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" ... The procedure of coming off of the ventilator is called extubation, whereby the endotracheal tube is removed. These moments are extremely well-planned, and the moments after extubation (again, with a trained professional, usually an intensivist or an anesthesiologist) are critical. The patient needs to be in a precise state of consciousness— not too awake where they would be coughing and sputtering, but not too asleep where they would be unable to make effort to breathe on their own. Again, coming off of the ventilator is not a simple “on/off” switch. Professionals and close monitoring are required. Patients usually transition to high levels of supplemental oxygen via mask after being off of the ventilator, and are closely watched, in order to make sure they do not need to be re-intubated and placed back on the ventilator once again. ... "