Comparison of Deep Versus Awake Tracheal Extubation in Adults

Exclusion Criteria

• •Patients with chronic obstructive pulmonary disease, pulmonary hypertension, interstitial lung disease, active respiratory infections, and/or uncontrolled asthma
• •Unfavorable airway examinations (Mallampati 3 or 4, limited mouth opening, and/or inability to extend neck)
• •Full stomach
• •Known difficult intubation or mask ventilation
• •Surgeries of the airway and intrathoracic surgeries
• •Emergent surgeries
• •Case duration \>6 hours
• •Pregnancy
• •Patients scheduled to receive a protocolized anesthetic (Enhanced Recovery After Surgery aka ERAS)
• •ASA Physical Status Classification 4 or 5
• •Chronic diseases such as obstructive pulmonary disease, pulmonary hypertension, interstitial lung disease, active respiratory infections, and/or uncontrolled asthma
• •Uncontrolled gastroesophageal reflux disease (heartburn) defined by presence of symptoms despite compliance with appropriate medication regimen
• •Patient scheduled to receive a protocolized anesthetic ie Enhanced Recovery After Anesthesia (ERAS)
• •Surgeries requiring prone positioning