Madonna Rehabilitation Hospital

Madonna Rehabilitation Hospital, located in Lincoln, Nebraska, is one of the nation's foremost facilities for medical rehabilitation and research. Specializing in traumatic brain injury, spinal cord injury and pediatric rehabilitation, Madonna offers hope and healing to thousands of patients from throughout the country each year.

Madonna's team of highly specialized physiatrists, therapists, rehabilitation nurses and clinicians work with the most advanced technology and equipment to help each person achieve the highest level of independence.

Their multidisciplinary team model incorporates use of the Passy-Muir® Valve to facilitate weaning and decannulation. Within 48 hours of admission, every tracheostomy and ventilator patient is evaluated by the team for placement of the Passy-Muir Valve. In 2010, Madonna Rehabilitation Hospital weaned 62% of their ventilator patients in average of 12.5 days. These outcomes far exceed the national averages of a 50% wean rate in 20 days. The staff firmly believes that these outcomes are a result of incorporating the Passy-Muir Valve into their patient protocols.

Meet the Team

Success Stories

Meet Althea and Erasmo, two of the patients that Passy-Muir had the pleasure of meeting during our visit to Madonna Rehabilitation Hospital.


Physical Therapy with the Passy-Muir Valve

On April 10th, 2011 Madonna Rehabilitation Hospital was featured in a Passy-Muir clinical documentary, World Progress Report. The hospital graciously opened its doors to the cameras in order to capture the clinicians
and patients using the Passy-Muir Valve at the bedside and in therapy. These images, along with the staff and patient interviews, give testimony to why the Passy-Muir Valve has become the standard of care for not only Madonna Rehabilitation Hospital but for facilities across the world.

Policy and Procedures

Click here to download Madonna's Tracheostomy Tube weaning protocol.

Publications and Presentations

Patients Requiring Tracheostomy and Mechanical Ventilation: A Model for Interdisciplinary Decision-Making,
Published in the ASHA Leader on January 20th, 2009

Interdisciplinary Decision-Making with Patients Requiring Tracheostomy and Mechanical Ventilation
Presented at the 2009 ASHA Convention

Madonna Rehabilitation Hospital-A Center for Excellence
Published in Talk Muir, Fall 2010

Use of the Passy-Muir Valve for Weaning in Long Term Acute Care Hospitals
Published in Respiratory Therapy Journal, August/September 2011

NALTH Summer 2012 Member Spotlight

Guest Presenters for Passy-Muir Special Event Webinars:


Interdisciplinary Decision-Making with Patients Requiring Tracheostomy and Mechanical Ventilation.

Patients with respiratory failure and distress are now surviving with the help of medical advances including tracheostomy tubes and mechanical ventilation. This course will provide clinical education on a model of an interdisciplinary flow chart that outlines a protocol providing objective criteria for patient tolerance of a Passy-Muir closed position one-way valve, a critical step in the assessment of the patient’s speech, voice and swallowing.
Read more...

The Role of the Passy-Muir® Valve in the Pulmonary Management of the Patient with a Spinal Cord Injury.

According to the National Spinal Cord Injury Statistical Center, there are approximately 12,000 new spinal cord injuries (SCI) in the U.S. each year. Regardless of the level of injury, respiratory function is compromised. This course will identify the four primary pulmonary impairments of a high spinal cord injury and demonstrate the role of the Passy-Muir Valve in their prevention and treatment. We will examine the use of the Passy-Muir Valve in successfully weaning patients with SCI from the ventilator and/or tracheostomy tube.
Read more...

Theme by Danetsoft and Danang Probo Sayekti inspired by Maksimer