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ht and left enddiastolic volumes(using TEE) and cardiac output ? Hemotocrit, platelet count, fibrinogen concentration, prothrombin time, thromboplastin time Emergence from GA Goals: awake Responsive Full muscle strength Adequate pain control Extubation ? Awake extubation ? Indications Risk of aspiration Difficult airways Tracheal or maxillofacial surgery Extubation ? Awake extubation ? Criteria Awake Hemodynamically stable Full muscle strength Able to follow simple verbal mands Breathing spontaneously with adequate ventilation Extubation ? Awake extubation ? Special technique: removal of ETT over a flexible stylette Indication: patency of the airway is uncertain or reintubation may be difficult Extubation ? Deep extubation ? Indications Severely asthmatic patients Middleear surgery Openeye surgery Inguinal herniorrhaphy Extubation ? Deep extubation ? Criteria Sufficient anesthetic depth to avoid response to airway stimulation Spontaneous breathing with adequate ventilation Agitation ? Causes Pain Hypoxia Hypercarbia Airway obstruction Full bladder Transport Questions