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In an emergency, when the potential exists that airway access will be necessary, it is helpful to have a tracheostomy set readily available. This set should include the necessary instruments to approach the trachea quickly, and to place stay sutures in the tracheal rings cranial and caudal to the tracheostomy incision (Box 2.10, Figure 2.17a). Reusable metal tracheostomy tubes and commercial plastic disposable tracheostomy tubes come in a variety of sizes, depending on the size of the patient. To prevent dislodgement of the tube, a tracheostomy tube holder consisting of either Velcro straps or umbilical tape can be used to secure the tube once placed (Figure 2.17b). Having preprinted “cranial” and “caudal” labels to attach to the tracheal ring stay sutures will help to identify the direction in which to retract, should the tracheotomy site need to be reopened quickly.