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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

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

Answered by Dr. Anjali

Education:

MD Pulmonary Medicine

Professional Bio:

Dr. Anjali is a Pulmonologist trained from one of the best Government colleges in India and has nine years of clinical experience. She completed MBBS in 2014 and her MD in Pulmonary Medicine from Guru Gobind Singh Medical College, Faridkot in 2020. She specializes in COVID-19 home isolation protocols, asthma allergy, sleep disorders, and other respiratory infections. Currently, she is working online in Noida, Uttar Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

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 saturated oxygen (SpO2)? Thanks.

Patient's Query

Hello doctor,

My father is on T piece oxygen therapy. The ventilator is already off. He is conscious and responding sometimes. As per the intensive care unit (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.

Answered by Dr. Anjali

Education:

MD Pulmonary Medicine

Professional Bio:

Dr. Anjali is a Pulmonologist trained from one of the best Government colleges in India and has nine years of clinical experience. She completed MBBS in 2014 and her MD in Pulmonary Medicine from Guru Gobind Singh Medical College, Faridkot in 2020. She specializes in COVID-19 home isolation protocols, asthma allergy, sleep disorders, and other respiratory infections. Currently, she is working online in Noida, Uttar Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

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.

Answered by Dr. Anjali
Medically reviewed by iCliniq medical review team
Published At October 13, 2021
Reviewed At November 22, 2023

Education:

MD Pulmonary Medicine

Professional Bio:

Dr. Anjali is a Pulmonologist trained from one of the best Government colleges in India and has nine years of clinical experience. She completed MBBS in 2014 and her MD in Pulmonary Medicine from Guru Gobind Singh Medical College, Faridkot in 2020. She specializes in COVID-19 home isolation protocols, asthma allergy, sleep disorders, and other respiratory infections. Currently, she is working online in Noida, Uttar Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

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Dr. Anjali

Pulmonology (Asthma Doctors)

Education:

MD Pulmonary Medicine

Professional Bio:

Dr. Anjali is a Pulmonologist trained from one of the best Government colleges in India and has nine years of clinical experience. She completed MBBS in 2014 and her MD in Pulmonary Medicine from Guru Gobind Singh Medical College, Faridkot in 2020. She specializes in COVID-19 home isolation protocols, asthma allergy, sleep disorders, and other respiratory infections. Currently, she is working online in Noida, Uttar Pradesh, India.

This doctor is not available for online consultations on the platform anymore.

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