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Updated: Feb 19, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
Transition from ICU to home care with long-term invasive ventilation using a single-limb BiPAP circuit
Mircea Stoian1, Nicolae Demenciuc2, Sergiu-Stefan Laszlo3
1Department of Anesthesiology and Intensive Care, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.
Long-term home invasive mechanical ventilation (IMV) using a single-limb circuit and mechanical insufflation-exsufflation (MIE) device offers a safe, cost-effective option for chronic respiratory failure patients. Structured training and multidisciplinary support are key for successful home-based respiratory care.
Area of Science:
- Pulmonary Medicine
- Critical Care Medicine
- Biomedical Engineering
Background:
- Chronic respiratory failure due to neuromuscular impairment necessitates long-term respiratory support, often in intensive care units (ICUs).
- Transitioning invasive mechanical ventilation (IMV) from ICU to home care is feasible for select patients.
- A single-limb ventilator circuit, typically for non-invasive ventilation (NIV), may offer a practical, cost-effective solution for home IMV.
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