Extubation Criteria

1. Adequate Respiratory Status:
   • Spontaneous breathing with adequate tidal volume and respiratory rate
   • Oxygen saturation > 92% on room air or per prescribed oxygen concentration
2. Cardiovascular Stability:
   • Stable heart rate and rhythm
   • Adequate blood pressure without significant fluctuations
   • Absence of signs of cardiovascular instability such as chest pain or dysrhythmias
3. Neurological Status:
   • Consciousness and responsiveness to stimuli
   • Ability to follow commands and protect the airway (e.g., coughing, swallowing)
4. Airway Protection:
   • Ability to clear secretions effectively
   • Absence of significant oropharyngeal or laryngeal edema
   • Minimal risk of aspiration (e.g., no recent vomiting, adequate cough reflex)
5. Muscle Strength and Coordination:
   • Ability to maintain adequate upper airway patency and support breathing efforts
   • Presence of spontaneous movements and muscle tone
6. Secretion Management:
   • Clear or manageable respiratory secretions
   • Minimal risk of mucus plugging or airway obstruction
7. Adequate Pain Control:
   • Comfortable and pain-free, or pain adequately managed with medication
8. Stability of Underlying Condition:
   • Resolution or improvement of the condition necessitating intubation and mechanical ventilation
   • Absence of ongoing respiratory distress or instability

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