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Original ArticleOpen Access
Clinical Outcomes of Failed Extubation in a Postoperative Intensive Care Unit
Toomtong P 
,
Raksakietisak M ,
Vorakitpokatorn P
,
Raksakietisak M ,
Vorakitpokatorn P The causes and consequences of failed extubation in postoperative intensive care unit (ICU)
patients were prospectively collected by clinical observation study in the surgical ICU Siriraj Hos-
pital from I" October 2000 to 31'1 March 2001. The failure rate was 1.7 per cent (9/477). Patients
underwent the following types of surgery:-abdominal surgery 66.67 per cent, orthopedic 22.22 per
cent, and head-neck surgery 11.11 per cent. Reasons for reintubation were respiratory failure 55.56
per cent (5/9), inadequate cough reflex 22.22 per cent (2/9), congestive heart failure 11.11 per cent
( 119), and acute myocardial infarction 11.11 per cent (1/9). The consequences of failed extubation
were worse outcomes:-the average length of stay in these patients increased from 3.67 days to 9.3
days. The mortality rate was 33.33 per cent. Tracheostomy was required in 55.56 per cent. From
these observations we conclude that extubation should
be
performed at the appropriate time for each
patient. This will differ according to the patient and his/her circumstances.
Key word : Failed Extubation, Weaning, Postoperative ICU
patients were prospectively collected by clinical observation study in the surgical ICU Siriraj Hos-
pital from I" October 2000 to 31'1 March 2001. The failure rate was 1.7 per cent (9/477). Patients
underwent the following types of surgery:-abdominal surgery 66.67 per cent, orthopedic 22.22 per
cent, and head-neck surgery 11.11 per cent. Reasons for reintubation were respiratory failure 55.56
per cent (5/9), inadequate cough reflex 22.22 per cent (2/9), congestive heart failure 11.11 per cent
( 119), and acute myocardial infarction 11.11 per cent (1/9). The consequences of failed extubation
were worse outcomes:-the average length of stay in these patients increased from 3.67 days to 9.3
days. The mortality rate was 33.33 per cent. Tracheostomy was required in 55.56 per cent. From
these observations we conclude that extubation should
be
performed at the appropriate time for each
patient. This will differ according to the patient and his/her circumstances.
Key word : Failed Extubation, Weaning, Postoperative ICU
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