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.
Above Cuff Vocalisation involves passing retrograde gas flow via the subglottic suction port of standard tracheostomy tubes. We studied in detail the effectiveness and adverse effects of this underutilised technique in ten ventilator dependant critically ill patients.