Extubation Criteria in Patients Greater Than 59 Years of Age

Inclusion Criteria: * \>= 60 years of age * Patients undergoing general endotracheal anesthesia for surgery or invasive diagnostic procedures that are anticipated to be extubated immediately following the procedure Exclusion Criteria: * Age\<60 years of age * Patients with a tracheostomy in - situ (pre-existing or placed as part of the index procedure) * Patients undergoing cardiac surgical procedures * Patients undergoing general endotracheal anesthesia who are not anticipated to be extubated immediately following the surgical procedure * Patients with delayed extubations in the post anesthesia care unit or intensive care unit) * Patients undergoing TIVA (Total Intravenous Anaesthesia) * Patient with an initial room air SpO2\<93% * Patients with VADS (ventricular assist device) undergoing non-cardiac surgery * Thoracic surgical procedures * Patients on home oxygen * Patients getting general anesthesia with supraglottic airway