Navigating a long-term tracheostomy, prolonged mechanical ventilator weaning, laryngeal trauma, bulbar motor neuron impairment, or chronic upper airway compromise while overseas presents one of the most clinically sensitive challenges in modern aeromedicine. Quaternary neurotrauma centers, pulmonology units, and critical care step-down departments across Delhi NCR, Mumbai, Bengaluru, Chennai, and Hyderabad treat thousands of international travelers,…