Case Report A. J. Thomas Corresponding Author Clinical Specialist Physiotherapist E-mail address: Amanda.thomas@bartshealth.nhs.uk Critical Care Outreach Team, The Royal London Hospital, London, UK Correspondence to: A. Thomas Email: Amanda.thomas@bartshealth.nhs.uk Search for more papers by this author Summary Meeting established criteria for tracheostomy decannulation should improve success, although there will be a small proportion of patients with a tracheostomy who fail decannulation.