Prolonged endotracheal intubation is related to a variety of complications together with ventilator associated pneumonia, airway damage, or risk of reintubation. Reintubation is a selected downside especially due to the lack to cooperate with peri-extubation maneuvers, and the comparatively excessive sedation requirements. Children who've extreme thirst might have high natural blood sugar support sugar levels. In conclusion, several research have prompt that prophylactic NIV might reduce 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 extended mechanical ventilation in a larger population to forestall put up-extubation respiratory failure in patients at excessive risk of extubation failure in the intensive care unit and such a clinical condition the place NIV is just not beneficial. 106 mm Hg), with a purpose to keep away from tracheostomy on ICU day sixteen the primary weaning try was made. We recommend that the primary setting of HFNC movement be the same as the maximum inspiratory circulation of the ventilator during stress support ventilation, and the duration of HFNC be progressively prolonged in combination with physiotherapy rehabilitation. It is vital, nonetheless, that you simply talk about this with your personal physician and first acquire applicable lab assessments