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Content text 8 Extubation After Anaesthesia.pdf


EXTUBATION AFTER ANAESTHESIA PARALYSIS and REVERSAL : · Inadequate reversal , Greater Ro Airway of Paralysis Obstruction. - may exist even with adequate Spontaneous Ventilation . · PNS ; Peripheral Nerve Stimulators ; ensure adequate reversal TOF : most widely used measure . 0 .9 = Adequate - assessed either Subjectively or Objectively. visual/tactile assessment with an Accelerometer by clinician . Useof PNS reduces the incidence of Postop respiratory and airway complications.(GradeB) PosITION For EXTUBATION : 1 Extubation in the LEFT LATERAL, Head down position : leastlikelytobeawaspirationpatients for Emergency as Grade B 2 Extubation in the SITTING position : - for electine cases ,especially obese , or with pre existing respiratory compromise . (GradeD)

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