The emergency room physician or surgeon makes a cut in a thin part of the voice box (larynx) called the cricothyroid membrane. A tube is inserted and connected to an oxygen bag
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Yes.
A tracheaotomy only affects the windpipe, and they swallow their food just like everybody else.
It's a very bad idea for starters. However, in simple terms a tracheotomy allows for long term ventilation and to prevent aspiration which is swallowing food or water into the lungs. Essentially it closes off the trachea (windpipe) from the esophagus (throat). Smoking is possible because of this simple design Source: med student
Installation's Office of Emergency Management
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