My 87 year old grandmother was intubated due to septic shock 11 days ago. She has since regained consciousness, is able to write, is off vasopressors for low BP, and they think the infection is almost gone. She wrote she wanted a tracheostomy so she can communicate better and be transferred to a rehab for ventilator dependent patients. They say they don’t want to do this now and are pushing to extubate and let nature take its course. However, I can’t seem to understand why a tracheostomy is so much more dangerous than that. Are there risks or contraindications that I’m missing here? Does the procedure have a high mortality rate (I’m talking while on the table)?