"One-way" clinical extubation: an alternative to tracheostomy or palliative extubation in patients receiving inappropriate mechanical ventilation?

Critical Care Science 2026 Open access

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Authors: Sabrina Corrêa da Costa Ribeiro, Ana Laura Jardim Tavares, Fernanda Gomes Lopes, Fernanda Palmas Fernandes Greco, Daniel Neves Forte
DOI: 10.62675/2965-2774.20260248
Cited by: 0
References: 7

Abstract

An 82-year-old man with mild dementia was admitted with acute respiratory failure due to pneumonia. He was drowsy, hypotensive, and hypoxemic, requiring intubation and vasopressors. After 10 days, despite some clinical improvement, he remained intubated and neurologically impaired, with persistent hypoactive delirium.

Fields of Study & Subjects

Palliative Care and End-of-Life Issues Respiratory Support and Mechanisms Tracheal and airway disorders

Publication details

Journal / source
Critical Care Science
Volume
38
Pages
e20260248–e20260248
Publication date
1 January 2026
Language
EN