extubation
Pronunciation: ex-too-BAY-shun
Removal of the endotracheal tube at the conclusion of anesthesia when patient can maintain their own airway.
Full Definition
Extubation is the process of removing an endotracheal tube when the patient no longer requires mechanical ventilation and can adequately protect their own airway. In pediatric anesthesia, timing of extubation is critical and involves assessment of consciousness level, respiratory effort, airway reflexes, and neuromuscular function recovery. The procedure can be performed either 'awake' when the patient is responsive, or 'deep' while still anesthetized in specific circumstances. Complications include laryngospasm, aspiration, or respiratory depression, making careful patient selection and monitoring essential.
Usage
Usage note: Document the technique used (awake vs. deep extubation) and any complications
In Context
- "Smooth extubation was achieved after confirming adequate spontaneous ventilation and protective reflexes." — Emergence documentation
- "Deep extubation was performed to minimize coughing in the patient with recent eye surgery." — Anesthetic technique note