Smooth Extubation and Smooth Emergence Techniques: A Narrative Review
Tiffany H. Wong, Garret Weber, Apolonia E. Abramowicz
Abstract
There is a paucity of literature on extubation technique and a lack of consensus regarding the definition of smooth extubation. This narrative review paper defines an ideal extubation, otherwise known as a "smooth extubation," reviews perioperative criteria for extubation and risks and adverse events related to extubation, and explores various perioperative techniques that can be used to achieve a smooth extubation while caring for an uncomplicated patient without significant risk factors for extubation failure. In light of the evolving practice during the SARS CoV2 (COVID-19) pandemic to minimize aerosol generation and infection transmission, smooth extubation is particularly important.
Topics & Concepts
Coronavirus disease 2019 (COVID-19)PerioperativeMedicineNarrativeNarrative reviewIntensive care medicinePandemicSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakAdverse effectAnesthesiaInternal medicineLiteraturePathologyDiseaseOutbreakInfectious disease (medical specialty)ArtAirway Management and Intubation TechniquesPediatric Pain Management TechniquesFamily and Patient Care in Intensive Care Units