Philips V200 Manual Do Utilizador

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Options and Accessories
REF 1057983 A
Respironics V200 Ventilator Operator’s Manual
13-103
Chapter 13
Speaking Mode Option
The Speaking Mode software option for the Respironics V200 Ventilator allows 
tracheostomized adult and pediatric patients who meet certain criteria to 
vocalize without the need of a speaking valve. The Speaking Mode software, 
when activated, closes the ventilator’s exhalation valve, keeping it closed 
during the expiratory phase. This action redirects airflow around the deflated 
balloon cuff on the tracheostomy tube, through the larynx and pharynx, and 
out through the mouth. As the air flow passes through the vocal cords, speech 
is returned.
Speaking Mode provides pressure control and volume control in A/C, SIMV, 
CPAP, Pressure Support, and in the Flow-Trak ventilator option (if enabled). 
Speaking Mode is not available in NPPV mode, Respiratory Mechanics, and 
Neonatal options.
Ventilators installed with Speaking Mode option software have the following 
identifying label located near the power switch:
Figure 13-57: Speaking Mode Option Label
Warnings, Cautions, 
and Notes
Warnings
A warning indicates a condition that could cause injury to a patient or operator 
if instructions are not followed.
Read and understand these Speaking Mode Option instructions before 
using Speaking Mode on a patient. 
Wait at least 72 hours after a tracheostomy before initiating Speaking 
Mode.
Monitor patients with trained medical personnel when using Speaking 
Mode. 
COMPLETELY DEFLATE the tracheostomy tube cuff before activating 
Speaking Mode.
Do not use while patient is sleeping, unresponsive, or comatose.
Do not use with patients with upper airway obstruction. 
Do not use with foam cuff tracheostomy tubes.