Different Criterias for Successful Pediatric Extubation Del
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Researchers have found that by combining multiple criterias, there are greater chances of success for extubation procedure in pediatric surgical patients after volatile anesthesia. The presence or absence of nine commonly used criterias were recorded at the time of extubation. These characteristics included:

- facial grimace

- eye opening

- low end-tidal anesthetic concentration

- spontaneous tidal volume greater than 5 mL/kg

- conjugate gaze

- purposeful movement

- movement other than coughing

- laryngeal stimulation test and

- oxygen saturation

Some of these predictors proved surprising to the researchers, including tidal volume. Interestingly, the study also have found the use of more than one of the five predictors yielding a stepwise increase in the positive predictive value for successful extubation.

The investigators have pointed that the trial had several potential limitations. They include its single-center design and the inclusion of patients undergoing inhalational anesthesia only. Finally, they acknowledged there may be other potential predictors .

Source: https://www.anesthesiologynews.com/Online-First/Article/08-20/Criteria-for-Successful-Pediatric-Extubation-Delineated/59290
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