LasVegasEMR
Administer Lidocaine 90 mg IV to prevent coughing/bucking. Change ventilator to bag mode to assess pt effort and supplement prn. When awake extubation criteria met (able to open eyes, lift head off bed > 5sec, sustained hand grips, TV 5ml/kg or more, adequate Spo2 and RR) suction oropharynx, untape Ett, deflate cuff, extubate with + pressure. ................
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