Intubation and extubation of the ICU patient

被引：2

作者：

Quintard, Herve ^{[1
,2
]}

l'Her, Erwan ^{[3
]}

Pottecher, Julien ^{[4
]}

Adnet, Frederic ^{[5
,6
]}

Constantin, Jean-Michel ^{[7
]}

Dejong, Audrey ^{[8
]}

Diemunsch, Pierre ^{[4
]}

Fesseau, Rose ^{[9
]}

Freynet, Anne ^{[10
]}

Girault, Christophe ^{[11
,12
]}

Guitton, Christophe ^{[13
,14
]}

Hamonic, Yan ^{[15
]}

Maury, Eric ^{[16
,17
,18
]}

Mekontso-Dessap, Armand ^{[19
,20
]}

Michel, Fabrice ^{[21
]}

Nolent, Paul ^{[22
]}

Perbet, Sebastien ^{[23
]}

Prat, Gwenael ^{[24
]}

Roquilly, Antoine ^{[25
]}

Tazarourte, Karim ^{[26
,27
]}

Terzi, Nicolas ^{[28
,29
]}

Thille, Arnaud W. ^{[30
,31
]}

Alves, Mikael ^{[32
]}

Gayat, Etienne ^{[33
,34
]}

Donetti, Laurence ^{[35
]}

机构：

[1] CHU Nice, Hop Pasteur 2, Serv Reanimat Medicochirurg, 30 Vole Romaine, F-06000 Nice, France

[2] Unite CNRS 7275, Sophia Antipolis, France

[3] CHU Brest, Reanimat Med, F-29609 Brest, France

[4] Hop Univ Strasbourg, Hop Hautepierre, Serv Anesthesie Reanimat Chirurg, Unite Reanimat Chirurg, 1 Ave Moliere, F-67098 Strasbourg, France

[5] Hop Avicenne, Samu 93,125 Rue Stalingrad, F-93009 Bobigny, France

[6] Univ Paris 13, AP HP, Sorbonne Paris Cite, UF Rech Enseignement Qualite,EA 3509, 125 Rue Stalingrad, F-93009 Bobigny, France

[7] CHU Estaing, Ctr Hosp Clermont Ferrand, Dept Med Perioperat, 1 Rue Lucie Aubrac, F-63100 Clermont Ferrand, France

[8] CHU Montpellier, Hop St Eloi, Dept Anesthesiol & Intens Care, 80 Ave Augustin Fliche, F-34000 Montpellier, France

[9] Hop Enfants, Dept Anesthesie Pediat, 330 Ave Grande Bretagne TSA 70034, F-31059 Toulouse 9, France

[10] Hop Leveque, Kinesitherapie, Reanimat Magellan, Serv Anesthesie Reanimat, 2 Ave Magellan, F-33600 Pessac, France

[11] Normandie Univ, Rouen Univ Hosp, Dept Med Intens Care, F-76000 Rouen, France

[12] UNIROUEN, EA 3830, Rouen, France

[13] CHU Nantes, Serv Reanimat Med, 30 Blvd Jean Monnet, F-44093 Nantes, France

[14] CHU Nantes, USC, 30 Blvd Jean Monnet, F-44093 Nantes, France

[15] CHU Bordeaux, Hop Enfants, Serv Anesthesie Reanimat, 3 Anesthesie Pediat,Pl Amelie Raba Leon, F-33000 Bordeaux, France

[16] Univ Paris 06, Hop St Antoine, AP HP, Serv Reanimat Med, 184 Rue Faubourg St Antoine, Paris, France

[17] UPMC Univ Paris 06, UMR S 1136, Inserm, F-75012 Paris, France

[18] Sorbonne Univ, F-75012 Paris, France

[19] Hop Univ Henri Mondor, AP HP, DHU A TVB, Serv Reanimat Med, F-94010 Creteil, France

[20] Univ Paris Est Creteil, Inst Mondor Rech Biomed, Grp Rech Clin CARMAS, Fac Demed Creteil, F-94010 Creteil, France

[21] Hop la Timone, AP HP, Serv Anesthesie Reanimat Pediat, 264 Rue St Pierre, F-13385 Marseille, France

[22] CHU Bordeaux, Hop Enfants, Serv Reanimat Pediat, Pl Amelie Raba Leon, F-33000 Bordeaux, France

[23] CHU Clermont Ferrand, CHU Gabril Montpied, Reanimat Medicochirurg, F-63100 Clermont Ferrand, France

[24] CHU Cavale Blanche, Reanimat Med, Pole ARSIBOU, Blvd Tanguy Prigent, F-29609 Brest, France

[25] CHU Nantes, Anesthesiol & Intens Care unit, F-44093 Nantes, France

[26] Hop Edouard Herriot, Hosp Civils Lyon, Serv Urgences Samu, F-69003 Lyon, France

[27] Univ Claude Bernard Lyon 1, Univ Lyon, HESPER EA 7425, F-69008 Lyon, France

[28] Univ Grenoble Alpes, Inserm, U1042, HP2, F-38000 Grenoble, France

[29] CHU Grenoble Alpes, Serv Reanimat Med, F-38000 Grenoble, France

[30] CHU Poitiers, Reanimat Med, Poitiers, France

[31] Univ Poitiers, ALIVE, Inserm CIC 1402, Poitiers, France

[32] Ctr Hosp Intercommunal Poissy St Germain En Laye, Reanimat Med Chirurg, 10 Rue Camp Gaillard, F-78300 Poissy, France

[33] Univ Paris Diderot, Hop Univ St Louis Lariboisiere Fernand Widal, AP HP, Dept Anaesthesia Intens Care, Paris, France

[34] INSERM, Unite Biomarker Cardioneurovasc Dis 942, Paris, France

[35] Hop Forcilles, Serv USIR SRPR, F-77150 Ferolles Atilly, France

来源：

ANESTHESIE & REANIMATION | 2018年 / 4卷 / 06期

关键词：

Intubation; Extubation; Intensive care unit;

D O I：

10.1016/j.anrea.2018.08.004

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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. By the same way, another risked period is extubation, which fails in approximately 10% and is associated with a poor prognosis. A better understanding of the cause of failure is essential to improve success procedure. 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.

引用

页码：523 / 547

页数：25

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