Patients with complex airways such as a tracheostomy or a laryngectomy stoma have unique communication barriers. Consequently, patients may feel isolated, or clinicians may underestimate their communication and cognitive capabilities (especially immediately after the complex airway is established). Therefore, complex airways can negatively impact a patient’s ability to participate in serious illness conversations. This Fast Fact offers information on vocalization options and expert advice to clinicians when communicating with seriously ill patients with complex airways.
Link: Fast Facts #527 (01/2026)
