Dr. Thomas, the Senior Anesthetist in Jubilee Hospital, Trivandrum, South India is extubating (awakening) the patient from general anesthesia after an ENT Operation-Nasal surgery.
By its very nature, ENT surgery involves the sharing of the airway with the surgeon. Hence airway management requires excellent communication between  the surgeon and anesthetist as they share the same field.Extubation after airway surgery must be planned. Throat packs must be removed, the pharynx suctioned under direct vision, the patient oxygenated and only extubated after full protective airway reflexes have returned. Excessive bleeding, oedema, or extensive surgery may make extubation unsafe.