Gentle and noninvasive double-lumen tracheal tube (DLT) extubation is important for both pulmonary and circulatory management.

We compared extubation force at 2 extraction angles (60° or 90°) in a prospective randomized clinical trial.

DLT extubation at 60° requires less force than at 90° and was accompanied by a smaller increase in blood pressure.

Extraction at 60° may be less invasive and beneficial for patients undergoing DLT extubation.