“…In addition, the procedure is done at the bedside, obviating the need for the transport of critically ill patients to the operating room 14,15 . Those who argue for standard surgical tracheostomies also claim low complication rates 6,8,10,13,16,17 . The risk involved in transportation to the operating room is eliminated if the open procedure is done at the bedside 9,13,14,18 .…”