5: Extubation/Decannulation (Perform)

PROCEDURE 5


imageExtubation/Decannulation (Perform)




PURPOSE:


The purpose of extubation and decannulation is to remove the artificial airway to allow the patient to breathe independently.



PREREQUISITE NURSING KNOWLEDGE




• Extubation refers to removal of an endotracheal tube, whereas decannulation refers to removal of a tracheostomy tube.


• Indications for extubation and decannulation include the following3–5:



• Most extubations or decannulations are planned. Planning allows for preparation of the patient physically and emotionally and decreases the likelihood of reintubation and hypoxic sequelae. Unintentional or unplanned extubation complicates a patient’s overall recovery.1


• Extubation may occur in a rapid fashion when the previous indications are met, whereas decannulation generally occurs in a stepwise fashion. The patient with a tracheostomy tube may be weaned gradually from the tracheostomy tube, possibly with a combination of techniques, including downsizing the tube diameter, using tubes and inner cannulas with fenestrations, and capping the tracheostomy. The tracheostomy tube is removed when the patient is able to breathe comfortably, maintain adequate ventilation and oxygenation, and manage secretions, through the normal anatomic airway.



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Jun 4, 2016 | Posted by in CRITICAL CARE | Comments Off on 5: Extubation/Decannulation (Perform)

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