Tracheostomy is an opening surgically created through the neck into the trachea (windpipe) to allow direct access to the breathing tube and is commonly done in an operating room under general anesthesia. A tube is placed through this opening to deliver an airway and to remove secretions from the lungs. .The resulting stoma can serve independently as an airway or as a site for a tracheal tube to be inserted. This tube allows a person to breathe without the use of the nose or mouth. Tracheotomy may cause significant reduction in the administration of sedatives and vasopressors, as well as the duration of stay in the intensive care unit.