TY - CHAP M1 - Book, Section TI - Management of Extubation of a Patient Following a Prolonged Period of Mechanical Ventilation A1 - Cooper, Richard M. A2 - Hung, Orlando R. A2 - Murphy, Michael F. Y1 - 2017 N1 - T2 - Hung's Difficult and Failed Airway Management, 3e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1146617855 ER -