Extubation in the Emergency Department and Resuscitative Unit Setting

Chidinma C. Nwakanma; Brian Joseph Wright

doi:10.1016/j.emc.2019.03.004

Extubation in the Emergency Department and Resuscitative Unit Setting

Chidinma C. Nwakanma
, Brian Joseph Wright

Emergency Medicine

University of Pennsylvania

Research output: Contribution to journal › Review article › peer-review

11 Scopus citations

Abstract

A subset of intubated patients can safely be extubated in the emergency department (ED). The emergency medicine provider should be prepared for both common and life-threatening complications if considering ED extubation. Patients selected for extubation in the ED should have a low or near zero risk of reintubation or extubation failure. Intensive nursing care, close monitoring, and the ability to reintubate are minimum requirements for EDs considering ED extubation. This article provides a framework for determining appropriate patients for extubation and a practical approach on how to safely perform the procedure.

Original language	English
Pages (from-to)	557-568
Number of pages	12
Journal	Emergency Medicine Clinics of North America
Volume	37
Issue number	3
DOIs	https://doi.org/10.1016/j.emc.2019.03.004
State	Published - Aug 2019

Keywords

ED Extubation
Emergency Department Critical Care
Resuscitation

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10.1016/j.emc.2019.03.004

Cite this

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title = "Extubation in the Emergency Department and Resuscitative Unit Setting",

abstract = "A subset of intubated patients can safely be extubated in the emergency department (ED). The emergency medicine provider should be prepared for both common and life-threatening complications if considering ED extubation. Patients selected for extubation in the ED should have a low or near zero risk of reintubation or extubation failure. Intensive nursing care, close monitoring, and the ability to reintubate are minimum requirements for EDs considering ED extubation. This article provides a framework for determining appropriate patients for extubation and a practical approach on how to safely perform the procedure.",

keywords = "ED Extubation, Emergency Department Critical Care, Resuscitation",

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AB - A subset of intubated patients can safely be extubated in the emergency department (ED). The emergency medicine provider should be prepared for both common and life-threatening complications if considering ED extubation. Patients selected for extubation in the ED should have a low or near zero risk of reintubation or extubation failure. Intensive nursing care, close monitoring, and the ability to reintubate are minimum requirements for EDs considering ED extubation. This article provides a framework for determining appropriate patients for extubation and a practical approach on how to safely perform the procedure.

KW - ED Extubation

KW - Emergency Department Critical Care

KW - Resuscitation

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Extubation in the Emergency Department and Resuscitative Unit Setting

Abstract

Keywords

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