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TracheostomyNCT06229639

Safety of the Nocturnal Passy Muir Valve and Impact on Sleep Quality at an LTACH Setting

A study testing Passy Muir Valve and Tracheostomy Plug in people with Tracheostomy, run by Gaylord Hospital, Inc at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Limited research has been done to assess the safety of PMV use during sleep. One prospective study completed by Diez-Gross, et al in 2007 looked at 10 male subjects recorded on two consecutive nights, one night with PMV on and one night with PMV off. All recordings took place in a monitored setting. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Tracheostomy
What is being tested?
Passy Muir Valve and Tracheostomy Plug
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
33 participants
Where
1 siteUnited States
Study dates
Jan 2016to Feb 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient has evidence of respiratory insufficiency requiring a tracheostomy tube without current need for assisted ventilation.
  • Patient will be continuously monitored with telemetry.
  • Patient satisfies criteria for the decannulation protocol and agrees to use the Passy Muir Valve during sleep.
  • Patient is able to follow directions following speech/language/cognitive evaluation or screening completed by the Speech-Language Pathologist and physician assessment.
  • Patient is at least 18 years old.
  • An informed consent is signed by patient or Power of Attorney (POA).
  • Patient is able to tolerate the PMV during the day for a minimum of 6 continuous hours
  • Patient has a maximum size #6 Shiley cuffless tracheostomy tube or equivalent.

Who cannot join

  • Patient identified at time of admission as requiring invasive long-term assisted ventilation.
  • Patient with documented or suspected upper airway obstruction and/or surgery or permanent tracheostomy tube.
  • Patient is quadriplegic (due to the inability for a quadriplegic patient to manually self-remove the valve in case of emergency).
  • Patient or POA failed to sign consent.
  • Pt has a severe cognitive impairment as determined by a formal cognitive-linguistic evaluation by a licensed Speech Language Pathologist.
  • Patient unable to meet criteria for decannulation protocol or has failed decannulation protocol within last two weeks.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Gaylord Hospital

    Wallingford, Connecticut, 06492

Other trials in United States

About this study

Official title: Assessing the Safety of the Nocturnal Passy Muir Valve and Its Impact on Sleep Quality in an LTACH Setting

Limited research has been done to assess the safety of PMV use during sleep. One prospective study completed by Diez-Gross, et al in 2007 looked at 10 male subjects recorded on two consecutive nights, one night with PMV on and one night with PMV off. All recordings took place in a monitored setting. The variables studied included O2 saturation, apnea index, apnea - hypopnea index, and nursing reports. Conclusion was PMV use for one night in seriously ill tracheostomy patients was not associated with respiratory distress or cardiac issues.

Read the detailed description

Currently, the PMV has only been approved by the FDA for daytime use. As such, it is encouraged to remove speaking valves at night. However, there is minimal evidence indicating that the use of speaking valves during nighttime poses a significant risk. Studies focusing on the safety of the PMV for nocturnal use reported no significant effects on patients' well-being, including no significant oxygen desaturations or major cardiopulmonary events. This was shown in pediatric patients and adult patients admitted to an ICU. While promising, these findings are still limited, and additional evidence is needed to demonstrate the safety of nocturnal PMV use before larger studies can be conducted.

It was anecdotally witnessed that patients frequently sleep during the day with the PMV in place, suffering no recourse to adverse events. The primary objective of this study was to determine if nocturnal PMV use can be considered safe within the long-term acute care hospital setting and its impact on sleep quality

Conditions
Tracheostomy
Being tested
Passy Muir Valve, Tracheostomy Plug
Keywords
Tracheostomy, Speaking Valve, Sleep Quality, LTACH, Passy-Muir Valve, Respiratory Care
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Passy Muir ValveDevice

  • Tracheostomy PlugDevice

Study groups in NCT06229639
Study groupRoleWhat they receive
Tracheostomy PlugActive comparatorPatients receive tracheostomy plug during night 2.
Receives: Device: Tracheostomy Plug
Passy-Muir ValveExperimentalPatients receive Passy-Muir Valve during night 1.
Receives: Device: Passy Muir Valve

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Heart Rate

    Measures the number of contractions of the heart per minute (bpm). The measurement is an average calculated by dividing the sum of all three time points by 3.

    Their respective groups were collected at three time points.

    Measured: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00

  2. Systolic Blood Pressure

    Measures the pressure in your arteries when your heart beats (mmHg). The measurement is an average calculated by dividing the sum of all three time points by 3.

    Their respective groups were collected at three time points.

    Measured: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00

  3. Diastolic Blood Pressure

    Measures the pressure in your arteries when your heart rests between beats (mmHg). The measurement is an average calculated by dividing the sum of all three time points by 3.

    Their respective groups were collected at three time points.

    Measured: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00

  4. Body Temperature

    Measures the normal body temperature of participants (°F). The measurement is an average calculated by dividing the sum of all three time points by 3.

    Their respective groups were collected at three time points.

    Measured: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00

  5. O2

    Oxygen saturation measures the percentage of oxyhemoglobin in the blood (%). The measurement is an average calculated by dividing the sum of all three time points by 3.

    Their respective groups were collected at three time points.

    Measured: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00

  6. ETCO2

    The level of carbon dioxide that is released at the end of an exhaled breath (mm Hg). The measurement is an average calculated by dividing the sum of all three time points by 3.

    Their respective groups were collected at three time points.

    Measured: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00

  7. Respiratory Rate

    Measures the breathing rate by number of breaths per minute (bpm). The measurement is an average calculated by dividing the sum of all three time points by 3.

    Their respective groups were collected at three time points.

    Measured: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00

Secondary outcomes (6)
  1. pH

    The amount of pH in the blood is measured by the arterial blood gas measurements.

