This Section of our web site is under construction. Estimated Completion June 1, 2018.
RRT’s – Please let me know if there is content that would be helpful for our residents, their family members and people who want information about respiratory care in general. Thanks, Brent Waldrop RN
Managing Respiratory Failure / Tracheostomy Care / Ventilator Support
People who depend on ventilators are not physically able to maintain spontaneous breathing on their own. Individuals with neuromuscular and central nervous system diseases, and spinal cord and other medically complex conditions (such as cerebral vascular accident, myocardial infarction and multiple sclerosis) are most likely to be dependent on ventilators. These individuals are more likely to develop infections because their respiratory systems are already strained. The chance of infection is significantly lessened at our facility because our staff is well-trained and well-equipped in the management of respiratory care. Our care center also provides four rooms that have been engineered for the provision of care to those who may need respiratory isolation.
Mechanical ventilation is a method of artificial ventilation where mechanical means is used to assist or replace spontaneous breathing. Positive-pressure ventilators work by increasing the patient’s airway pressure through a tracheostomy tube. The positive pressure allows air to flow into the airway until the ventilator breath is terminated. Then, the airway pressure drops to zero, and the elastic recoil of the chest wall and lungs push the tidal volume — the breath-out through passive exhalation.
Modes of Ventilator Support
AC (Assist Control)
ST AVAPS (Spontaneous Timed Average Volume Assured Pressure Support)
The list below outlines various devices used with a tracheostomy from most invasive to least invasive. Weaning trials are designed to introduce or build tolerance to a lower level of support. Often weaning trials often begin with short sessions one on one with a respiratory or speech therapist.
HLVN (Heated Large Volume Nebulizer)
HLVN provides heat and humidity to help mobilize secretions. This is a helpful intervention for patients who’s upper airway has been bypassed with a tracheostomy or endotracheal tube.
Heat Moisture Exchanger
“Fake Nose” Our Text here
Breath in through HME / Breath out through HME
Passy Muir Valve
Invented by a patient named David Muir, the Passy Muir®Tracheostomy & Ventilator Swallowing and Speaking Valve is a simple medical device used by tracheostomy and ventilator patients. When placed on the hub of the tracheostomy tube or in-line with the ventilator circuit, the Passy Muir® Valve redirects air flow through the vocal folds, mouth and nose enabling voice and improved communication.
Breath in through PMV / Breath out through nose & mouth
Our Text Here!
Breath in through nose & mouth / Breath out through nose & mouth
Chest Physiotherapy (CPT)
Chest Physiotherapy includes chest percussion, postural drainage and vibration to mobilize and clear airway secretions. These treatments result in the indirect removal of mucus from the breathing passages. The Country Life team has CPT vests that can be used to help mobilize mucus and secretions.
The Metaneb System is a pneumatic, non-invasive physiotherapy technique that delivers chest high frequency oscillations (CHFO). CHFO has been shown to enhance mucociliary clearance of secretions and help resolve patchy atelectasis. This device can be used to deliver aerosolized medications.
Cough Assist treatments clear secretions by gradually applying positive air pressure to the airway and then rapidly shifting to negative air pressure . The resulting high expiratory flow simulating a cough.
Increasing activity and building physical function
Increasing physical activity will help build respiratory function and is an important part of any recovery. Our Physical and Occupational therapy teams have decades of experience working in a variety of settings. The open floor-plan and stunning dining room of Country Life promotes life outside our rooms. The views of the Wasatch Mountains and the murals on or walls ensure our patients always have something interesting to look at when they explore our facility.
Our convertible chair has proven valuable in increasing activity in the initial phases of recovery. The chair can transition from a supine position (flat on one’s back) to a upright seated position. This reduces physical stress and anxiety associated with hoyer lift transfers. This chair is also often used when transporting patients to appointments or football games at Rice Eccles Stadium.