How is it performed? of Tracheostomy

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This operation is usually carried out under a general anaesthetic, but can be performed under a local anaesthetic (see the article on Anaesthesia).

A vertical, midline cut is made in the skin over the windpipe, between the Adam's apple and the notch in the top of the breastbone. This exposes the cartilage rings on the windpipe. Two of these are cut through and a double-lined tracheostomy tube is inserted. Tapes attached to the wings of the flange are then tied at the back of the neck to keep the tube in place. If the patient can't breathe spontaneously, the tube is connected to a mechanical ventilator.