Algorithms are becoming increasingly popular as a standardized approach to difficult and unique problems. Many resources have been spent on searching for a perfect algorithm for difficult intubations. In this issue, Voscopoulos et al. have proposed in this article an algorithm of extubation in the operating room after a difficult intubation. In this editorial we will first concentrate on the need for an OR post extubation algorithm and secondly, we will discuss the merits of its steps as well as present further recommendations.
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