Coping with prolonged respiratory failure, severe hypoxic brain injury, high cervical spinal trauma, neuromuscular degeneration, or complicated weaning failure following long-term ICU admission while overseas places an intense emotional, clinical, and logistical strain on patients and their families. Every year, international travelers, expatriates, and Non-Resident Indians (NRIs) undergo life-saving interventions and emergency tracheostomies across India's…