Deep Extubation: Difference between revisions

Deep extubation occurs when the patient has their ETT or LMA removed while still anesthetized, as opposed to awake extubation, in which the patient is fully awake. A meta-analysis of 1881 pediatric patients showed that deep extubation was associated with reduction of airway complications (odds ratio (OR) 0.56, 95% confidence interval (CI) 0.33⁻0.96, ''p'' = 0.04), cough (OR 0.30, 95% CI 0.12⁻0.72, ''p'' = 0.007) and desaturation (OR 0.49, 95% CI 0.25⁻0.95, ''p'' = 0.04) in children after general anesthesia. However, deep extubation increased the risk of airway obstruction compared with awake extubation (OR 3.38 CI 1.69⁻6.73, ''p'' = 0.0005). No difference was observed in the incidence of laryngospasm and breath-holding between the two groups regardless of airway device.<ref>[https://pubmed.ncbi.nlm.nih.gov/30322192/ Deep vs. Awake Extubation and LMA Removal in Terms of Airway Complications in Pediatric Patients Undergoing Anesthesia: A Systemic Review and Meta-Analysis]</ref>.