Project for Universal Management of Airways: guidelines for tracheal extubation
Methodological detailsinternational, multidisciplinary working group, structured expert consensus process, AHA classification of recommendations
- International, multidisciplinary working group
- Structured expert consensus process
- AHA classification of recommendations
Recommendations
As issued by the authors
Extubation risk evaluation: assess risk of hypoxaemia, pulmonary aspiration and harm from airway stimulation; consider baseline risk and changes since intubation
Consider team and situation risk factors, as well as patient risks, when formulating the extubation strategy
Planned extubation is always elective, maximising control of timing, environment and resources
Deferring extubation is recommended if this will significantly decrease risk
When substituting lifelines, 'conversion procedures' (continuous guide) are safer and preferred over 'replacement procedures', particularly when airway management is 'at risk'
Original publication
Project for Universal Management of Airways: guidelines for tracheal extubation. Anaesthesia. Published 26 August 2026. doi:10.
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