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)

Hervé Quintard (1) , Erwan L'Her (2) , Julien Pottecher (3) , Frederic Adnet (4) , Jean-Michel Constantin (5) , Audrey de Jong (6, 7) , Pierre Diemunsch (8) , Rose Fesseau , Anne Freynet , Christophe Girault (9) , Christophe Guitton (10) , Yann Hamonic (11) , Eric Maury (12) , Armand Mekontso-Dessap (13) , Fabrice Michel (14) , Paul Nolent (11) , Sébastien Perbet (5) , Gwenael Prat (15) , Antoine Roquilly (16) , Karim Tazarourte (17) , Nicolas Terzi (18) , Arnaud Thille (19) , Mikael Alves (12) , Etienne Gayat (20) , Laurence Donetti

1 IPMC - Institut de pharmacologie moléculaire et cellulaire
2 CHRU Brest - Centre Hospitalier Régional Universitaire de Brest
3 Hôpital de Hautepierre [Strasbourg]
4 Hôpital Avicenne [AP-HP]
5 CHU Clermont-Ferrand
6 PhyMedExp - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]
7 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
8 Service d'Anesthesie - Réanimation
9 CHU Rouen
10 Centre Hospitalier Le Mans (CH Le Mans)
11 CHU Bordeaux
12 CHU Saint-Antoine [AP-HP]
13 IMRB - Institut Mondor de Recherche Biomédicale
14 TIMONE - Hôpital de la Timone [CHU - APHM]
15 CHU - BREST - Réa Med - CHRU Brest - Service de Réanimation Médicale
16 CHU Nantes - Centre Hospitalier Universitaire de Nantes
17 Hôpital Edouard Herriot [CHU - HCL]
18 Service de réanimation médicale [CHU Caen]
19 CIC 1402 - CIC Poitiers – Centre d'investigation clinique de Poitiers
20 MASCOT (UMR_S_942 / U942) - Marqueurs cardiovasculaires en situation de stress

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

Domaines: Physiologie [q-bio.TO]; Santé publique et épidémiologie

Hervé Quintard, Erwan L'Her, Julien Pottecher, Frederic Adnet, Jean-Michel Constantin, et al.. 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). Annals of Intensive Care, 2019, 9, pp.13. ⟨10.1186/s13613-019-0483-1⟩. ⟨hal-01997090⟩