Daily assessment for extubation
Excerpt from PROMPT document, Care of the Adult Invasively Ventilated Patient Protocol
Performed during duty Intensivist ICU morning ward round.
Requirements for extubation include –
Requirements for extubation include –
- Neurological readiness to extubate (eg. able to obey simple commands).
- Minimal ventilatory support (eg. spontaneous ventilation mode such as CPAP-PS, FiO2 ≤ 40%, PEEP ≤ 5 cmH2O, pressure support ≤ 10 cmH2O).
- Ability to clear secretions (intact CNS, small sputum load, controlled pain)
- Intact upper airway including minimal tracheal and glottic oedema as evidenced by a cuff leak on deflation of the cuff of the airway.
- Haemodynamic stability as defined by the duty intensivist.