Abstract
Tracheal extubation in both the critical care and anesthesia setting is not only an important milestone for patient recovery, but also a procedure that carries a considerable risk of complication or failure. Mechanical ventilation is associated with significant complications that are time-dependent in nature, with a longer duration of intubation resulting in a higher incidence of complications, including ventilator-associated pneumonia, and increased mortality. Extubation failure and subsequent re-intubation are associated with an overall increase in the duration of mechanical ventilation, increased mortality, a greater need for tracheostomy, and higher medical costs. These risks demand that the process of extubation be managed by practitioners with a detailed understanding of the causes of extubation failure and the potential complications. A pre-established extubation plan with considerations made for the possible need for re-intubation is of the utmost importance.
Original language | English (US) |
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Pages (from-to) | 991-1005 |
Number of pages | 15 |
Journal | Respiratory Care |
Volume | 59 |
Issue number | 6 |
DOIs | |
State | Published - 2014 |
Externally published | Yes |
Event | 52nd Conference on Adult Artificial Airways and Airway Adjuncts - St. Petersburg, FL, United States Duration: Jun 14 2013 → Jun 15 2013 |
Keywords
- Airway exchange catheters
- Airway management
- Difficult airway
- Extubation
- Laryngeal mask airway
- Noninvasive ventilation
- Ventilator weaning
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine