication to using a speaking valve?

Accepted Answer

The tracheostomy cuff is inflated

Answer

The patient is alert and wishes to communicate

Answer

The patient has a fenestrated tracheostomy tube

Answer

The patient is receiving supplemental oxygen via the tracheostomy

Answer

The patient has a strong cough reflex

uk-fficm MCQ (SBA): Tracheostomy Management

A 63-year-old man with a tracheostomy is being weaned from mechanical ventilation. He has been on a T-piece for progressive periods. The physiotherapist asks about the role of a one-way speaking valve (e.g. Passy-Muir valve). Which of the following is a contraindication to using a speaking valve?