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Please vote before seeing the comments so we can get the best data possible. Please also keep the first 20 posts free of comments that would influence people too much. Thanks!
Given the situation:
43 M
Dx: Osteoarthritis
Surgery: Knee replacement
PMH
HTN, HLD,
Diabetes with A1C of 7.2 on meds well controlled for the last 3 years he's been diagnosed,
BMI 30, Height: 5'11" Weight: 215
NPO for 12 hours
MP 2 airway with slightly thick neck but maskable with oral airway.
Pt asked you to do GA with ETT because he had trouble with staying still with a spinal and sedation for his other knee.
Easy intubation. You have not suctioned the stomach given such an uneventful case.
Surgeon is gives you heads up they will finish in 20 mins, the pt is spontaneously breathing, taking tidal volumes of 350 while supine. you have titrated in narcotics and the patient is breathing 13 times per minute, Et Sevo is at 1.8%. Pt sating 100% on 50% FIO2 at 2 liters of flow.
When do you pull the tube?
--------------------
We had some very spirited discussion in the other thread about extubation timing. So let's see the data from the masses.
Discussions are very welcome, the spirit of this thread is to expand our horizons. However, if we could refrain from posting comments that would influence the votes for a while, that would give us really good data!
If the mods can disable comments but leave the poll up for a few days, that would be the most scientific, not sure if that's possible.
Given the situation:
43 M
Dx: Osteoarthritis
Surgery: Knee replacement
PMH
HTN, HLD,
Diabetes with A1C of 7.2 on meds well controlled for the last 3 years he's been diagnosed,
BMI 30, Height: 5'11" Weight: 215
NPO for 12 hours
MP 2 airway with slightly thick neck but maskable with oral airway.
Pt asked you to do GA with ETT because he had trouble with staying still with a spinal and sedation for his other knee.
Easy intubation. You have not suctioned the stomach given such an uneventful case.
Surgeon is gives you heads up they will finish in 20 mins, the pt is spontaneously breathing, taking tidal volumes of 350 while supine. you have titrated in narcotics and the patient is breathing 13 times per minute, Et Sevo is at 1.8%. Pt sating 100% on 50% FIO2 at 2 liters of flow.
When do you pull the tube?
--------------------
We had some very spirited discussion in the other thread about extubation timing. So let's see the data from the masses.
Discussions are very welcome, the spirit of this thread is to expand our horizons. However, if we could refrain from posting comments that would influence the votes for a while, that would give us really good data!
If the mods can disable comments but leave the poll up for a few days, that would be the most scientific, not sure if that's possible.
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