Anna-Liisa Sutt is a Speech Pathologist whose work involves communication and dysphagia management of adult intensive care patients. Anna-Liisa’s career started in Tallinn, Estonia, followed by 12 years in Queensland, Australia, and more recently 2 years in London. Her passion is improving the management of patients with tracheostomies, from insertion to decannulation and longer-term outcomes. She is devoted to advancing speech pathology input and its evidence base in the critical care environment. In her PhD Anna-Liisa assessed the effect of tracheostomy speaking valves on regional ventilation and communication success. Her research led to a rapid change of practice locally, resulting in 75% of ventilated patients with tracheostomies talking. Her work has been instrumental in changing practice in a number of ICUs internationally.