Conclusion
The moderate increased risk of acute tracheostomy complications in obstructive pulmonary patients should not necessarily be a reason for contraindication. Tracheostomies are lifesaving treatments, especially in patients with pre-existing pulmonary comorbidities and should be conducted as indicated by critical care decision-making algorithms. Though considering the moderate association with acute complications, these patients should be counseled appropriately, and care teams should be vigilant in this crucial post-operative period.