Q. How will the quality of life be for a 77-year-old patient after a tracheostomy?

Answered by
Dr. Anjali
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 13, 2021

Hello doctor,

My 77-year-old father is in ICU, and he is advised for a tracheostomy procedure. Kindly help me know the quality of life and survival rate after this procedure.

Thanks.

#

Hello,

Welcome to icliniq.com.

Thanks for your query.

Tracheostomy is needed if a patient has difficulty in weaning with a ventilator. However, the quality of life after the ventilator depends upon the hygienic care during suction and tube change. A need for tracheostomy depends upon the patient's health condition and the physician's opinion.

Is your father still on a ventilator? And how much is his SpO2?

Thanks.

Hello doctor,

My father is on T piece oxygen therapy. The ventilator is already off. He is conscious and responding sometimes. As per the ICU team, he is not able to remove secretion like phlegm by himself, and so a tracheostomy is a must. My query is, what is the quality of life and survival chances o my father after a tracheostomy?

Thanks.

#

Hello,

Welcome back to icliniq.com.

Many patients do well with tracheostomy for a year or two, and later it will be removed. However, as your patient is old and cannot remove secretions on his own, you will need to suction out his secretions. His prognosis at home depends upon nursing care. If his secretions do not thin out, then it will lead to blockage of the tube. If your patient has poor consciousness, then it will be difficult to manage the patient at home. However, the patient can have a good prognosis in a good conscious level and good nursing care.

Regards.


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