Safe Extubation with Totaltrack® Video Laryngeal Mask

Abstract

The endotracheal tube should be removed as soon as the patient no longer requires an artificial airway, and each intubation should result in an extubation at the end of the procedure. The problem is that every extubation could represent a potential reintubation due to extubation maneuver failure. From a safety point of view, tracheal tube implies that a stable airway condition can become unsafe, thus entering a vulnerable and therefore potentially dangerous situation. Respiratory complications after tracheal extubation are associated with significant morbidity and mortality. Planning for tracheal extubation is a critical component of a successful airway management strategy, and Bailey maneuver has been mentioned for safe extubation. Process improvements in this clinical area are still needed because extubation failure may lead to severe outcomes. TotalTrack Video Laryngeal Mask (VLM), used as a supraglottic airway device in a variation of Bailey extubation method, allows minimally interrupted ventilation during a Two-Phase extubation plannification.