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 possibly to leave the tube in until the dog is sitting in sternal as many dogs will tolerate ET tube placement. However, it can be removed when the patient is swallowing spontaneously. Many practices will remove it to prevent the paitent chewing on the tube and thereby damaging it. In cats, ET tubes should be removed before the animal rouses as laryngeal spasm may occur, which may lead to laryngeal oedema and obstruction. In horses, ET tubes may be removed early to prevent damage, and a nasal tube can be placed if there are concerns.  

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 possibly to leave the tube in until the dog is sitting in sternal as many dogs will tolerate ET tube placement; it can, however 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 laryngeal oedema and obstruction. In horses, ET tubes may be removed early to prevent damage, and a nasal tube can be placed to provide a supplementary oxygen if this is indicated.

===Temperature===

===Temperature===