Thanks to all for responding - I had a rt tell me that bag in treatments could not be done adequately on a cuffless trach (or in this case a cuff trach that was deflated) - they also said that if this patient went into distress that they could not be bagged with an ambu bag to save their life and I disagreed saying that yes they could be bagged successfully. if for some reason, you don't think the patient is getting enough air with the cuffless trach, close the hole with a button or gauze or anything and then continue to bag - am i totally off on this, or is my thinking correct???????