True about pediatric tracheostomy – a) Most common early complication is subcutaneous emphysemab) 3rd & 4th tracheal rings are incisedc) Easy to remove the tracheostomy tubed) Complete tracheal ring is removede) Moisturing of orifice should be done: (A) abc, (B) abe, (C) cde, (D) acd
Answer is B. Pediatric treacheostomy

In most of the cases tracheostomy is performed with general anesthesia and the patient intubated and paralyzed.
Neck is extended.
A horizontal incision is made halfway between the cricoid cartilage and the sternal notch.
Subcutaneous fat and tissues are reflected, and deep cervical facia, is cut to expose thyroid isthmus.
A vertical cut is given in 2-3 or 3-4 rings in midline and no part of the tracheal wall is removed.
The endotracheal tube is withdrawn and a suitable size tracheostomy tube is simultaneously inserted.
Post-operatively neck & chest radiograph are obtained to evaluate the position of the tube and to identify the subcutaneous emphysema & pneumothorax that could have developed as complication.
Tube must be cleaned at frequent intervals.
Patient should be nursed in and atmosphere of moist air.