Extubation Objectives

Question 1

Discuss the extubation criteria as under the following headings: Central Nervous System

Answer 1

• pt cooperative
• has a RASS -2 to 2+
• able to demonstrate cough and swallow reflex

Question 2

Discuss the extubation criteria as under the following headings: Respiratory system

Answer 2

• SaO2 -95%+

- minimal use of accessory muscles

Question 3

Discuss the extubation criteria as under the following headings: Upper airway oedema

Answer 3

• perform a direct laryngoscopy prior to extubation

- perform a cuff leak test

Question 4

Discuss the extubation criteria as under the following headings: Cardiovascular system

Answer 4

• warm and well perfused
• not requiring inotropic support
• HR under 120bpm

Question 5

Discuss the extubation criteria as under the following headings:
Gastrointesinal system

Answer 5

• pt NBM for 4 hours prior to extubation

- gastric contents aspirate prior to extubation

Question 6

Discuss the extubation criteria as under the following headings:
General unwell

Answer 6

• body temp above 36*
• unlikely to go to theatre in short term
• unlikely to undergo diagnostic procedures such as bronchoscopy

Question 7

what is the purpose of the extubation criteria?

Answer 7

• to see whether the patient can protect their own airway.
• that their airway is patent
• that they will not require to be reintubated
• pt is able to breath deeply
• are able to manage their own secretions

Question 8

What is a cuff leak test? When and why is it performed?

Answer 8

• performed by Dr’s

- check if pt is able to breath

Question 9

what equipment is required to ensure safe extubation?

Answer 9

• PPE
• yanker sucker
• Blue mat
• 10ml syringe
• HM with 10lt O2
• sats probe working
• intubation trolley