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Published on: August 2, 2024
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Terminal Extubation or Terminal Weaning: Is it Feasible in Indian Intensive Care Units?
Arun Kumar1, Rajani S Bhat2, Raj K Mani3
1Department of Critical Care, Palliation, and Intensive Care Rehabilitation, Fortis Hospital, Mohali, Punjab, India.
Summary
Terminal extubation (TE), or terminal weaning, involves stopping mechanical ventilation when it no longer serves a therapeutic purpose. This article reviews the literature and discusses the feasibility of TE in Indian intensive care units (ICUs).
Area of Science:
- Critical Care Medicine
- Palliative Care
- Medical Ethics
Background:
- Mechanical ventilation is a life-support measure.
- Decisions regarding terminal extubation (TE) are complex.
- Limited evidence exists on best practices for TE.
Purpose of the Study:
- To review the literature on terminal extubation (TE).
- To discuss the feasibility of TE in Indian intensive care units (ICUs).
Main Methods:
- Literature review of terminal extubation (TE).
- Discussion of ethical, legal, and medical dilemmas.
- Analysis of TE feasibility in the Indian context.
Main Results:
- The decision for TE is complex and challenging.
- Ethical, legal, and medical factors influence TE decisions.
- The feasibility of TE in Indian ICUs requires further consideration.
Conclusions:
- Terminal extubation (TE) is a complex intervention.
- Implementing TE in Indian ICUs presents unique challenges.
- Further research is needed to establish best practices for TE in India.
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