Verbal communication affects patient autonomy. Communication is limited in intubated patients causing frustration. Our study aimed at evaluating the outcomes of patients using a talking tracheostomy. The goal is to promote communication between patients and healthcare providers in the ICU and evaluate the impact on quality of life.

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Little data exists regarding use of tracheostomy ventilation (TV) in patients with motor neurone disease (PwMND). Some UK centres offer TV as a treatment option. It is hypothesised that starting TV in PwMND is intrusive to quality of life and leads to unacceptably, long hospital stays.

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