One thing to keep in mind for tracheotomy patients is asepsis, which should be ensured as much as possible throughout the entire surgical operation. When performing tracheotomy, patients should be given adequate analgesia and sedation, so that patients try to avoid agitation and other situations. Strict selection of indications, for patients with airway obstruction, cardiopulmonary resuscitation or acute anaphylactic shock, tracheotomy must be carried out. If tracheotomy is to be carried out in patients with tracheal intubation, extra attention should be paid to aseptic operation. To ensure that the endotracheal tube drainage is smooth, and every 4-6 hours in the interval must be strictly cleaned trocar once, and finally to record the patient’s vital signs at any time, such as blood pressure, heart rate, pulse rate, arterial oxygen saturation and so on.