Abstract

SERNA-SOTO, Hilda Judith de la. Criteria for early extubation in the neurosurgical patient. Anest. Méx. [online]. 2018, vol.30, n.1, pp.41-47. ISSN 2448-8771.

Early and ultra-fast extubation are techniques used in various areas such as cardioanesthesia and ambulatory surgery; in neuroanesthesia has been given great value in the last 10 years for allowing early to know the neurological condition of an awake patient, the concept is the best and least expensive neuromonitoring, the reason why, the neurological emergency of these patients is potentially presentable and it is precisely the early neurological examination one of the main goals of the surgical team for decision making. The neuroanesthesiologist's decision to extubate early in the postsurgical period has several implications such as the child: pre-anesthetic assessment (comorbidities and neurological exploration) that can modify our decision making; to know the functional neuroanatomy of the preoperative diagnosis, the type of surgery to be performed, the anesthetic management, transoperative complications and to make a check of the extubation criteria that our patient does or does not meet. Late extubation exposes patients to multiple infectious complications, ventilator-associated pneumonia, atelectasis, mayor hospital stay, and increased costs; with the possibility of taking the decision not to extinguish in an early manner due to the risk of a falling extubation and thereby increase morbidity and mortality.

Keywords : early extubation; fast-track; ultra fast; failed extubation.

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