Liu Y, et al. - Through retrospectively reviewing the data of children with extubation failure (EF), defined as the need for reintubation within 72 h of the first attempted extubation, in the intensive care unit from January 1, 2013, to December 31, 2019, researchers sought to examine the endoscopic findings associated with pediatric EF and assessed the prognosis of endoscopic procedures. The sample consisted of 51 children receiving endoscopic examination. After endoscopic procedures, 33 children (65%) were successfully extubated, and 18 children (35%) refused to extubate. The leading causes of extubation failure were granulation and subglottic stenosis. Intubation-transferred patients can have a poor prognosis following endoscopic procedures. A secret cause for extubation failure may be neuromuscular and metabolic disorders.