Difficult extubation refers to anticipated or unanticipated difficulties with breathing and oxygenation after extubation, especially scenarios where there might be a need to re-intubate a patient.
The UK's Difficult Airway Society (DAS) has produced three algorithms for the management of extubation, a basic, a low-risk and an 'at risk' strategy. They are available for download from their (fantastic) website.
1. The 'basic' algorithm:
![](/sites/g/files/tkssra4826/f/wysiwyg/610.jpg)
2. The 'low risk' algorithm:
![](/sites/g/files/tkssra4826/f/wysiwyg/611.jpg)
3. The 'at risk' algorhithm:
![](/sites/g/files/tkssra4826/f/wysiwyg/612.jpg)
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