Table 3.
Minimize aerosolized particle spread | Cover the tracheostoma with an HME, preferably equipped with an electrostatic filter (Provox Micron HME). |
Put a physical barrier over the stoma, such as a surgical mask. | |
Reduce the risk of contagion | Wear surgical mask over mouth, nose, and stoma with HME. |
Tie upper mask strings around neck; use additional extension string to connect the 2 lower mask strings under the arms and behind the back. | |
Wear hands-free HME because it does not require touching when speaking, or wash hands as much as possible before touching regular HME or managing the stoma. Wash hands with soap and water for at least 20 s or an alcohol-based hand sanitizer with at least 60% alcohol. | |
Voice prosthesis leaking | Clean and rotate the voice prosthesis. |
Train to use the plug to contain intravalvular leakage. | |
Suggest alternative dietary measures, such as thickened liquids. |
Abbreviation: HME, heat and moisture exchanger.