Percutaneous tracheostomy is being used increasingly in the intensive
care unit and endoscopic control of this procedure affords an improved
level of safety, Training in such new minimal access techniques can b
e a significant risk factor in patient outcome. Surgical simulation pr
ovides training which minimizes this risk. We present a method of trai
ning in percutaneous endoscopic tracheostomy using a simulation model
based on animal tissue. Our experience with this model is reported.