Fig. 1.
Single BiPAP circuit with Whisper Swivel II. A – Rotating connector; B – Valve, Whisper Swivel II; C – Exhaled air; D – Flexible tubing
Fig. 2.
Mechanical Insufflation-Exsufflation Device. A - The MIE applies positive pressure through a mask; B. The MIE applies positive pressure through the tracheostomy connector.
Fig. 3.
Timeline of the patient’s clinical course. Sequence of major clinical events and interventions from ICU admission to long-term home invasive ventilation and 32-month follow-up using a single-limb BiPAP circuit and mechanical insufflation-exsufflation (MIE).
Fig. 4.
Bronchoscopy. Bronchoscopy performed on August 23, 2023, showing a clean trachea and bronchi with minimal inflammatory changes at the emergence of the right upper lobe bronchus (8 months after discharge).