EXTUBATION: REMOVING AN ETT/ARTIFICIAL AIRWAY

Now that the patient has been successfully weaned off mechanical ventilation, it is now safe to remove his artificial airway. In this video, George walks you through one way of extubating a patient with an ETT. Please note that there are many different ways to remove an ETT so please consult the unit protocols where you work.
Please note that George accidentally calls the procedure "intubation" rather than "extubation" about half into the video...oops.

[@wa_3315]

Your account is a treasure to every RT, it’s my favourite educational channel tbh …. Keep it up and we are learning a lot from you 👍👍❤

[@rachelrrt69]

Thank you sooooo much for this video.. I've been an RT for 15 years, ( but a floor therapist), big difference.. I'll soon be crossing over into ICU/CCU land.. I actually need this video to take me back to Respiratory 101... its so easily to forget..God bless you 🙏

[@GeorgeORRT]

May you be blessed for all your hard work out there keeping patients well and may you and your skills also be blessed in the ICV and CCU. Stay safe!!

[@mitchkrdr]

Thank you for this Mr. George! I have lab practicum coming up and since we cannot go to school and do it in an actual lab, it was planned to do it through zoom video call which makes it harder not having the equipment needed and just verbalizing everything. Your videos are amazing and very helpful!

[@GeorgeORRT]

Thanks Michelle: hope you do well on your lab practicum and your program

[@xmodmodifier]

Thank you! I haven't extubated since I graduated and I work nights. This is such a great refresher.

[@MissRateil]

Thank you very much Mr. George. All your videos that I have been watched till now are very helpful. keep it up.

[@HollyBlooms]

Thank you for taking the time to make this video. It's incredibly clear and well explained, as well as with key aspects of communication with the individual (or in this case, mannequin) that is being extubated.

[@patriciozabala]

THANKS A LOT FOR ALL OF YOUR VIDEOS!! VERY HANDY FOR A BUNCH OF PHISYCAL THERAPISTS LIKE ME, WORKING AS RESPIRATORY THERAPISTS DUE TO THE PANDEMIA (HERE IN ARGENTINA IS THE SAME CARRER, U JUST SPECIALIZE IN ONE OR OTHER AREA)... LEARNIGN A LOT!! THANKS

[@preety1894]

Thank you so much. Great video for non medical person to understand what doctors do to extubate a patient.

[@PeteHob]

If I am ever in this situation as a patient and the provider does not make sure that I am still sedated or gives me more sedation before extubation, there is going to be some drama in the trauma bay.

[@jn2957]

idk if you still make videos but im in RT school right now and your videos help me so much!! Thank you

[@gristlevonraben]

thank you. I hope I never have this happen to me, but I wanted to know how to pull the tube out if I woke up with one in my mouth. I didn't know that the tube was big enough to breathe through when turned off, or that the machine could wean you. This calms my nerves quite a bit. Thank you.

[@xXxLily_MoonwaterxXx]

It's not fun waking up after one has been pulled out. I had to have a breathing tube in for surgery and they pulled mine out when I was still under. I woke up when I got to recovery. Started coughing and I gasped for breath and felt as if I couldn't breath, it was Definitely scary but I had to stop freaking out enough to regain my regular breathing. My mouth and throat was so dry I downed a cup of water in 2 seconds flat.

[@gristlevonraben]

@@xXxLily_MoonwaterxXx so sorry this happened to you, I hope your life has greatly improved.

[@teresabaxter798]

This video was very informative, only one question why not roll the supplies over the bed and have all you need right in front of you, rather than having to turn and reach for the items as you need them.

[@hannahcaitlin3525]

You're a gem great video thanks so much

[@BreannaBrenko]

when i got my tube out after my coma it felt like such a longer tube

[@sreepoornaku2443]

Thank you very much for the video.

[@Beja7]

Hi George! With the end tidal monitoring are you placing it before the corgating tube closer to the patient? Or is it the patient, corgating tubing, etco2 line, then vent circuit? Thanks so much!

[@COCOLUVSYA3]

Wow thanks can't wait to be a doctor - me 2021

[@ventilator98]

Perfect Extubation video!

[@Shazi167]

My husband is 40% on ventilator, doctors said they gonna monitor him if he can breath on his on then they ll take the tube out. How many times did you see that patient can't breath on his/her own? And how long they can stay on ventilator? Thank you.

[@GeorgeORRT]

Hi: I hope that your husband is stable and is improving to a point where he can be extubated (tube comes out). Your questions are difficult to answer as the prognosis of the patient depends on the illness, comorbidity, general health of the patient, age, etc. As long as he is showing gradual improvement, there is a good chance that he'll come off of the ventilator and have the tube removed. If he has a slower recovery, he may eventually have a tracheostomy performed and breathe through a trach tube until he is eventually weaned. In some cases, despite all efforts, some patients may become ventilator dependent and may never come off the machine except for short periods of time. Lets hope (and pray) that he gets stronger by the day so that he can have the breathing tube removed so that you can hear him speak to you once again.

[@Shazi167]

@@GeorgeORRT thank you so much for the pray. 🙂 He is still on ventilator but the setting is on 40% . doctors said, its good

[@GeorgeORRT]

@@Shazi167 40% is a lower O2 concentration and hopefully it will be lowered as he gets better.

[@Shazi167]

@Me Joseph my husband is home now. He was on ventilator for 6 days . He is okay now.thank God. 18 days in hospital, was so scary for us. Thanks for asking 🙂

[@sinclair657]

Thanks

[@benjamingord]

I was taken to a hospital on 1/30. I extubated myself when I woke up. I also removed the IV and catheter. A trauma surgeon's notes on page marked (Modified) says an unnamed RT extubated me, but there are no charts at all from an RT or a cross trained MD. Is this normal? Some early attending notes say "wean as tolerated" but nothing appears on the procedures list, including the extubation, I was in an MVA, alcohol was involved, but my problem chart says only "Covid 19" Can anybody opine??? thanks!

[@shelleyrightmyer6421]

Ilove ti somuch miss

[@maresasmith3542]

Best video thank you so much