Provided herein is a respiratory apparatus comprising a means for conducting breathable gasses directly to the trachea of a patient, via a tracheotomy or via a tube through the mouth to the trachea, and a means suitable for supplying the breathable gasses, under pressure, thereto and means for exhausting gases therefrom, characterised in that the pressuring means is so located as to impart pressure to said gasses immediately adjacent the site of the tracheotomy or the patients mouth, thereby substantially reducing the length of the air supply hose to an endotracheal tube, so that problems associated with high pressures and large volumes of dead space can be alleviated.