The general principles are the same as for extubation of ICU patients. However, the criteria for extubation in the ED are generally more stringent as most ED staff are less experienced and less familiar with the process
Difficulty weaning is an important ICU challenge. 20% to 30% of patients are difficult to wean from invasive mechanical ventilation
The criteria used to assess a patient to determine whether they are ready for extubation is complex and multi-factorial.
Extubation Assessment: Hot Case. List reasons -> present clinical signs that prove reasons
Post-extubation stridor is the presence inspiratory noise post-extubation indicated narrowing of the airway (can be supraglottic, but usually glottic and infraglottic)
Unplanned extubation of mechanically ventilated patients is relatively common ( 0·5% to 14·2% of ICU patients in most studies, higher in a few outliers)