Developed by the Respiratory Health Implementation Group, the All Wales Pathway for Weaning COVID-19 patients with Tracheostomies should follow a structured approach, including their transfer from ITU to a COVID-19 ward, their weaning from invasive ventilation and eventual decannulation of the tracheostomy. Key recommendations:

• Identification of patients on the critical care unit who might be suitable to start the weaning process
• The stepwise approach to weaning from mechanical ventilation following transfer to a COVID-19 ward
• The decannulation of a tracheostomy, ongoing rehabilitation and hopeful discharge home