With advances in medicine, more and more lives are being saved, allowing people who might otherwise lose their lives to survive, but some of these patients need to be intubated to stay alive. Tracheotomy is an important life-saving tool, but having a tracheotomy tube often makes care more difficult and causes more problems for the family. On the one hand, tracheotomy plays a very important role in maintaining the patient’s life, such as maintaining the patency of the airway, facilitating the aspiration of misaspirated material to avoid lung infection, facilitating the drainage of sputum in case of lung infection, facilitating the control of infection, and facilitating ventilator intervention to prolong life when the condition worsens. On the other hand, it also brings many problems, such as the existence of colonized bacteria in tracheotomy cannula, which are often multi-drug resistant bacteria and most antimicrobials are ineffective; tracheotomy cannula makes the air enter the large trachea directly and the lungs lack the moistening and cleaning effect of the upper respiratory tract, which is also prone to co-infection; plastic cannula without attention to the pressure of the balloon can cause long-term retention of tracheal wall softening and cause Tracheal collapse; tracheotomy also causes increased non-significant water loss. Patients with tracheotomy are mostly bedridden patients, often with malnutrition, muscle wasting atrophy, osteoporosis, immune deficiency, lower extremity venous thrombosis, and pressure sores. We know these comorbidities and basically our management ideas, firstly, pulmonary management including strengthening turning and back-buttoning, nebulized expectoration, airway humidification, etc.; secondly, cardiopulmonary training, increasing sitting and standing time, active and assisted deep inspiration and expiration training; paying attention to the maintenance of tracheal cannula, keeping low pressure of the balloon and regular replacement; increasing the variety of meals to ensure nutritional intake; encouraging patients to initiate The patients with impaired consciousness are encouraged to use peripheral circulation pumps and increase muscle massage to promote blood circulation in the limbs to prevent deep vein thrombosis. However, once the patient develops swelling of the limb, tethering should be highly suspected, massage should be avoided, and timely ultrasound examination should be performed to confirm the diagnosis and avoid pulmonary embolism.