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Research ArticleOriginal Research

Preliminary Report of Laryngeal Phonation During Mechanical Ventilation Via a New Cuffed Tracheostomy Tube

Melda Kunduk, Kimberly Appel, Mehtap Tunc, Zekeriyya Alanoglu, Neslihan Alkis, Gursel Dursun and Ozan B Ozgursoy
Respiratory Care December 2010, 55 (12) 1661-1670;
Melda Kunduk
Department of Communications Sciences and Disorders, Louisiana State University
Our Lady of the Lake Voice Center, Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, Baton Rouge, Louisiana.
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  • For correspondence: [email protected]
Kimberly Appel
Atlanta Medical Center, Atlanta, Georgia
Southern Crescent Hospital, Riverdale, Georgia, and
Pulmodyne, Indianapolis, Indiana.
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Mehtap Tunc
Department of Anesthesiology and Reanimation, Atatürk Chest Disease and Thoracic Surgery Education and Research Hospital, Ankara, Turkey.
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Zekeriyya Alanoglu
Faculty of Medicine, Department of Anesthesiology and Reanimation, Ibn-i Sina Hospital, Ankara University, Ankara, Turkey.
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Neslihan Alkis
Faculty of Medicine, Department of Anesthesiology and Reanimation, Ibn-i Sina Hospital, Ankara University, Ankara, Turkey.
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Gursel Dursun
Faculty of Medicine, Department of Otolaryngology, Ibn-i Sina Hospital, Ankara University, Ankara, Turkey.
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Ozan B Ozgursoy
Faculty of Medicine, Department of Otolaryngology, Ibn-i Sina Hospital, Ankara University, Ankara, Turkey.
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Abstract

OBJECTIVE: To study the safety, efficacy, patient tolerance, and patient satisfaction of the Blom Tracheostomy Tube and Speech Cannula (Pulmodyne, Indianapolis, Indiana), a new device that allows the patient to speak while the tracheostomy tube cuff is fully inflated.

METHODS: With 10 tracheostomized mechanically ventilated patients we recorded ventilator settings and physiologic variables at baseline with patient's usual tracheostomy tube, then with the Blom Tracheostomy Tube and the Blom standard (non-speech) cannula, and then during three 30-min trials of the Blom Speech Cannula. During the Blom Speech Cannula trials we assessed the subjects' success in phonation (eg, sentence length and volume).

RESULTS: Nine of the 10 subjects achieved sustained audible phonation and were very satisfied with the device.

CONCLUSIONS: The Blom Speech Cannula appears to be safe, effective, and well tolerated in tracheostomized mechanically ventilated patients while maintaining full cuff inflation.

  • tracheostomy
  • Speech Cannula
  • laryngeal phonation
  • mechanical ventilation
  • cuffed tracheostomy tube

Footnotes

  • Correspondence: Melda Kunduk PhD, Department of Communications Sciences and Disorders, Louisiana State University, 7777 Hennessy Boulevard, Suite 408, Baton Rouge LA 70808. E-mail: mkunduk{at}lsu.edu.
  • Ms Appel has disclosed a relationship with Pulmodyne. The other authors have disclosed no conflicts of interest. This research was partly supported by Pulmodyne, which supplied the Blom Tracheostomy Tubes and Speech Cannulas and provided the results of Pulmodyne's laboratory testing.

  • See the Related Editorial on Page 1760

  • Copyright © 2010 by Daedalus Enterprises Inc.
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Respiratory Care: 55 (12)
Respiratory Care
Vol. 55, Issue 12
1 Dec 2010
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Preliminary Report of Laryngeal Phonation During Mechanical Ventilation Via a New Cuffed Tracheostomy Tube
Melda Kunduk, Kimberly Appel, Mehtap Tunc, Zekeriyya Alanoglu, Neslihan Alkis, Gursel Dursun, Ozan B Ozgursoy
Respiratory Care Dec 2010, 55 (12) 1661-1670;

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Preliminary Report of Laryngeal Phonation During Mechanical Ventilation Via a New Cuffed Tracheostomy Tube
Melda Kunduk, Kimberly Appel, Mehtap Tunc, Zekeriyya Alanoglu, Neslihan Alkis, Gursel Dursun, Ozan B Ozgursoy
Respiratory Care Dec 2010, 55 (12) 1661-1670;
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Keywords

  • tracheostomy
  • Speech Cannula
  • laryngeal phonation
  • mechanical ventilation
  • cuffed tracheostomy tube

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