Try a Bivona Trach.s!! I have had Alot of success with them! I use a
single canula "tight to Shaft" inflatable cuff for emergencys... I have no
luck with Passey Muir!! I think there will alway be a pause... Do you use a
peep valve, on your exahaltion valve?? I do mines set on 4.. also am on a
breath rate is 16per.min... Ask your doc. or RT about that!! Peep valves do
give a few more sec.s to speak!! All my docs. say I speak very well!
HOPE THIS MIGHT HELP!!
Cody Namesnik
http://www.netzone.com/~cody "See My pic"
cody(AT)netzone.com
blane n beckwith by way of James Lubin wrote:
> I have been considering getting a Passey-Muir to better
> facilitate speech. First, I would like to ask a couple of questions,
> hopefully to be answered by people who have experience with it.
>
> For the past 10-11 years, I have relied on a Shiley cuffless
> trach that allows me to talk "around" it because its uncuffed state
> allows air to pass by it and through my vocal cords. The problem with
> this system is because my vent breathes on a timed cycle (14
> breaths/min.), it forces me to pause when talking. As you might
> imagine, this is an impediment to my being able to carry on the flow of a
> conversation. People who don't understand this, or are just plain rude,
> often use these pauses to talk over me. It gets very frustrating!
>
> My first, and most important, question is, will the Passey-Muir
> valve help eliminate these pauses and make it easier for me to carry on a
> "normal" conversation? My other question is, is a Passey-Muir valve
> difficult to learn to use? I greatly appreciate anyones help. Thanks!
>
> Blane
> :-)