Paediatric anaesthesia & critical care
A Prospective Evaluation of Routine Extubation Criteria in Children with Upper Respiratory Symptoms Undergoing Elective Surgery
Main finding · PPV of successful extubation with ≥3 Big Five criteriaResult — go to the resultEffect size 0.8% 95% CI −2.6 to 4.2%Authors' conclusion
The presence of three or more of the Big Five criteria appears to be equivalently predictive of successful awake extubation in patients with upper respiratory symptoms when compared to patients with no upper respiratory symptoms.
Study context
- Population
- Children 7 yr of age or younger extubated awake after elective surgery, with or without upper respiratory symptomsextubated awake
- Participants
- 756 children
- Exposure
- URI symptom cohort vs non-URI symptom cohort: PPV of ≥3 of the Big Five extubation criteria
- Outcome
- PPV of successful extubation with ≥3 Big Five criteria
Methodological detailsequivalence analysis
- Equivalence analysis
Main finding
As reported in the abstract
Effect size
0.8%
95% CI −2.6 to 4.2%
By group
Observational data: associations, not effects.
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
A Prospective Evaluation of Routine Extubation Criteria in Children with Upper Respiratory Symptoms Undergoing Elective Surgery. Anesthesiology. Published 8 June 2026. doi:10.
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