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Related Concept Videos

Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
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Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

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Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
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Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
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Tracheostomy Decannulation01:21

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
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Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
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Related Experiment Video

Updated: Apr 22, 2026

A Structured Approach to Extubation in Mechanically Ventilated Rats
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Published on: July 18, 2025

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Out-of-bed extubation: a feasibility study.

Felippe Leopoldo Dexheimer Neto1, Patrini Silveira Vesz1, Rafael Viegas Cremonese1

  • 1Unidade de Terapia Intensiva, Hospital Ernesto Dornelles, Porto Alegre, RS, Brasil.

Revista Brasileira De Terapia Intensiva
|October 9, 2014
PubMed
Summary

Extubating patients in a seated position is as successful as the supine method, showing similar outcomes. This approach allows for early patient mobilization without adverse events in intensive care units.

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Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Patient Mobilization

Background:

  • Mechanical ventilation weaning is often paired with early patient mobilization in intensive care.
  • Current practices for extubation typically involve patients in a supine position.

Purpose of the Study:

  • To compare the success rates of extubation when patients are seated in an armchair versus in a supine position.
  • To evaluate the safety and clinical outcomes associated with seated extubation.

Main Methods:

  • A retrospective, observational, non-randomized study was conducted in a 23-bed intensive care unit.
  • Extubation success was defined as tolerating endotracheal tube removal for at least 48 hours.
  • Statistical analysis included Student's t-test and chi-squared analysis.

Main Results:

  • Ninety-one patients were analyzed; 36% were extubated seated and 64% supine.
  • No significant differences were found in extubation success rates (82% seated vs. 85% supine, p>0.05).
  • Similar rates of post-extubation distress, need for tracheostomy, weaning duration, and ICU stay were observed between groups.

Conclusions:

  • Seated extubation yields clinical outcomes comparable to the supine position.
  • The practice of seated extubation is not associated with adverse events.
  • Seated extubation facilitates simultaneous early mobilization during the weaning process.