1st International Conference on Recent Advances in Anaesthesiology (INCRAA - 2009), 30 Jan – 01 Feb 2009 · Nehru Auditorium, AIIMS New Delhi

extubation. Frequency of such problems, sometimes exceeds that related to tracheal intubation. Though, larger volume of literature is available concerning tracheal intubation, it is less common to find the same addressing extubation. Before discussing extubation of difficult airway, let us review the problems of treacheal extubation of normal airway. Extubation Problems Difficulty at the time of extubation may occasionally be dangerous, even leading to fatal complications. Blane and Tremblay1 described three problems at the time of extubation: failure to deflate tracheal tube cuff; a large cuff catching on the vocal cords; adhesion of tube to tracheal wall due to lack of lubricant.