Critical Care Time 47. Extubation: Tube Be or Not Tube Be
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Apr 21, 2025 Delve into the crucial process of extubation and its importance in critical care. Explore the complexities of assessing extubation readiness and the need for proactive patient support. Discover the impacts of ICU-acquired weakness and the strategies to minimize ventilator time for better recovery. The discussion also covers navigating complexities of airway management, effective communication with patients, and the significance of psychological support during interventions. Join in for insightful case studies and practical approaches to improving patient outcomes!
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Risks of Prolonged Intubation
- Prolonged intubation increases risks of delirium, infection, and complications significantly.
- It also diminishes patient social interaction and recovery opportunities, making timely extubation critical.
Extubation vs Intubation Focus
- Extubation is understudied and under-discussed compared to intubation.
- Managing difficult extubation deserves more focus similar to difficult intubation.
Complications of Delayed Extubation
- Delays in extubation increase risks of ventilator-associated pneumonia, ICU-acquired weakness, and delirium.
- Each day on mechanical ventilation adds significant risks with notable impacts on mortality and long-term function.