Unplanned extubation
Educational use only. Not clinically reviewed71-year-old man for Post-extubation airway escalation. About 8 simulated minutes.
What you will practise
- Support oxygenation and call experienced ICU and airway help after unplanned extubation.
- Assess airway patency, work of breathing, oxygenation, ventilation, mental status, secretions, and circulation.
- Recognize convergent post-extubation respiratory failure and choose prompt reintubation.
- Record experienced-team preoxygenation and reintubation intent without using noninvasive support to delay a failing airway.
- Confirm the reported new airway, reassess the patient, and hand off a prevention review.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Clerk AM, Shah RJ, Kothari J, et al. Position Statement of ISCCM Committee on Weaning from Mechanical Ventilator. Indian J Crit Care Med. 2024;28(S2):S233-S248.
- Goel NN, Ferreyro BL, Pitre T, et al. Noninvasive Respiratory Support for Adult Patients with Acute Respiratory Failure: An Official ATS Clinical Practice Guideline. Am J Respir Crit Care Med. Published online June 29, 2026. doi:10.1093/ajrccm/aamag302.
- Goodfellow LT, Miller AG, Varekojis SM, et al. AARC Clinical Practice Guideline: Patient-Ventilator Assessment. Respir Care. 2024;69:1042-1054.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.