Step 2 of the All-Wales Pathway for weaning COVID-19 patients with tracheostomies (linked below) explores suitability for weaning. Caution to initiate ward-based weaning if the patient meets the following criteria:

• Neuromuscular disease
• Those with a life-limiting co-morbidity
• Pre-existing or significant concerns over sleep disordered breathing
• Need for specialist input (e.g. neurosurgery)