    Measured: Morning after night 1 and morning after night 2

  2. PCO2

    The amount of carbon dioxide in the blood in the arterial blood gas measurements (mm Hg).

    Measured: Morning after night 1 and morning after night 2

  3. PO2

    The amount of oxygen in the blood by the arterial blood gas measurements (mm Hg).

    Measured: Morning after night 1 and morning after night 2

  4. Bicarbonate

    The amount of bicarbonate in the blood by the arterial blood gas measurements (mmol/L).

    Measured: Morning after night 1 and morning after night 2

  5. Sleep Quality

    This is measured by the Richards-Campbell Sleep Questionnaire, which is recorded on a 0-100 nm (minimum-maximum values) visual scale with higher scores indicating better sleep levels than lower scores.

    Measured: Morning after night 1 and morning after night 2

  6. Richard Campbell Sleep Questionnaire

    The Richards-Campbell Sleep Questionnaire (RCSQ) is a six-question self-report questionnaire used to assess ICU patients' sleep quality. These six questions assess the domains of sleep depth, sleep latency, awakenings, ability to return to sleep, overall sleep quality, and overnight noise level. The responses were recorded on a 0-100 mm visual analog scale, with higher scores indicating better sleep levels than lower scores. The mean score represents the general perception of sleep quality.

    Measured: Morning after night 1 and morning after night 2

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jan 2024
  2. Study startJan 2016
  3. Primary completionJan 2018
  4. Study completionFeb 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
33 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06229639
Sponsor's protocol ID
201512TAN
Status last verified
Mar 2026
First submitted
21 Dec 2023
Last updated
11 Mar 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Durbin CG Jr. Tracheostomy: why, when, and how? Respir Care. 2010 Aug;55(8):1056-68.

    PubMed 20667153
  • Lian S, Teng L, Mao Z, Jiang H. Clinical utility and future direction of speaking valve: A review. Front Surg. 2022 Sep 8;9:913147. doi: 10.3389/fsurg.2022.913147. eCollection 2022.

    PubMed 36157432
  • Liney T, Dawson R, Seth R, et al. Anxiety levels amongst patients with tracheostomies. British Journal of Anaesthesia. 2019;123(4):e504-e505. doi:10.1016/j.bja.2019.04.027

  • O'Connor LR, Morris NR, Paratz J. Physiological and clinical outcomes associated with use of one-way speaking valves on tracheostomised patients: A systematic review. Heart Lung. 2019 Jul-Aug;48(4):356-364. doi: 10.1016/j.hrtlng.2018.11.006. Epub 2018 Dec 17.

    PubMed 30573194
  • Passy V, Baydur A, Prentice W, Darnell-Neal R. Passy-Muir tracheostomy speaking valve on ventilator-dependent patients. Laryngoscope. 1993 Jun;103(6):653-8. doi: 10.1288/00005537-199306000-00013.

    PubMed 8502098
  • Winters B, Serpas D, Fullmer N, Hughes K, Kincaid J, Rosario ER, Schnakers C. Sleep Quality Should Be Assessed in Inpatient Rehabilitation Settings: A Preliminary Study. Brain Sci. 2023 Apr 25;13(5):718. doi: 10.3390/brainsci13050718.

    PubMed 37239190
  • DuBose JR, Hadi K. Improving inpatient environments to support patient sleep. Int J Qual Health Care. 2016 Oct;28(5):540-553. doi: 10.1093/intqhc/mzw079. Epub 2016 Aug 10.

    PubMed 27512130
  • Martin JL, Fiorentino L, Jouldjian S, Josephson KR, Alessi CA. Sleep quality in residents of assisted living facilities: effect on quality of life, functional status, and depression. J Am Geriatr Soc. 2010 May;58(5):829-36. doi: 10.1111/j.1532-5415.2010.02815.x.

    PubMed 20722819
  • Shuman AG, Duffy SA, Ronis DL, Garetz SL, McLean SA, Fowler KE, Terrell JE. Predictors of poor sleep quality among head and neck cancer patients. Laryngoscope. 2010 Jun;120(6):1166-72. doi: 10.1002/lary.20924.

    PubMed 20513034
  • 510(k) Premarket Notification. U.S. Food and Drug Administration. Accessed June 23, 2022. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=K962714

  • Barraza GY, Fernandez C, Halaby C, Ambrosio S, Simpser EF, Pirzada MB, Islam S. The safety of tracheostomy speaking valve use during sleep in children: a pilot study. Am J Otolaryngol. 2014 Sep-Oct;35(5):636-40. doi: 10.1016/j.amjoto.2014.04.011. Epub 2014 May 4.

    PubMed 24888795
  • Gross RD, Atwood C. R168: Safety of Tracheostomy Speaking Valve Use during Sleep. Otolaryngol Head Neck Surg. 2007;137(2_suppl):P209-P209. doi:10.1016/j.otohns.2007.06.505

  • Richards KC, O'Sullivan PS, Phillips RL. Measurement of sleep in critically ill patients. J Nurs Meas. 2000 Fall-Winter;8(2):131-44.

    PubMed 11227580
  • Silveira AR, Soki MN, Chone CT, Tah Y Ng R, Carvalho EG, Crespo AN. Brazilian tracheotomy speech valve: diaphragm pressure standardization. Braz J Otorhinolaryngol. 2009 Jan-Feb;75(1):107-10. doi: 10.1016/s1808-8694(15)30840-5.

    PubMed 19488569

Questions about this trial

What is this clinical trial studying?

A study testing Passy Muir Valve and Tracheostomy Plug in people with Tracheostomy, run by Gaylord Hospital, Inc at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 11 Mar 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Heart Rate (time frame: Night 1 at 22:00, 2:00, 6:00 and night 2 at 22:00, 2:00, 6:00). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06229639, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Mar 2026.

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