Although extubation is often considered a mere intubation reversal, it is
actually a potentially dangerous process where there is a transition from a controlled to
an uncontrolled situation. Anatomical and/or physiological airway changes secondary
to airway manipulation or related to the surgical procedure, as well as other factors as
hemodynamic instability and time pressure, contribute to a situation that can become
more challenging than intubation for the anaesthesiologist. Management of the airway
during this phase of anaesthesia may be more complex than induction and requires
careful planning that is frequently overlooked.
Keywords: Bronchospasm, Complications, Extubation, Intubation,
Laryngospasm, Morbidity, Mortality, Mortality, Planification, Reintubation, Safe,
Strategy, Severe outcomes, Videolaryngoscopes.
