Environment: Sterility and Safety: The procedure should be performed in a safe and sterile environment, such as a theatre or intensive care unit, to mitigate infection risk and ensure access to needed equipment. However, adequate space and equipment are needed for positioning patients correctly, ensuring proper monitoring of vital signs, and managing any emergencies during the procedure.

Comorbidities: Pre-existing Conditions such as haemophilia, cardiovascular issues, or respiratory disease can increase risks during tracheostomy. These must be evaluated and managed to prevent complications. Furthermore, overall health status of patient’s ability to recover from the procedure, healing capacity, and potential complications related to existing chronic illnesses (e.g., diabetes, heart disease) are essential factors to consider.

Staffing/Situational Support: Experienced Personnel: Skilled and experienced staff, such as surgeons, anaesthesiologists, respiratory therapists, and nursing staff, must be available to ensure the procedure is performed safely and complications are promptly managed.

Postoperative Care: Adequate staffing is required for continuous postoperative care, including suctioning, monitoring the tracheostomy site, and managing ventilatory support if needed.