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Dixie,
My 1st, 2nd and 3rd k pouch valves were stationary and never moved around...28yrs worth of valves...since 2007 my newest valve is mobile and can rotate in any direction so I go slowly when intubating and allow the valve to guide the tube and not the other way around...otherwise I 'hit a wall' so to speak and it hurts...(kind of like pushing the tube into the side of the valve...not good for the valve at all!!!)....
Dr C has seen it and was very surprised the first time that he checked it out...had never seen it happen before but there you have it...it is more common than we think...it does Not cause any problems other than the obvious of finding the right direction to intubate into...I find that if I intubate a bit more often when I know that I am going to be full and avoid overfullness then it is not a problem at all.
So don't worry...Even the abnormal is normal with us!
Sharon
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