How quickly do you extubate?
I feel like I’m insane lately. At my old hospital, I think we were fairly aggressive with extubation in general, but I don’t think it’s a bad thing? If you meet all the criteria to extubate, we just did it. An sbt was expected, and more nurse/rt driven (like you didn’t have to wait for the doctor to direct you, the rt weaned and together you’d coordinate an sbt when appropriate).
Now where I am, if someone was intubated yesterday, on minimal settings, and I ask about an sbt they look at me like I’m insane. I’m not sure which is the correct way, but as much as I love an intubated/sedated patient I really do want to see all my peeps off the ventilator asap.