Extubation is considered when the neonate shows improved respiratory function, stable vital signs, and adequate spontaneous breathing efforts. Pre-extubation assessments often include trials of reduced ventilatory support and monitoring the neonate’s ability to maintain oxygenation and ventilation independently.
Endotracheal intubation is a critical intervention in managing neonatal respiratory disorders. While it carries certain risks, the benefits often outweigh these, especially in severe cases where non-invasive measures are inadequate. Proper technique, vigilant monitoring, and timely intervention are key to the successful management of these vulnerable patients.