RT Book, Section
A1 Cooper, Richard M.
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1146617855
T1 Management of Extubation of a Patient Following a Prolonged Period of Mechanical Ventilation
T2 Hung's Difficult and Failed Airway Management, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259640544
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1146617855
RD 2024/04/19
AB A  60-year-old  male  with  chronic  obstructive  lung  disease,  limited  exercise  tolerance,  and  new  onset  pneumonia  required  tracheal  intubation  because  of  hypoxemic  respiratory  failure.  Optimal  positioning  for  direct  laryngoscopy  (DL)  performed  by  an  experienced  practitioner  using  a  Macintosh  3  blade  yielded  a  Cormack–Lehane  (C/L)  3  view,  despite  external  laryngeal  pressure  and  head  elevation.  Intubation  was  achieved  on  the  third  laryngoscopy  attempt  with  the  aid  of  a  tracheal  tube  introducer  (commonly  known  as  the  bougie).  After  6  days  of  assisted  ventilation,  the  patient  was  weaned  to  a  FiO2  of  0.4,  positive  end  expiratory  pressure  of  5  cm  H2O,  and  pressure  support  of  5  cm  H2O.  The  pulmonary  infiltrates  were  much  improved.  His  respiratory  rate  was  24  breaths  per  minute.  A  cuff-leak  test  was  performed.