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.
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.