Chapter 21

An Update on Extubation Management

Eugenio Daniel Martinez-Hurtado, Miriam Sanchez-Merchante, Nekari de Luis Cabezón, Javier Ripollés Melchor and Alicia Ruiz Escobar

Abstract

Although extubation is often considered a mere intubation reversal, it is actually a potentially dangerous process where there is a transition from a controlled to an uncontrolled situation. Anatomical and/or physiological airway changes secondary to airway manipulation or related to the surgical procedure, as well as other factors as hemodynamic instability and time pressure, contribute to a situation that can become more challenging than intubation for the anaesthesiologist. Management of the airway during this phase of anaesthesia may be more complex than induction and requires careful planning that is frequently overlooked.

Total Pages: 280-299 (20)

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