[PDF] Removal of the endotracheal tube : 2007 revision and update

Source:
American Association for Respiratory Care
Publisher:
American Association for Respiratory Care
Publication date:
01 January 2007

Abstract

Wratney AT, Cheifetz IM (2007) Removal of the endotracheal tube : 2007 revision and update. Respiratory Care 52: 81-93

This guidance addresses the elective removal of the endotracheal tube from adult, pediatric, and neonatal patients. The decision to discontinue mechanical ventilation involves weighing the risks of prolonged mechanical ventilation against the possibility of extubation failure. The guideline focuses on: 

  • the predictors that aid the decision to extubate
  • the procedure referred to as extubation
  • the immediate post-extubation interventions that may avoid potential reintubation

The review does not address weaning from mechanical ventilation, accidental extubation, nor terminal extubation.