The article explained how the tracheostomy my decrease the duration of mechanical ventilation and ICU stay in certain critically disease patients, such as trauma. According to the article mentioned that the possible impact of tracheostomy on survival remains controversial. It has been suggested that tracheostomy might increase post-ICU mortality. The tracheostomy tube in the ward could be risk factor for morbidity or mortality by varying with impact of patients’ vulnerability. The study was conducted by screening all patients admitted at medical surgical ICU over an 18 month period. During the investigation the patient were monitored closely to determine who is ready for weaning and decannulation protocol (Martinez, et al., 2009). The patients
