Liao DZ, Mehta V, Kinkhabwala CM, et al. - Researchers conducted this retrospective cohort study to assess the effectiveness and safety of performing open bedside tracheotomy (OBT) in intensive care unit (ICU) patients and identify predictive factors for outcomes. One thousand consecutive patients undergoing OBT were identified at a single university hospital starting from August 1, 2007. Complication rate, 30‐day mortality, decannulation rate, time to surgery (TTS) from initial consult, and ICU length of stay have been analyzed. Data reported that mean TTS was 1.80 days and major complication rate was 1%. This study shows the safety and effectiveness of beginning an OBT program without strict selection criteria in a highly comorbid population. Safety of OBT has been confirmed by limited significant complication rates and no cohort deaths associated with intraoperative tracheotomy. These rates of complication were equivalent or lower than published studies of open and percutaneous techniques. This established predictive factors for decannulation, complication, and mortality to help assess which patients will benefit from OBT.