Ferrer Adjustable Speaking Valve for Early Phonation in a Deconditioned Patient

A patient with multiple comorbidities and an eight-year history of tracheostomy was being treated for tracheitis. At this point, she became incapable of using regular speaking valves, and multiple attempts to reintroduce the speaking valve failed. A Ferrer adjustable speaking valve (FASV) was design...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 16; no. 6; p. e62081
Main Authors Cartaya, Rafael, Rizvi, Syed A A, Manara, Viviane, Tesch, Mari L, Franck, Rahaghi
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 10.06.2024
Cureus
Subjects
Cellulitis
Critical care
FDA approval
Ostomy
Palliative Care
Patient satisfaction
Pulmonology
Quality Improvement
Tracheotomy
Ventilators
United States > US
home health nursing
speaking valve
respiratory support
voice related quality of life
tracheostomy
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Summary:A patient with multiple comorbidities and an eight-year history of tracheostomy was being treated for tracheitis. At this point, she became incapable of using regular speaking valves, and multiple attempts to reintroduce the speaking valve failed. A Ferrer adjustable speaking valve (FASV) was designed with gradations of outflow closure, allowing air to go through the vocal cords for phonation. The FASV was offered to her through the compassionate use program at the FDA. At 20% initial closure, the patient was able to tolerate the valve and was advanced to 50% closure, at which point she could phonate partially. The use of the valve was terminated at the time of her transfer, 23 days after the initiation of use. This suggests the safety and possible efficacy of using an adjustable speaking valve earlier than regular valves, allowing patients to communicate earlier and further exercise their diaphragms.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.62081