ABSTRACT
There is a paucity of literature on extubation technique and a lack of consensus regarding the definition of smooth extubation. This narrative review paper defines an ideal extubation, otherwise known as a "smooth extubation," reviews perioperative criteria for extubation and risks and adverse events related to extubation, and explores various perioperative techniques that can be used to achieve a smooth extubation while caring for an uncomplicated patient without significant risk factors for extubation failure. In light of the evolving practice during the SARS CoV2 (COVID-19) pandemic to minimize aerosol generation and infection transmission, smooth extubation is particularly important.
ABSTRACT
The coronavirus disease 2019 (COVID-19) pandemic has highlighted the need for appropriate protective measures for health care providers, particularly for those involved in aerosol-generating procedures. We report the use of the banded bag for extubation to contain infectious aerosols. The banded bag is a clear and disposable shower-cap style image intensifier cover which is commonly used as a sterile cover for mobile X-ray systems. With the addition of a filtered suction, safe air exchange rates can be obtained. We anticipate that the banded bag, which is economical, convenient, and highly practical, can be used as a safety-enhancing device for COVID-19 extubations.