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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.