| Question | Answer |
| 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 |
