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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)

机译:法国麻醉和重症监护医学学会(SFAR)和法语重症监护学会(SRLF)对ICU患者进行插管和拔管的专家指南

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摘要

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.
机译:背景技术在重症监护病房(ICU)中,对通气患者进行插管和拔管并不是没有风险的程序,并且可能与发病率和死亡率相关。对于心血管或呼吸系统不稳定的患者,在紧急情况下经常需要在ICU中插管。在这种情况下,这是一种高危手术,并危及生命(20–50%)。此外,技术问题也可能引起并发症,并且最近已经开发了几种新技术,例如视频喉镜检查。另一个危险时期是拔管,大约10%的病例失败,并且预后不良。更好地了解失败原因对于改进成功过程至关重要。

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