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Extubation Procedure

Airway Care

QuestionAnswer
Extubation Step:1 Suction Airway below and then above the cuff
Extubation Step:2 Deflate Cuff
Extubation Step:3 Have patient inspire deeply
Extubation Step:4 Remove the tube at PEAK INSPIRATION- to prevent vocal cord damage
Extubation Step:5 Have the patient cough To clear any remaining secretions
Extubation Step:6 Administer Oxygen and Humidity if/as indicated
Extubation Step:7 Observe any complications * Laryngeal Edema ( Stridor) * Respiratory Obstruction
Complications and management: Severe Respiratory Distress Marked/Inspiratory Stridor REINTUBATE the patient
Complications and management: Moderate Distress/Stridor Oxygen, cool mist aerosol and racemic epinephrine, to reduce swelling
Complications and management: Mild/Stridor/ Sore Throat Provide Humidity, Oxygen and/or racemic epinephrine as necessary
Post-Extubation Complications: Vocal Cord Polyps due to chronic inflammation
Post-Extubation Complications: Mucosal ulceration torn mucosal, doesn't require re intubation
Post-Extubation Complications: Tracheomalacia softening or dilation of tracheal cartilage
Post-Extubation Complications: Tracheostenosis gradual obstruction (narrowing) that occurs with healing causing stridor
Created by: sukarieh