How to remove an endotracheal tube
Nicola Credland Lecturer in critical care and Advanced practice, University of Hull, Hull, England.
The decision to remove an endotracheal tube (extubation) is taken when the patient achieves adequate airway control. This requires an effective cough and an acceptable level of consciousness. Practitioners should be able to identify when a patient is ready for endotracheal tube removal and to recognise contraindications and potential complications.
The Glasgow Coma Scale should be used to assess the patient’s level of consciousness. Extubation should not be performed on patients with a score of 8 or less.
The patient is suitable for endotracheal tube removal if their peak expiratory flow rate is more than 60L/minute.
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Nursing Standard. 30, 36,31-33. doi: 10.7748/ns.30.36.31.s43Correspondence
All articles are subject to external double-blind peer review and checked for plagiarism using automated software.
Received: 11 January 2016
Accepted: 25 February 2016