If you are not using the PMV®For Ventilator Use
Placing the PMV In-line with the Ventilator
The PMV®005 (white), PMV®007 (Aqua Color™), PMV®2000 (clear)
and the PMV®2001 (Purple Color™) can be used with most types of
ventilators (Fig. 9) and in conjunction with most ventilator settings.
Your doctor will give you specific instructions that will enable you
to use the PMV safely in-line with the ventilator. Careful assessment
by your doctor must be made before using the PMV. Although most
people on ventilators can wear the PMV comfortably all day, some
people may need more time and preparation before using the PMV
and/or may only be able to wear it for short periods (minutes).
In some cases, changes in the ventilator settings may be needed.
If changes are necessary they will be prescribed by your doctor.
Important information for your doctor and healthcare professional on
use of the PMV with a ventilator dependent person can be found in the
Passy-Muir®Instruction Booklet that comes packaged with each PMV
in the Patient Care Kit.
If you are going to use the PMV while on a ventilator, your doctor
and other healthcare professionals (e.g., respiratory therapist) will
also need to determine and instruct you regarding the best way for
you to connect and use the PMV. There are many different types of
connections that can be used to put the PMV in-line in the ventilator
tubing. Some of these connections are shown in Figures 10.1 - 10.4.
Although all of the PMVs can be used with a ventilator, the PMV 007
(Aqua Color) is designed to be the most convenient PMV to use
WARNING: IF YOU ARE HAVING ANY DIFFICULTY BREATHING, REMOVE THE
PMV®IMMEDIATELY AND CONTACT YOUR DOCTOR AND/OR HEALTHCARE
PROFESSIONAL.
If you did not feel well while wearing the PMV and removed it, see
Troubleshooting
If you are breathing comfortably and vital signs are normal,
continue to use the PMV per doctor’s instructions.
WARNING: DO NOT WEAR THE PMV WHILE SLEEPING.
Part C - PMV/Tracheostomy Tube Connections:
The PMVs can be used with standard humidification devices using
is in place at the tracheostomy tube site via trach collar or use of the
Passy-Muir
®
PMA
®
WARNING: PLEASE USE CAUTION WHEN USING THE PMV WITH A HEAT
MOISTURE EXCHANGER (HME) OR HYGROSCOPIC CONDENSER HUMIDIFIER
(HCH) AS THE AMOUNT OF HUMIDIFICATION DELIVERED WHEN THESE
DEVICES ARE USED WITH THE PMV MAY BE REDUCED BECAUSE THESE
DEVICES REQUIRE EXHALED AIR FROM THE TRACHEOSTOMY TUBE TO PASS
THROUGH THEM. WHEN THE PMV IS WORN, EXHALED AIR IS REDIRECTED
THROUGH THE THROAT AND OUT THE NOSE AND MOUTH INSTEAD OF OUT
THE TRACHEOSTOMY TUBE.
CAUTION: Remove the PMV before giving medicated nebulizer treatments. If
the PMV is accidentally used during a treatment it should be removed immediately
and rinsed thoroughly to remove medication residue. If this is not done, residue
from medication may cause the PMV to stick.
Fig. 9 Barbara, a ventilator dependent PMV
®
user with the
PMV
®
005 (white) Speaking Valve in-line with her portable ventilator
Fig. 8a PMV® used with trach collar Fig. 8b PMA® 2000 Oxygen Adapter
on the PMV® 2001 (Purple Color™)
