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Extubation
| First Things First |
| Before bringing someone to the PACU, it stands to reason they we should try to insure as best we can that the patient has the level of consciousness, muscle strength, and hemodynamic stabilty to insure a smooth transition. Patients having general anesthesia will often be relaxed and mechanically ventilated during the surgical procedure, and special attention should be given to insuring they are ready for extubation at the end of the case. Specifically, before extubation patients should fulfill the following criteria: |
| be conscious with stable acid-base status |
| be hemodynamically stable |
| have a respiratory rate of less than 28 bpm, tidal volume of >5 ml/kg |
| good oxygenation (PaO2 > 60 on an FiO2 of < 40% and a PCO2 < 50 |
| have return of neuromuscular function |
| have appropriate analgesia for their surgical procedure |
| After extubation, the patient is transported to the recovery room with supplemental oxygen, although oxygen is sometimes unnecessary of the recovery room is close the the operating room. |
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