What should be monitored on the patient after extubation?

Monitoring chest rise and mist on the mask after extubation is crucial for several reasons. Observing chest rise ensures that the patient is initiating effective breaths and that there are no obstructions or complications such as respiratory distress or air hunger. The presence of mist on the mask indicates that the patient is breathing adequately and that the respiratory system is functioning well with the support of supplemental oxygen if used. This also helps to assess the effectiveness of the patient's respiratory efforts and ensure that they are maintaining good oxygenation.

In contrast, focusing solely on heart rhythm, skin color, or breath sounds does not provide a comprehensive view of the patient's respiratory status post-extubation. While these parameters are important, they do not directly assess the mechanics of breathing or the immediate response of the airway and lungs following the removal of the endotracheal tube. Thus, monitoring chest rise and mist provides essential information that informs clinicians of the patient's recovery trajectory and the need for any further interventions.