Deep Endotracheal Extubation

We demonstrate how to safely perform a deep extubation with an endotracheal tube. This technique may minimize sympathetic stimulation and upper airway reflexes (coughing, bucking) compared to awake extubation.
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Technique demonstrated by Laura Konieczna, CRNA.
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Disclaimer:
Invasive medical procedures can result in harm to patients and practitioners and should be performed only by qualified medical professionals. This video is intended solely for informational purposes and to supplement, not replace, proper training and supervision by qualified instructors.
Viewers are advised to check the most current information provided by the manufacturer for every device being used, and to verify the indications, contraindications and proper procedural technique. The dose, method of administration, and contraindications for any administered drug should be confirmed before use.
The authors of the video do not assume any liability for any injury or damage to any person or property arising from the use of this video.

[@PeteHob]

THANK YOU for stating that patient should be adequately anesthetized before removal. Without knowing you one could assume that you actually care about your patients comfort instead of just an expedient procedure

[@marcelosramos1]

I never perform deep extubation for the following reasons: 1- due to the fact that I always do periglottic anesthesia NAD fill the cuff with local anesthetic the patient even full awake does not cough or react to the tube, because the sensitive block is reliable. 2 - deep extubation almost always carry a significant degree of respiratory depression and most of the patients will need mask ventilation (or support).
One important feature that was not mentioned in the video is that the patient should have the dorsum elevated (at least 25 degrees) to expand the FRC and makes regurgitation less likely.

[@RoseChitseko]

Simple but great

[@monohydrate2]

Is second stage of anesthesia a real thing or just keeps getting passed down because it sounds good? I don't always see it.

[@PracticalAnesthesiaTechniques]

I suspect it’s more the latter but I haven’t done a deep dive into it.

[@diyarharki5434]

💓💓💓