Endotrachial Extubation

From Anvita Health Wiki

Contents 1 Introduction 2 Procedure 3 More General Terms 4 Additional Terms 5 References

Introduction

• Prextubation methylprednisolone 20 mg IV every 4 hours begining 12 hours prior to extubation (total of 4 doses) reduces laryngeal edema & re- intubation ( number needed to treat = 25) [1]

Procedure

• suction pharynx
• suction endotracheal tube

• limit suction to 10 sec
• unneccessary if no secretions

• ventilate patient

• use breathing bag, 100% oxygen
• give several deep breaths

• remove tube

• deflate cuff
• withdraw tube after deep inspiration
• apply face mask delivering oxygen

More General Terms

• clinical procedure

Additional Terms

• mechanical ventilation (assisted ventilation)
• ventilation weaning criteria

References

1. Francois B, Bellissant E, Gissot V, Desachy A, Normand S, Boulain T, Brenet O, Preux PM, Vignon P; Association des Reanimateurs du Centre-Ouest (ARCO). 12-h pretreatment with methylprednisolone versus placebo for prevention of postextubation laryngeal oedema: a randomised double-blind trial. Lancet. 2007 Mar 31;369(9567):1083-9. PMID: [1]

endotrachial extubation