Introduction: Tracheostomies are often performed on intensive care patients to help them survive critical pulmonary situations with minimal sedation. Awake ventilated patients experience anxiety and shame related to the loss of their voice and disfigured body image. The aim of this study is to examine the experiences of affected patients and link them to personhood in order to derive practical implications for person-centered care.Methodology: The study follows the guidelines for scoping reviews. Therefore, a systematic literature search was conducted in the Pubmed via Medline, Cinhal, and Cochrane Library databases between 2015 to 2025. Qualitative articles in German and English were included. The results are classified according to McCormack's (2004) four levels of personhood.Results: Being with oneself: Patients suffer from feelings of incompleteness, fear, or ugliness due to the loss of their voice and disfigured body image. This can lead to depression or suicidal thoughts. Being in relationships: Due to the limitation of their voice, communication can only be nonverbal. This often leads to misunderstandings with caregivers or relatives. After some failed attempts, they often give up trying to understand and experience communication as failed. Being in a social world: Due to visible changes to their neck, patients often struggle with stigmatization. In acute cases, they are also unable to stand up for themselves so they feel excluded and isolated. Being in one place: The intensive care unit is unfamiliar to patients at first, and the loss of voice means that questions cannot be answered, leading to confusion and fear.Discussion: Staying in an intensive care unit with a tracheostoma affects all dimensions of personhood. Patients want caregivers to be patient and take time to understand their needs and inform them to alleviate their fears. Shared decision-making is also a high priority.