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The protocol for extubation was as follows.
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The determination of specific protocols for early extubation facilitates a satisfactory evolution with less morbidity among patients submitted to heart surgery.
Postoperatively, patients were managed in a specialized cardiovascular intensive care unit with standardized protocols for early extubation (two to four hours) and blood glucose control (target 5.1 to 8.0 mmol/L).
Conclusion Addition of a new component to an existing nurse-driven weaning protocol to evaluate readiness for extubation was not associated with improved ability to predict successful extubation.
Manpower redistribution during these windows, the adoption of improved sedation titration protocols and protocols to screen patients for readiness for extubation in our MICU may further reduce the risk for deliberate unplanned extubations.
Those infants who had an unintentional extubation, that is became extubated without a medical decision for extubation, were followed if they remained extubated beyond the immediate extubation.
NPPV when used immediately after extubation, as part of a weaning protocol for patients at risk for post-extubation respiratory failure, is a safe intervention.
In our ICU, the criteria for extubation were also standardized in a written protocol detailed elsewhere [ 10].
The patients with planned extubation were extubated following a spontaneous breathing trial with a standard test for extubation using the T-piece for 30 min.
The ventilator weaning protocol was used by medical staff, as well as respiratory therapists, allowing regular assessment of whether patients met the criteria for extubation.
Time for extubation was similar.
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