Immediately after extubation, he presented with retractive breathing and stridor. |
After extubation, the nurse and respiratory therapist assist the patient with using an incentive spirometer and deep breathing and coughing every one to two hours while awake. |
Ventilated patients are among the most vulnerable patients in the hospital: An increased risk for infections, ventilator-induced injuries and higher mortality rates after failed extubation. |
Discussions about the duration of survival, sedation, gasping and muscle contractions should take place before extubation. |
This patient presented with retractive breathing, stridor, and decreased SpO2 immediately after extubation. |
With an interdisciplinary process for extubation and pain control, the teams aim to limit post-operative intubation to fewer than 6 hours, and length of stay in the unit to fewer than 48 hours. |