Extubation in the Emergency Department and Resuscitative Unit

Emerg. Med. Clin. North Am. · Aug 2019

Review

Extubation in the Emergency Department and Resuscitative Unit Setting.

A subset of intubated patients can safely be extubated in the emergency department (ED). The emergency medicine provider should be prepared for both common and life-threatening complications if considering ED extubation. ⋯ Intensive nursing care, close monitoring, and the ability to reintubate are minimum requirements for EDs considering ED extubation. This article provides a framework for determining appropriate patients for extubation and a practical approach on how to safely perform the procedure.

keep going… or not…
- Chidinma C Nwakanma and Brian Joseph Wright.
- Department of Emergency Medicine, Perelman School of Medicine at the Hospital of University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA. Electronic address: chidi776@gmail.com.
- Emerg. Med. Clin. North Am. 2019 Aug 1; 37 (3): 557-568.
AbstractA subset of intubated patients can safely be extubated in the emergency department (ED). The emergency medicine provider should be prepared for both common and life-threatening complications if considering ED extubation. Patients selected for extubation in the ED should have a low or near zero risk of reintubation or extubation failure. Intensive nursing care, close monitoring, and the ability to reintubate are minimum requirements for EDs considering ED extubation. This article provides a framework for determining appropriate patients for extubation and a practical approach on how to safely perform the procedure.Copyright © 2019 Elsevier Inc. All rights reserved.

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Extubation in the Emergency Department and Resuscitative Unit Setting.

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