RT Book, Section
A1 Cooper, Richard M.
A2 Hung, Orlando
A2 Murphy, Michael F.
SR Print(0)
ID 55870042
T1 Chapter 28. Management of Extubation of a Patient Following a Prolonged Period of Mechanical Ventilation
T2 Management of the Difficult and Failed Airway, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162344-5
LK accessanesthesiology.mhmedical.com/content.aspx?aid=55870042
RD 2024/04/19
AB A  60-year-old  man  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,  requiring  the  use  of  an  Eschmann  tracheal  tube  introducer  (ETTI).  After  6  days  of  assisted  ventilation,  he  had  now  been  weaned  to  an  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.