With proper planning and management, we could extubate
patients postoperatively (50.
The patient receiving the double lung transplant may be easier to extubate
as the anticipated uniformity of "new" lung units will be easier to ventilate and subsequently wean from mechanical ventilation.
Wean off as tolerated after 48 based on CVS evaluation * Switch to BIPAP and then extubate
* If tolerated, switch to oral medicines after extubation * Prior to extubation, dexamethasone 0.
This "ABCDE Bundle", includes Awakening and Breathing trial coordination to assess daily ability to extubate
, Careful sedation choice, Delirium monitoring and Early progressive mobility.
However, there has been a drive in my employing trust to allow the recovery practitioners to extubate
in recovery, without the anaesthetist present.
The seven steps are: talk with the family, ensure orders are written, prepare drugs, extubate
or not, what about the monitor, ensure readiness, and proceed.
The physician at the bedside who is expecting additional ventricular dysfunction in the immediate post-bypass period would likely factor this finding into the decision to extubate
It's very difficult to extubate
them because the whole underlying process is inflammation of the vocal cords.
Daily "sedation vacations" and assessment of readiness to extubate
The neurologist agreed to extubate
the patient and transfer her to a medical surgical unit.
I didn't even get to extubate
one final patient in a long Kubrick one-shot.
It also may be better to extubate
patients in the late afternoon when their lung function is at its best and breathing on their own is easier.