The most common and most likely answer to this crossword clue is the 4 plus 4 letter word IRON LUNG
I've seen this crossword clue in The Guardian
I
R
O
N
L
U
N
G
Buddy explains!
The straight part
We know that "former respiratory aid" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case former respiratory aid = iron lung.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.