Thank you to each and every person who wished Poppy a happy birthday! She had a great day and was able to relax. We just finished rounds and we are going to try to wean the ventilator more today, pressure support trials tomorrow, and then a possible extubation attempt Thursday 🤞🏻

Poppy’s ultrasound showed that there IS improvement since last week! Her doctor said she is worthy of another extubation attempt sometime next week. He said if she isn’t able to be extubated we will probably be talking about a trach. Keep sending prayers and good vibes her way 🩷

Yes, patients do recover from #COVID19 #ARDS . And yes, my #ICU team does do an #extubation dance every time we liberate someone from a #Ventilator . #ARDS Avengers #coronavirus #bestteamever UCLA Internal Medicine Chief Residents UCLA Health American Thoracic Society (ATS) Gilad Jaffe, MD Desiree Shin @NoCoughEng

the patient vitally stable after self-extubation.

Nurses, RT and the ICU physician:

When studying patient recovery from GA in anesthesia pharmacology, it is essential to consider prolonged tracheal extubation times as a crucial endpoint. Dive deeper into this topic w/ Drs. Dexter & Hindman's insightful review.

buff.ly/3UgpZpl

Gestern wurde unsere erste beatmete #COVID2019de #SARSCoV2 #Corona Patientin nach Extubation stabil auf IMC verlegt. Sie gehört zur „Risikogruooe“. Wieder ein Punkt für die gute Seite. Vielen Dank an das Team! Good job!

【拡散希望】
自分のべしゃりにはこれっぽっちも自信がないので、あまり講座のご紹介はしないようにしているのですが、もし良かったらこの講義は是非とも拝聴頂ければ幸甚です。

呼吸生理及び、人工呼吸器の基礎
post-extubation dysphagia
人工呼吸管理を要する気切患者へのアプローチ

を、話します

Did a one-way extubation on my pt with no family or friends. Took him outside to sit in the sunshine one last time. When he started to struggle he said 'I guess this is it'

I told him yes & held his hand.

'You've been great' were his final words.

This role is an honour . 💞

“how are you feeling since extubation?”
“a little hoarse”
“yes, that’s normal”
“no i meant the one over there”

Difficult extubation following recovery from acute liver failure: Use of point-of-care critical care assessment

Muhammad Uwais Ashraf et al

link.springer.com/article/10.100…

When a patient goes for donation after cardiac death (DCD), sometimes after extubation, cardiac activity does not cease in ~2 hr. In these cases, procurement does not occur, and the patient returns to the ICU for comfort measures.

Equipment saved for later teaching purposes.

We ended the day with quick hits from a fantastic panel of speakers on extubation, constipation, pain, intracranial hypotension, dysautonomia, and hyponatremia. Looking forward to tomorrow and keynote from Soojin Park! #MANCCS

Check out poster 199 on the use of LUS to predict extubation failure. Great work by Dr. Sett #neotwitter #pas2024 #neopocuscollab #pocus #nicu

Congrats to Dr. Tessa Mandler and Dr. Tyler Morrissey and The Perioperative Unplanned Extubation Team who won this year's @ChildrensColorado Medical Staff Award for Quality and Safety award. They've reduced extubation by more than 70% in 2 years - impressive! #pedsanes

ดีใจที่ได้อ่าน
แต่ยินดีมากๆที่มีอีก1บุคลากรที่เข้าใจภาวะend of life และ palliative extubationค่ะ
การที่คนไข้end of lifeอย่างสงบ บางครั้งอาจเป็นทางเลือกที่เหมาะสมกับครอบครัวและคนไข้จริงๆก็ได้นะคะ
ทั้งหมดทั้งมวลต้องผ่านทีมpcที่เข้มแข็ง แพทย์เจ้าของไข้ที่เข้าใจ และครอบครัวคนไข้ค่ะ

🛌เพียงพอแล้ว กลับไปอ่านบท unplanned extubation ในส่วน self extubation นะคะ ว่าควรป้องกันและจัดการอย่างไร

ต้องยอมรับก่อนว่าการที่เกิดขึ้น มันเป็นปัญหาของระบบเรา iCU เรากำลังมีปัญหา
พยาบาลดูแลไม่เพียงพอ ไม่ดีพอ จนคนไข้ดึงได้?
Sedation เราไม่ได้ให้ หรือไม่เพียงพอ?

Ahead of print

Effect of post-extubation inspiratory muscle training on diaphragmatic function in mechanically ventilated patients: A randomized controlled trial

advances.umw.edu.pl/en/ahead-of-pr…

Extubation Failure in the #ICU

Happy birthday to my beautiful #IEN bff in heaven. Your presence is deeply missed, especially today, as you used to insist the world pause for your special day.
Your passing in 2021 made even the word 'extubation' triggering for me.
You are loved & remembered always
💛Roan💛