What intervention is necessary when weaning a child from the ventilator?
a. Light sedation before scheduled extubation
b. No suctioning before scheduled extubation
c. Cool mist begun immediately after extubation
d. Vigorous chest physiotherapy and suctioning performed immediately after extubation
ANS: C
A cool mist or noninvasive oxygen therapy is initiated immediately after extubation. Steroids may be administered to minimize any laryngeal edema. Analgesics may be given, but sedation is not usually indicated. The child is suctioned just before extubation to ensure that the airway is clear. Chest physiotherapy and suctioning are performed before extubation.
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