Tuesday, March 6, 2018

Failed extubation

Q: Which patients have higher mortality (select one)

A) who fail extubation early
B) who fail extubation late

Answer: B

Re-intubation is an undesirable act for any patient but it happens regularly and normally. Normal re-intubation rate in any ICU is around 5-15%. But, it is better to fail extubation earlier in the course, as mortality is highest among those who fail extubation after more than 12 hours.



Epstein SK, Ciubotaru RL. Independent effects of etiology of failure and time to reintubation on outcome for patients failing extubation. Am J Respir Crit Care Med 1998; 158:489.

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