|LETTER TO EDITOR
|Year : 2014 | Volume
| Issue : 2 | Page : 56-57
Introducing 'A-Z' algorithm for extubation
Sunil Munakomi, Karuna Tamrakar
Department of Neurosurgery, College of Medical Sciences, Bharatpur, Nepal
|Date of Submission||11-Aug-2014|
|Date of Acceptance||20-Aug-2014|
|Date of Web Publication||21-Jan-2015|
Department of Neurosurgery, College of Medical Sciences, Bharatpur
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Munakomi S, Tamrakar K. Introducing 'A-Z' algorithm for extubation. Int J Stud Res 2014;4:56-7
Weaning and extubation are terms that are commonly encountered in critical care. In an intensive care setup, weaning is a process in which a patient is suspended off the ventilator following resolution of illness, whereas extubation refers to the removal of the endotracheal tube from the trachea. Although both these processes follow each other closely in clinical practice, it is essential to understand these terms as two discrete processes that pose distinct problems.
Extubation failure is defined as inability to sustain spontaneous breathing subsequent to removal of the artificial airway, essentially an endotracheal tube or tracheostomy tube, and necessitating re-intubation within a specified time period, either within 24-72 hours , or up to 7 days. , Substantial literature exists about weaning predictors and outcomes, most being inaccurate in predicting extubation outcome. To predict "extubation failure" is essential, as both delayed and failed extubation have detrimental consequences such as prolonged ventilation and intensive care stay, need for tracheostomy, increased cost of treatment and mortality. ,,
In this letter, we describe a self-formulated algorithm using English alphabets as a checklist to be used as a guideline prior to extubating a patient [Table 1]. The checklist depicted in the algorithm would help minimize complications, improve patient care and reduce the risk of reintubation.
|Table 1: A-Z criteria for extubation in an intubated or in patient with tracheostomy |
Click here to view
We conclude that the above formulated algorithm may be helpful for residents and staff working in the intensive and critical care setup by providing an easy and quick checklist prior to weaning process for prevention of failed extubation and decreasing the morbidities associated with it.
The authors contributed equally to the paper and confirm that they have read and approved the final version of the manuscript.
Sources of funding: None
| References|| |
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