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. 2019 Jan 22;9(1):13.
doi: 10.1186/s13613-019-0483-1.

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)

Hervé Quintard  1   2 , Erwan l'Her  3 , Julien Pottecher  4 , Frédéric Adnet  5   6 , Jean-Michel Constantin  7 , Audrey De Jong  8 , Pierre Diemunsch  4 , Rose Fesseau  9 , Anne Freynet  10 , Christophe Girault  11   12 , Christophe Guitton  13 , Yann Hamonic  14 , Eric Maury  15   16 , Armand Mekontso-Dessap  17   18 , Fabrice Michel  19 , Paul Nolent  20 , Sébastien Perbet  21 , Gwenael Prat  22 , Antoine Roquilly  23 , Karim Tazarourte  24   25 , Nicolas Terzi  26   27 , Arnaud W Thille  28   29 , Mikael Alves  30 , Etienne Gayat  31   32 , Laurence Donetti  33
Affiliations

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)

Hervé Quintard et al. Ann Intensive Care. .

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.

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Figures

Fig. 1
Fig. 1
Algorithm for intubation
Fig. 2
Fig. 2
Algorithm for extubation
See this image and copyright information in PMC

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