Tracheostomy is still a life saving procedure in the surgical management of airway despite complications which are seen more commonly in paediatric patients. Most of complications related to tracheostomy can be avoidable by meticulous surgical technique and postoperative tracheostomy care by skilled and trained staff. Authors’ information JMG: Senior Consultant General/ENT surgeon, Senior Lecturer and Head, Department of Surgery, Well Bugando University College of Health Sciences. PLC: Consultant general surgeon

and Senior Lecturer, Department of Surgery, Well Bugando University College of Health Sciences. Acknowledgements The authors thank all members of staff of Department of Surgery who participated in the preparation of this manuscript, and all those who were involved in the care of our tracheostomized patients. Special thanks Torin 2 go to members of the Medical record department for their assistance in the retrieval of patients’ case notes. References 1. Walts PA, Murthy SC, DeCamp MM: Techniques of surgical tracheostomy. Clin Chest Med 2003, 24:413–422.PubMedCrossRef 2. Cox CE, Carson SS, Holmes GM, Howard A, Carey TS: Increase in tracheostomy for prolonged

mechanical ventilation in North Carolina, 1993–2002. Crit Care Med 2004, 32:2219–2226.PubMed 3. Needham DM, Bronskill SE, Calinawan JR, Sibbald WJ, Pronovost PJ, Laupacis A: Projected Selleck Pifithrin �� incidence of mechanical ventilation in Ontario to 2026: Preparing for the aging baby boomers. Crit Care Med 2005, 33:574–579.PubMedCrossRef 4. Esteban A, Anzueto A, Alía I, Gordo F, Apezteguía C, Pálizas F, Cide D, Goldwaser R, Soto L, Bugedo G, Rodrigo C, Pimentel J, Raimondi G, Tobin MJ: How is mechanical ventilation employed 3-mercaptopyruvate sulfurtransferase in the intensive care unit? An international utilization review. Am J Respir Crit Care Med 2000, 161:1450–1458.PubMed 5. Frutos-Vivar F, Esteban A, Apezteguía C, Anzueto A, Nightingale P, González

M, Soto L, Rodrigo C, Raad J, David CM, Matamis D, D’ Empaire G, International Mechanical Ventilation Study Group: Outcome of mechanically ventilated patients who require a tracheostomy. Crit Care Med 2005, 33:290–298.PubMedCrossRef 6. Kollef MH, Ahrens TS, Shannon W: Clinical predictors and outcomes for patients requiring tracheostomy in the intensive care unit. Crit Care Med 1999, 27:1714–1720.PubMedCrossRef 7. Fischler L, Erhart S, Kleger GR, Frutiger A: Prevalence of tracheostomy in ICU patients. A nation-wide survey in Switzerland. Intensive Care Med 2000, 26:1428–1433.PubMedCrossRef 8. Ilce Z, Celayir S, Tekard GT, Murat NS, Ercogan E, Yeker D: Tracheostomy in childhood: 20 years experience from a paediatric surgery clinic. Paediatr Int 2002, 44:306.CrossRef 9. Wood DE: Tracheostomy. Chest Surg Clin N Am 1996, 6:749.PubMed 10.