Use Bronchoscopy to Predict Post-Extubation Stridor in Critical Ill Patients

Our study aims at the accuracy of bronchoscopy to predict PES. Evidence base medicine guidelines for extubation may be obtained through this study.

Inclusion Criteria:

• Age equal or greater than 18 years old
• Intubation over 24 hrs
• Match weaning profile
• Cuff leak volume less than 24%
• VS and subject/family agree

Exclusion Criteria:

• Re-Intubation
• History of upper air way obstruction
• Severe CV disease (ex. AMI)
• Active UGI Bleeding
• Blood sugar persistent more than 250 mg/dl under medication control
• Risk of IICP
• Open T.B.
• Bleeding tendency/ Platelet less than 40 thousands
• Subject or family refuse