2019 · ANNALS OF INTENSIVE CARE

Experts' guidelines of intubation and extubation of the ICU patient of French Society of Anaesthesia and Intensive Care Medicine (SFAR) and French-speaking Intensive Care Society (SRLF): In collaboration with the pediatric Association of French-speaking Anaesthetists and Intensivists (ADARPEF), French-speaking Group of Intensive Care and Paediatric emergencies (GFRUP) and Intensive Care physiotherapy society (SKR)

Quintard, Herve, l'Her, Erwan, Pottecher, Julien, Adnet, Frederic, Constantin, Jean-Michel, De Jong, Audrey, Diemunsch, Pierre, Fesseau, Rose, Freynet, Anne, Girault, Christophe, Guitton, Christophe, Hamonic, Yann, Maury, Eric, Mekontso-Dessap, Armand, Michel, Fabrice, Nolent, Paul, Perbet, Sebastien, Prat, Gwenael, Roquilly, Antoine, Tazarourte, Karim, Terzi, Nicolas, Thille, Arnaud W., Alves, Mikael, Gayat, Etienne, Donetti, Laurence

Journal: ANNALS OF INTENSIVE CARE
Année: 2019
Volume: 9
Article: 13
Mois: JAN 22
DOI: 10.1186/s13613-019-0483-1

Abstract

BackgroundIntubation and extubation of ventilated patients are not risk-free procedures in the intensive care unit (ICU) and can be associated with morbidity and mortality. Intubation in the ICU is frequently required in emergency situations for patients with an unstable cardiovascular or respiratory system. Under these circumstances, it is a high-risk procedure with life-threatening complications (20-50%). Moreover, technical problems can also give rise to complications and several new techniques, such as videolaryngoscopy, have been developed recently. Another risk period is extubation, which fails in approximately 10% of cases and is associated with a poor prognosis. A better understanding of the cause of failure is essential to improve success procedure.Results and conclusionIn constructing these guidelines, the SFAR/SRLF experts have made use of new data on intubation and extubation in the ICU from the last decade to update existing procedures, incorporate more recent advances and propose algorithms.

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