How a Tracheostomy is Performed Step-by-Step with Pictures

Below is a step-by-step description with pictures of how a tracheostomy is performed. To read more about this procedure as what to expect with swallowing, eating, talking, etc, click here.

Step 1: Neck is sterilized with beta dine to clean the skin and draped to prevent any contamination from the environment.

Step 2: After the incision, underlying fat is removed.

Step 3: Dissection is carried down to the windpipe which is completely exposed in this picture. One can see the faint outlines of 2 1/2 tracheal rings.

Step 4: A small window is then created in the windpipe. In this picture, one can see the endotracheal tube inside the windpipe. This tube is slowly removed from the windpipe as the anesthesiologist pulls the tube out from the mouth.

Step 5: Once the endotracheal tube is removed, the windpipe and surrounding area is completely suctioned of all secretions and blood.

Step 6: The tracheostomy tube is then inserted and secured in place. That's it!