alexa Preventing Extubation Failure by Monitoring Minute Vent
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
Open Access

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Case Report

Preventing Extubation Failure by Monitoring Minute Ventilation with the ExSpiron 1Xi

Jaideep H Mehta*, Kayla Rohleder and David Amaro-Driedger

Department of Anesthesiology, The University of Texas Medical School at Houston, Texas, USA

*Corresponding Author:
Jaideep H Mehta
Assistant Professor of Anesthesiology
Chief of Acute Pain Medicine, Department of Anesthesiology
The University of Texas Medical School at Houston
6431 Fannin Street, MSB 5.020, Houston, Texas 77030, USA
Tel: 713-500-6200
Fax: 713-500-6201
E-mail: [email protected]

Received date: July 08, 2015 Accepted date: August 17, 2015 Published date: August 24, 2015

Citation: Mehta JH, Rohleder K, Amaro-Driedger D (2015) Preventing Extubation Failure by Monitoring Minute Ventilation with the ExSpiron 1Xi™. J Anesth Clin Res 6:555. doi: 10.4172/2155-6148.1000555

Copyright: © 2015 Mehta JH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



In the continuing care of postoperative patients who have been extubated, being able to monitor tidal volume and minute ventilation can provide objective criteria to identify respiratory depression and allow for earlier intervention. We present a morbidly obese female patient that was not extubated at the end of the case due to a low tidal volume detected by the anesthesia machine and a real-time non-invasive ventilation monitor that was being trialed for the procedure. This non-invasive ventilation monitor was subsequently useful in continuing to provide continuous information on the patient’s respiratory status to provide objective criteria for extubation and after a trial of extubation. Because of its ability to provide values for minute ventilation and tidal volume, rather than subjective criteria such as chest wall rise, this device may prove useful in the context of extubation trials and beyond.


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