Is it Safe to Extubate Patients Overnight?

Research output: Contribution to journalArticlepeer-review

Abstract

Mechanical ventilation can be a life-saving intervention for some critically ill patients, but it is associated with significant complications. Efforts to shorten durations of mechanical ventilation to mitigate against these morbidities, especially in the current climate of heightened staffing of US intensive care units overnight, may make overnight extubation more commonplace. Understanding the safety and effectiveness of this practice is, therefore, of paramount importance. The published literature that informs this issue is limited to 2 retrospective studies published in 2016 with inconsistent findings. In this perspective, I will review this literature, consider its interpretation, explore the next steps, and, finally, describe my current practice to address the following question: "Is it safe to extubate patients overnight?"

Original languageEnglish (US)
Pages (from-to)46-51
Number of pages6
JournalClinical Pulmonary Medicine
Volume25
Issue number2
DOIs
StatePublished - 2018

Keywords

  • extubation
  • mechanical ventilation
  • mortality
  • overnight
  • reintubation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

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