“… 14 , 17 , 18 , 22 , 31 , 37 , 38 Deaths directly related to tracheostomy are rarely reported, ranging from 0.6 to 14.4%, due to massive bleeding 21 and cannula obstruction. 17 , 23 , 39 , 40 Underlying cardiopulmonary disease and premature birth are factors associated with increased mortality in pediatric tracheostomy patients under 2 years of age. 41 , 42 …”