Changes

===Endotracheal Tube removal===

===Endotracheal Tube removal===

The time of ''endotracheal (ET) tube removal'' varies between species. In any patient, however, close monitoring should continue before and after removal of the ET tube. In dogs, it is possible to leave the tube in until the dog is sitting in sternal recumbency as many dogs will tolerate ET tube placement; sometimes it can even be removed when the patient is swallowing spontaneously. A delay in removing the tube can result in the patient chewing on the tube and damaging it. In cats, ET tubes should be removed before the animal becomes conscious to reduce the risk of laryngeal spasm which may result in damage. In horses, ET tubes should be removed early to prevent damage, and a nasal tube can be placed to provide a supplementary oxygen if this is indicated, and also to aid drainage.

The time of ''endotracheal (ET) tube removal'' varies between species. In any patient, however, close monitoring should continue before and after removal of the ET tube. In dogs, it is possible to leave the tube in until the dog is sitting in sternal recumbency as many dogs will tolerate ET tube placement; sometimes it can even be removed when the patient is swallowing spontaneously. It is especially important to exubate brachycephalic dogs later rather than sooner as the soft palate can occlude the airway. A delay in removing the tube can result in the patient chewing on the tube and damaging it. In cats, ET tubes should be removed before the animal becomes conscious to reduce the risk of laryngeal spasm which may result in damage. In horses, ET tubes should be removed early to prevent damage, and a nasal tube can be placed to provide a supplementary oxygen if this is indicated, and also to aid drainage.

===Temperature===

===Temperature===