Extubation outside the usual chair position: is it possible? Case report

Andrés M Enríquez-Popayán, Lorena García-Agudelo

Abstract

Background

The withdrawal of ventilatory support is usually carried out in bed; sometimes patients can be extubated outside the usual position as in chair in special cases; benefiting early mobilization which is associated with reducing hospital stay and improving functionality.

Case Report

39-year-old female patient diagnosed with chronic kidney disease and requiring dialysis in the context of ventilatory failure due to emergency orotracheal intubation, after a favorable evolution, early mobilization was initiated and she was released from ventilatory support in a chair.

Conclusion

To date, out-of-bed extubation has not been associated with complications. In our case, it was successfully achieved by avoiding unnecessary bed rest and promoting proper posture.

Keywords Early mobilization, Mechanical ventilation, Intensive care, Weaning, Tracheal extubation.

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