Table 4 Extubation criteria

(1) SpO₂ ≥ 90% or at baseline level in chronically hypoxemic patients on an FiO₂ ≤ 40% and PEEP ≤ 5 cm H₂O

(2) A cough of sufficient strength to clear secretions and must not require suctioning more than every 2 h

(3) Patients should be hemodynamically stable (off vasopressors or on minimal levophed, i.e. ≤ 7 μg/min [0.1 μg/kg/min or equivalent])

(4) A level of consciousness sufficient to ensure airway protection and

(5) A cuff leak is present

All of the above criteria (except nos. 4 and 5) will also apply to patients who undergo trach mask trials and are disconnected.