Assessing Extubation Readiness

presented by Karen LaRoché, RRT-ACCS

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Disclosure Statement:

Financial: Karen LaRoché receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Karen LaRoché has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Video Runtime: 3 Minutes

While extubating a patient is a common procedure for the bedside respiratory therapist (RT), it has the potential to be a high-risk event for patients who may have upper airway issues, such as swelling. The intent of this skills video is to demonstrate the cuff leak procedure, which can aid in the assessment of a patient's upper airway patency prior to the extubation process. This procedure should be performed by a healthcare provider trained in the process of patient extubation, such as an RT or anesthesia provider. It is best performed shortly before the removal of the endotracheal tube. It is not recommended as a daily practice outside of the extubation process.

In this training, we'll review the equipment and procedures for assessing extubation readiness. This course includes

Video demonstrations of procedures
Downloadable procedure guide PDFs
Tips and best practices for performing these procedures in the home

Meet Your Instructor

Karen LaRoché, RRT-ACCS

With more than 30 years of adult critical care and trauma experience, Karen LaRoche has learned that critical thinking and evidence-based processes are at the root of not only patient safety and patient progress, but also staff satisfaction. She now works to share her experiences with others through professional education and lecturing opportunities, with the…

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1. Introduction

This chapter includes an introduction to assessing extubation readiness, information on all of the equipment needed for this assessment, and recommended infection control policies.

2. Assessing an Endotracheal Tube Cuff Leak

This chapter will provide a step-by-step procedure guide and video demonstration of assessing an endotracheal tube cuff leak.

3. Tips, Precautions, and Care Considerations

In this chapter, we’ll provide tips, precautions, and care considerations for assessing an endotracheal tube cuff leak in the home.

4. Quiz and Bibliography

This chapter includes questions to assess the learner’s knowledge of skills covered in this course. A bibliography of referenced material is also included.

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