-> I currently use a trach tube that has a cuff that is extra long
-> because of my neck size. I cannot use the passey muir valve because
-> I get a build up of air making it hard to breath. I've tried it with
-> the cuff inflated and deflated. The build up of air is so strong that
-> it sends the valve flying off. I end up using my finger to cover the
-> trach when I want to speak. Any suggestions my friends???? Thanks!
-> Sue (Trach96)
Have you ever considered trying to use a cuffless trach, thus
eliminating the need for a passey-muir valve altogether?