Extubation Objectives Flashcards
Discuss the extubation criteria as under the following headings: Central Nervous System
- pt cooperative
- has a RASS -2 to 2+
- able to demonstrate cough and swallow reflex
Discuss the extubation criteria as under the following headings: Respiratory system
- SaO2 -95%+
- minimal use of accessory muscles
Discuss the extubation criteria as under the following headings: Upper airway oedema
- perform a direct laryngoscopy prior to extubation
- perform a cuff leak test
Discuss the extubation criteria as under the following headings: Cardiovascular system
- warm and well perfused
- not requiring inotropic support
- HR under 120bpm
Discuss the extubation criteria as under the following headings:
Gastrointesinal system
- pt NBM for 4 hours prior to extubation
- gastric contents aspirate prior to extubation
Discuss the extubation criteria as under the following headings:
General unwell
- body temp above 36*
- unlikely to go to theatre in short term
- unlikely to undergo diagnostic procedures such as bronchoscopy
what is the purpose of the extubation criteria?
- 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
What is a cuff leak test? When and why is it performed?
- performed by Dr’s
- check if pt is able to breath
what equipment is required to ensure safe extubation?
- PPE
- yanker sucker
- Blue mat
- 10ml syringe
- HM with 10lt O2
- sats probe working
- intubation trolley
