Question: How long do you wait to extubate after an inhalation injury (assuming the patient meets all usual extubation criteria, and there is no other indication for keeping him/her intubated other than a history of smoke inhalation)? Had a case recently in the unit of a 12yo with smoke inhalation (no burns on body). He met all usual extubation criteria (including a good leak), and was an easy intubation. Upon extubation, he was immediately stridorous. We limped through (actually HE limped through, WE just sweated) with all the usual (epi neb, bipap etc) and all was eventually good. But at the time I certainly was wishing we'd left the tube in.