| During her admission she had a week long episode of delirium follow extubation in the intensive care unit. |
| Discussions about the duration of survival, sedation, gasping and muscle contractions should take place before extubation. |
| This patient presented with retractive breathing, stridor, and decreased SpO2 immediately after extubation. |
| Early surgical debridement, enteral feeding, mobilisation of the patient, and early extubation are desirable. |
| After extubation, patients were monitored for respiratory distress and hemodynamic stability up to 24 hours. |
| Immediately after extubation, he presented with retractive breathing and stridor. |
