Tracheostomy is a surgical procedure that creates an artificial opening in the trachea to allow for breathing. It can be performed as a permanent or semi-permanent procedure. Indications for tracheostomy include upper airway obstruction from trauma, foreign bodies or infections; prolonged need for ventilation over one week; and inability to cough and clear secretions. The procedure involves making a horizontal incision between the cricoid cartilage and suprasternal notch and opening the trachea to insert a tracheostomy tube. Complications can include bleeding, injury to surrounding structures, infections, tracheal stenosis and fistulas.