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It can be done by attaching the BiPaP tubing to a t-piece with a whisper swivel on the other end of the t-piece and occluding the distal end of the whisper swivel. The patient connection of the t-piece attaches to trach. The only issue I have encountered with BiPAP to trach is that if the whisper becomes occluded the patient has no way to exhale which can cause death for a non-monitored patient if not discovered in time.

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Q: How do you hook up trach to bipap?
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