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 –

• 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.