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Prolonged endotracheal intubation is associated with quite a lot of complications including ventilator related pneumonia, airway harm, or danger of reintubation. Reintubation is a selected drawback particularly due to the shortcoming to cooperate with peri-extubation maneuvers, and the relatively high sedation requirements. Children who've extreme thirst could have high blood sugar ranges. In conclusion, a number of research have steered that prophylactic NIV may cut back the danger of publish-extubation respiratory failure in ICU patients at high threat of extubation failure. Further research are wanted to elucidate the efficacy of HFNC during weaning from prolonged mechanical ventilation in a bigger inhabitants to forestall post-extubation respiratory failure in patients at excessive risk of extubation failure in the intensive care unit and such a clinical condition the place NIV will not be really useful. 106 mm Hg), as a way to avoid tracheostomy on ICU day sixteen the primary weaning attempt was made. We suggest that the first setting of HFNC flow be the identical as the utmost inspiratory circulate of the ventilator throughout pressure assist ventilation, and the duration of HFNC be gradually extended together with physiotherapy rehabilitation. It will be significant, nonetheless, that you simply discuss this along with your private physician and first acquire acceptable lab tests; hypertension may be associated with kidney disease, which may alter blood ranges of those minerals.