According to the SFAR-SRLF joint guidelines, what are the extubation prerequisites following a rapid sequence intubation?

Updated: Apr 07, 2020
  • Author: Keith A Lafferty, MD; Chief Editor: Guy W Soo Hoo, MD, MPH  more...
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To decrease the risk of extubation failure, a spontaneous breathing trial is recommended before any extubation in ICU patients ventilated for greater than 48 hours.

However, the spontaneous breathing trial is not adequate as a lone method for detecting extubation failure risk. As such, it is suggested that screening be conducted for other risk factors, such as excessive tracheobronchial secretions, swallowing disorders, ineffective cough, and altered consciousness.

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