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Surgical Tracheostomy is one of the oldest procedure performed since 1909. It has now become the standard of care to a large extent replacing the surgical tracheostomy. The patients requiring tracheostomy in neurocritical care is around 18–20%, whereas the requirement in medical intensive care is only 2–10%. 1 With this high scale of patients requiring tracheostomy, the chances of errors will be extended. The recent focus in the medical practice is to increase the safety of the patients by decreasing the fallacy, through the conduct of invasive procedures.