1. What data in particular will be shared?
   Response - All of the individual participant data collected during the trial, after de-identification.
   


2. What additional supporting information will be shared?
   Response -  Study Protocol
   Response - Informed Consent Form
   
   
3. Who will be able to view these files?
   Response - Researchers who provide a methodologically sound proposal.
   


4. For what types of analyses will this data be available?
   Response - To achieve aims in the approved proposal.
   


5. By what mechanism will data be made available?
   Response - Proposals should be directed to [sathyavaan4444@gmail.com].
   


6. For how long will this data be available start date provided 01-10-2022 and end date provided 28-02-2024?
   Response - Immediately following publication. No end date.
   


7. Any URL or additional information regarding plan/policy for sharing IPD? 
   Additional Information - nil

In adults following surgery under general anesthesia, conventional awake extubation is often employed as it assures intact airway reflexes and minimizes airway obstruction. But it carries disadvantages of hemodynamic disturbances like tachycardia , hypertension and myocardial infarction , respiratory disturbances like laryngospasm , coughing , bucking , straining and trauma like blood staining , postoperative sore throat ,agitation. The incidence of perioperative myocardial ischemia is also highest at the end of surgery and during the period of emergence.

Rationale of this study :

The ongoing COVID-19 pandemic has reinforced the need for minimizing aerosol generation during various airway management techniques. Awake extubation techniques often leads to greater aerosol generation than intubation due to coughing, straining, bucking etc. The Implications of Smooth extubation techniques are that it prevents aerosol generation and also leads to lesser variations in haemodynamic parameters and airway complications.

A clear distinction between successful and smooth extubation has to be made. Successful extubation is wholly achieving control at respiratory level while smooth extubation involves smooth respiratory , hemodynamic and atraumatic conditions. Also the terms ‘Smooth Emergence’ and ‘Smooth Extubation’ are being used interchangeably as no consensus between the two exist .

Many strategies are employed in smooth extubation strategies . These include Deep extubation , ‘No-Touch’ Extubation , ETT exchange  to LMA , addition  of Dexmedetomidine 0.5 -0.7mcg/kg infusion 15 minutes and inj.remifentanyl 0.03mcg/kg infusion 10 min before extubation ,pharmacological aids like Intracuff lidocaine , Intravenous lidocaine , calcium channel blockers .

This study compares deep extubation vs ‘No touch Awake extubation’ .The need to compare these two techniques is that they have not been compared together previously so as to find out which one is superior , easier to carry out and less time consuming and its effect on the duration of patient’s stay inside operation room .