Management of tracheal extubation

Tracheal extubation is a high risk procedure in anaesthesia and critical care. Until now most guidelines have focused on intubation, with little to guide the process of extubation.
The Difficult Airway Society in the UK has now published guidelines for the management of tracheal extubation, describing four steps:
Step 1: plan extubation.
Step 2: prepare for extubation.
Step 3: perform extubation.
Step 4: post-extubation care: recovery and follow-up.