Suctioning is applied to the endotracheal tube while removing it.

Positive pressure is applied to the endotracheal tube while removing it.

General anestheisa is maintained with an endotracheal tube. At the end of anesthesia, the endotracheal tube is removed by applying suctioning.

The intervention will try to identify which technique is better to extubate the patient after general anesthesia.

In literature/anesthesia practice there is no scale, parameter or questionnaire to indicate extubation. However the aim is universally accepted that is to extubate the patient when he/she is hemodynamically stable and able to maintain a patent airway and oxygen saturation while spontaneously breathing and awake.

In my trial, half the number of participants will be extubated by applying suctioning to the endotracheal tube and the remaining will be extubated by applying positive pressure to the endotracheal tube at the end of general anesthesia.

Patients heart rate, blood pressure, oxygen saturation, the need for clearing secretions from the airway, and the need for supplemental oxygen at the time of extubation and 3 minutes after extubation will be compared to identify which technique is better in terms of patients airway management.

Heart rate in beats per minute

Oxygen saturation in percentage