Prolonged endotracheal intubation is related to plenty of complications together with ventilator associated pneumonia, airway harm, or threat of reintubation. Reintubation is a selected downside particularly due to the inability to cooperate with peri-extubation maneuvers, and the comparatively high sedation requirements. Children who've excessive thirst could have excessive blood sugar levels. In conclusion, a number of research have advised that prophylactic NIV could scale back the chance of publish-extubation respiratory failure in ICU patients at high threat of extubation failure. Further studies are wanted to elucidate the efficacy of HFNC during weaning from extended mechanical ventilation in a bigger population to stop submit-extubation respiratory failure in patients at excessive risk of extubation failure in the intensive care unit and such a clinical situation where NIV will not be advisable. 106 mm Hg), to be able to avoid tracheostomy on ICU day sixteen the first weaning attempt was made. We suggest that the first setting of HFNC move be the same as the maximum inspiratory move of the ventilator throughout stress assist ventilation, and the duration of HFNC be steadily prolonged in combination with physiotherapy rehabilitation. It's important, nevertheless, that you just focus on this along with your personal physician and first get hold of appropriate lab tests