Extubation

• Wean, screen, and extubate
• Should have protocol for daily screening for SBT
• Readiness for SBT defined as
  • Cause of respiratory failure has improved
  • Patient oxygenating adequately: PaO2:FiO2 ratio ≥150 or SpO2 ≥90% while on FiO2 ≤40% and PEEP ≤5 cmH2O
  • pH >7.25
  • Not on pressors (or low pressors)
  • Able to initiate inspiratory effort
• If above criteria are met, should initiate an SBT