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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)

Authors :
Hervé Quintard
Erwan l’Her
Julien Pottecher
Frédéric Adnet
Jean-Michel Constantin
Audrey De Jong
Pierre Diemunsch
Rose Fesseau
Anne Freynet
Christophe Girault
Christophe Guitton
Yann Hamonic
Eric Maury
Armand Mekontso-Dessap
Fabrice Michel
Paul Nolent
Sébastien Perbet
Gwenael Prat
Antoine Roquilly
Karim Tazarourte
Nicolas Terzi
Arnaud W. Thille
Mikael Alves
Etienne Gayat
Laurence Donetti
Source :
Annals of Intensive Care, Vol 9, Iss 1, Pp 1-7 (2019)
Publication Year :
2019
Publisher :
SpringerOpen, 2019.

Abstract

Abstract Background Intubation 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 conclusion In 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.

Details

Language :
English
ISSN :
21105820
Volume :
9
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Annals of Intensive Care
Publication Type :
Academic Journal
Accession number :
edsdoj.5b985ea12e344eca8886a9aba347f752
Document Type :
article
Full Text :
https://doi.org/10.1186/s13613-019-0483-1