Extubation Checklist
Conditions to be Met
| * Awake/easily rousable | |
|---|---|
| * Good respiratory drive – consider CPAP test. | |
| * Acceptable gases on minimal settings FiO2 <0.4 PIP <20 PEEP <6 TV < 6ml/kg | |
| * Haemodynamically stable | |
| * No planned procedures for next 12-24 hours | |
| * Appropriate/safe staffing levels and skills |
Preparation
| * Consultant and nurse in charge aware | |
|---|---|
| * Feeds held | |
| * Morphine stopped (if using) | |
| * Caffeine? If not already given | |
| * Clear plan for support post-extubation support High flow/CPAP available and set up if required | |
| * Ready for re-intubation if required Intubation checklist complete Roles identified Equipment prepared and available |
Post-Extubation
| * Monitor closely until deemed successful | |
|---|---|
| * Gas within an hour |