{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:19:35Z","timestamp":1789604375005,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T00:00:00Z","timestamp":1576022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to investigate if there are predictors for success with Passy Muir Valve (PMV) placement for medically complex pediatric patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective chart review of 52 pediatric patients with a tracheostomy with or without ventilator dependence who received PMV assessments from October 2017 through October 2018 in intensive care units and acute care units within Children's Healthcare of Atlanta (Atlanta, GA). Univariate analysis and logistic regression modeling were used to identify factors associated with a successful PMV trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Factors found to be associated with a successful PMV trial were as follows: transtracheal pressure measurement, presence of voicing, age of patient &gt;2\u2009years, weight of patient, and ventilator rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Medically complex infants and children in the intensive care units and acute care units on or off the ventilator can be considered candidates for PMV use; several factors can be predictive of a successful trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2C <jats:italic>Laryngoscope<\/jats:italic>, 130:E632\u2013E639, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28440","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T13:03:38Z","timestamp":1576069418000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Passy muir valve tolerance in medically complex infants and children: Are there predictors for success?"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3421-9580","authenticated-orcid":false,"given":"Laura","family":"Brooks","sequence":"first","affiliation":[{"name":"Children's Healthcare of Atlanta Emory School of Medicine  Atlanta Georgia U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Figueroa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Biostatistics Core Emory School of Medicine  Atlanta Georgia U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Edwards","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta Emory School of Medicine  Atlanta Georgia U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter","family":"Reeder","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta Emory School of Medicine  Atlanta Georgia U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"McBrayer","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta Emory School of Medicine  Atlanta Georgia U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April","family":"Landry","sequence":"additional","affiliation":[{"name":"Children's Healthcare of Atlanta Emory School of Medicine  Atlanta Georgia U.S.A"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Emory School of Medicine  Atlanta Georgia U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13638490400021503"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2014.12.017"},{"key":"e_1_2_6_4_1","first-page":"20","article-title":"Clinical benefits of the Passy\u2010Muir tracheostomy and ventilator speaking valves in the NICU","volume":"17","author":"Torres LY","year":"2004","journal-title":"Neonatal Intensive Care"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1044\/vvd18.2.76"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-003-0022-x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02920"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05366"},{"key":"e_1_2_6_9_1","first-page":"38","article-title":"Infants and children following tracheostomy and ventilator dependence in the intensive care units: candidacy and early intervention with a biased\u2010closed, no\u2010leak speaking valve","volume":"31","author":"Brooks LB","year":"2018","journal-title":"Neonatal Intensive Care"},{"key":"e_1_2_6_10_1","first-page":"519","article-title":"Facilitating speech in the patient with a tracheostomy","volume":"50","author":"Hess DR","year":"2005","journal-title":"Respir Care"},{"key":"e_1_2_6_11_1","first-page":"1","article-title":"(2012, April). 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