In considering a patient for extubation, which of the following would you recommend to mini-mize the risk of postextubation aspiration?
a. Perform and confirm a positive cuff leak test.
b. Discontinue (DC) tube feeding 4 to 6 hr before extubation.
c. Perform deep endotracheal suctioning be-fore extubation.
d. Keep the cuff inflated when removing the tube.
ANS: B
Withholding feeding 4 to 6 hr before extubation and clamping feeding tubes may be prudent.
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