Journal of Anaesthesiology Clinical Pharmacology

CASE REPORT
Year
: 2013  |  Volume : 29  |  Issue : 2  |  Page : 238--240

Tracheal extubation under deep sevoflurane anesthesia: A novel strategy for weaning difficulties in intensive care


Rajesh Sethi1, Simon V Mahon2 
1 Department of Anaesthesia, The Queen Elizabeth Hospital, Woodville South, South Australia 5011, Australia
2 Department of Anaesthesia, Glangwili Hospital, and Hywel Dda Health Board, Carmarthen, Carmarthenshire SA31 2AF, United Kingdom

Correspondence Address:
Simon V Mahon
Department of Anaesthesia, Glangwili Hospital, Hywel Dda Health Board, Carmarthen, Carmarthenshire, SA31 2AF
United Kingdom

Various criteria for weaning patients from ventilators in intensive care have been widely published. These criteria are increasingly incorporated into guidelines, protocols, and more recently, care pathways. We present a case where a patient«SQ»s lungs were ventilated for 4 days with an infective exacerbation of chronic obstructive pulmonary disease (COPD). We successfully weaned off mechanical ventilation and rapidly extubated the patient«SQ»s trachea utilizing deep sevoflurane anesthesia. Published weaning indices suggest that this would have been an inappropriate course of action at the time. However, our patient clearly benefited and avoided the need for tracheostomy and prolonged ventilation.


How to cite this article:
Sethi R, Mahon SV. Tracheal extubation under deep sevoflurane anesthesia: A novel strategy for weaning difficulties in intensive care.J Anaesthesiol Clin Pharmacol 2013;29:238-240


How to cite this URL:
Sethi R, Mahon SV. Tracheal extubation under deep sevoflurane anesthesia: A novel strategy for weaning difficulties in intensive care. J Anaesthesiol Clin Pharmacol [serial online] 2013 [cited 2020 Oct 31 ];29:238-240
Available from: https://www.joacp.org/article.asp?issn=0970-9185;year=2013;volume=29;issue=2;spage=238;epage=240;aulast=Sethi;type=0