Ask a doctor - Can an intubated patient speak?

Q. Can an intubated patient speak?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

When a patient is intubated, it means a tube has been inserted into their windpipe (trachea) to help them breathe. This tube is connected to a ventilator, a machine that delivers oxygen to the lungs.

Usually, when someone is intubated, they can't speak because the tube blocks the airflow needed to produce sound. Speaking involves air passing over the vocal cords, which are located in the upper part of the windpipe. Since the tube goes below the vocal cords, it interrupts this process.

However, there are some cases where a patient may still be able to communicate while intubated:

1. Writing or Gesturing: If a patient is conscious and alert while intubated, they may communicate by writing on a piece of paper or using gestures.

2. Communication Devices: In some hospitals, there are communication devices specifically designed for intubated patients. These devices may have pre-programmed phrases or a keyboard for typing messages that are then displayed on a screen.

3. Speaking Valves: In certain situations, a speaking valve can be attached to the end of the breathing tube. This valve allows air to pass around the tube and over the vocal cords, enabling the patient to speak temporarily. However, not all patients are candidates for speaking valves, as it depends on their medical condition and the reason for intubation.

4. Communication Apps: Some hospitals use communication apps on tablets or smartphones to help intubated patients communicate. These apps may have text-to-speech functions or allow patients to select phrases or words to express themselves.

It's important to note that while these methods may enable communication to some extent, they may not be as effective or efficient as normal speech. Additionally, the patient's condition and medical team will determine which communication methods are appropriate and safe for them.