Extubation
In medicine, extubation is the removal of a ventilation tube ( endotracheal tube ). It usually takes place when the patient has his own breathing drive and a stable circulation and the pulmonary gas exchange is not disturbed. The absolute contraindication to extubation is the absence of coughing or swallowing reflexes , as these can lead to aspiration with the risk of lung failure ( ARDS ).
The typical endotracheal tubes have a small balloon (cuff) at their tip, which is deflated ("unblocked") before extubation. The cuff is used to "block" the windpipe during the ventilation phase and thus prevent aspiration.
The removal of a tracheostomy tube or tracheostomy tube is also known as extubation or decannulation.
To avoid reintubation (re-intubation), which is necessary if spontaneous breathing is inadequate, it is possible to use a non-invasive form of ventilation .
See also: intubation
literature
- Ventilation , edited by Eckhard Müller, Thieme 2000, ISBN 3-13-110241-1
- Intensive care and anesthesia , edited by Lothar Ullrich u. a., Thieme 2010, ISBN 978-3-13-130912-9
Individual evidence
- ^ Wappler, Tonner, Bürkle: Anesthesia and accompanying diseases. Thieme, 2007, p. 115.
- ↑ Ulrich von Hintzenstern, Thomas Bein: Praxisbuch Ventilation. Urban and Fischer, 4th edition 2007, ISBN 978-3-437-23411-8 , p. 97.
- ↑ Burchadi, Larsen, Schuster, Suter: The intensive medicine. 9th edition. Springer, 2004, ISBN 3-540-00882-9 , p. 1228.
- ^ Rolf Dembinski: Non-invasive forms of ventilation. In: Anesthesia & Intensive Care Medicine. Volume 60, June 2019, pp. 308-315. especially p. 312 f.