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Critical Care
Published in: Critical Care 1/2017

Open Access 01-12-2017 | Letter

Communicating with conscious mechanically ventilated critically ill patients: let them speak with deflated cuff and an in-line speaking valve!

Authors: Peter H. Egbers, E. Christiaan Boerma

Published in: Critical Care | Issue 1/2017

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Excerpt

With great interest we read the article in Critical Care by ten Hoorn et al. [1]. We appreciate the efforts of the authors to write the first review about interventions enabling communication with critically ill patients and to develop an algorithm to select a communication technique. Their attention was focused on patients who were completely ventilator dependent. In cases where tracheotomized patients are able to tolerate cuff deflation, a spontaneous breathing trial with a one-way speaking valve is suggested in their algorithm. However, we would like to point out that this algorithm lacks an important alternative in this particular patient group. …
Literature
1.
ten Hoorn S, Elbers PW, Girbes AR, Tuinman PR. Communicating with conscious and mechanically ventilated critically ill patients: a systematic review. Crit Care. 2016;20(1):333.CrossRefPubMedPubMedCentral
2.
3.
Sutt AL, Cornwell P, Mullany D, Kinneally T, Fraser JF. The use of tracheostomy speaking valves in mechanically ventilated patients results in improved communication and does not prolong ventilation time in cardiothoracic intensive care unit patients. J Crit Care. 2015;30(3):491–4.CrossRefPubMed
4.
Sutt AL, Caruana LR, Dunster KR, Cornwell PL, Anstey CM, Fraser JF. Speaking valves in tracheostomised ICU patients weaning off mechanical ventilation--do they facilitate lung recruitment? Crit Care. 2016;20:91.CrossRefPubMedPubMedCentral
5.
Freeman-Sanderson AL, Togher L, Elkins MR, Phipps PR. Return of voice for ventilated tracheostomy patients in ICU: a randomized controlled trial of early-targeted intervention. Crit Care Med. 2016;44(6):1075–81.CrossRefPubMed
Metadata
Title
Communicating with conscious mechanically ventilated critically ill patients: let them speak with deflated cuff and an in-line speaking valve!
Authors
Peter H. Egbers
E. Christiaan Boerma
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-016-1587-8

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