Clinical observations show that intubation continuing as long as 7 days are followed by complications in 37% of cases at an average. A longer intubation results in complications twice more often. Placing tracheostoma is an alternative of prolonged intubation of the trachea. In spite of the wide introduction of this method into practice, it has both the supporters and active opponents. The indications, specific features and consequences of placing tracheostoma were studied in 69 children. The assessment of the efficiency of treatment of children in critical states with the method of placing tracheostoma is given.