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Transition from ICU to home care with long-term invasive ventilation using a single-limb BiPAP circuit Cover

Transition from ICU to home care with long-term invasive ventilation using a single-limb BiPAP circuit

The Journal of Critical Care Medicine
Volume 12 (2026): Issue 1 (January 2026)
By: Mircea Stoian,  Nicolae Demenciuc,  Sergiu-Stefan Laszlo,  Anca Motataianu,  Dragoș-Florin Babă and  Adina Stoian  
Open Access
|Jan 2026

Figures & Tables

Fig. 1.

Single BiPAP circuit with Whisper Swivel II. A – Rotating connector; B – Valve, Whisper Swivel II; C – Exhaled air; D – Flexible tubing
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.
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).
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).
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).
DOI: https://doi.org/10.2478/jccm-2026-0004 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
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Language: English
Page range: 117 - 124
Submitted on: Aug 22, 2025
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Accepted on: Nov 12, 2025
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Published on: Jan 30, 2026
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
amyotrophic lateral sclerosis,
non-invasive ventilation,
invasive mechanical ventilation,
mechanical insufflation-exsufflation device,
respiratory failure,
home mechanical ventilation,
respiratory muscles
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Internal medicine, other,
Surgery,
Surgery, other,
Anaesthesiology,
Emergency medicine and intensive-care medicine

© 2026 Mircea Stoian, Nicolae Demenciuc, Sergiu-Stefan Laszlo, Anca Motataianu, Dragoș-Florin Babă, Adina Stoian, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.

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