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How to optimize extubation?

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References

  1. Jaber S, Quintard H, Cinotti R, Asehnoune K, Arnal JM, Guitton C, Paugam-Burtz C, Abback P, Mekontso Dessap A, Lakhal K, Lasocki S, Plantefeve G, Claud B, Pottecher J, Corne P, Ichai C, Hajjej Z, Molinari N, Chanques G, Papazian L, Azoulay E, De Jong A (2018) Risk factors and outcomes for airway failure versus non-airway failure in the intensive care unit: a multicenter observational study of 1514 extubation procedures. Crit Care 22:236

    Article  PubMed Central  Google Scholar 

  2. Thille AW, Gacouin A, Coudroy R, Ehrmann S, Quenot JP, Nay MA, Guitton C, Contou D, Labro G, Reignier J, Pradel G, Beduneau G, Dangers L, Saccheri C, Prat G, Lacave G, Sedillot N, Terzi N, La Combe B, Mira JP, Romen A, Azais MA, Rouzé A, Devaquet J, Delbove A, Dres M, Bourenne J, Lautrette A, de Keizer J, Ragot S, Frat JP (2022) Spontaneous-breathing trials with pressure-support ventilation or a T-piece. N Engl J Med 2:2

    Google Scholar 

  3. Subirà C, Hernández G, Vázquez A, Rodríguez-García R, González-Castro A, García C, Rubio O, Ventura L, López A, de la Torre MC, Keough E, Arauzo V, Hermosa C, Sánchez C, Tizón A, Tenza E, Laborda C, Cabañes S, Lacueva V, Del Mar FM, Arnau A, Fernández R (2019) Effect of pressure support vs t-piece ventilation strategies during spontaneous breathing trials on successful extubation among patients receiving mechanical ventilation: a randomized clinical trial. JAMA 321:2175–2182

    Article  PubMed Central  Google Scholar 

  4. Mahul M, Jung B, Galia F, Molinari N, de Jong A, Coisel Y, Vaschetto R, Matecki S, Chanques G, Brochard L, Jaber S (2016) Spontaneous breathing trial and post-extubation work of breathing in morbidly obese critically ill patients. Crit Care 20:346

    Article  PubMed Central  Google Scholar 

  5. Fossat G, Nay MA, Jacquier S, Desmalles E, Boulain T (2021) High-flow oxygen during spontaneous breathing trial for patients at high risk of weaning failure. Intensive Care Med 47:916–917

    Article  CAS  Google Scholar 

  6. Fernandez MM, Gonzalez-Castro A, Magret M, Bouza MT, Ibanez M, Garcia C, Balerdi B, Mas A, Arauzo V, Anon JM, Ruiz F, Ferreres J, Tomas R, Alabert M, Tizon AI, Altaba S, Llamas N, Fernandez R (2017) Reconnection to mechanical ventilation for 1 h after a successful spontaneous breathing trial reduces reintubation in critically ill patients: a multicenter randomized controlled trial. Intensive Care Med 43:1660–1667

    Article  Google Scholar 

  7. Zarrabian B, Wunsch H, Stelfox HT, Iwashyna TJ, Gershengorn HB (2022) Liberation from invasive mechanical ventilation with continued receipt of vasopressor infusions. Am J Respir Crit Care Med 205:1053–1063

    Article  Google Scholar 

  8. Goudelin M, Champy P, Amiel JB, Evrard B, Fedou AL, Daix T, François B, Vignon P (2020) Left ventricular overloading identified by critical care echocardiography is key in weaning-induced pulmonary edema. Intensive Care Med 46:1371–1381

    Article  PubMed Central  Google Scholar 

  9. Dres M, de Abreu MG, Merdji H, Müller-Redetzky H, Dellweg D, Randerath WJ, Mortaza S, Jung B, Bruells C, Moerer O, Scharffenberg M, Jaber S, Besset S, Bitter T, Geise A, Heine A, Malfertheiner MV, Kortgen A, Benzaquen J, Nelson T, Uhrig A, Moenig O, Meziani F, Demoule A, Similowski T (2022) Randomized clinical study of temporary transvenous phrenic nerve stimulation in difficult-to-wean patients. Am J Respir Crit Care Med 205:1169–1178

    Article  PubMed Central  Google Scholar 

  10. Jaber S, Jung B, Chanques G, Bonnet F, Marret E (2009) Effects of steroids on reintubation and post-extubation stridor in adults: meta-analysis of randomised controlled trials. Crit Care 13:R49

    Article  PubMed Central  Google Scholar 

  11. Fernando SM, Tran A, Sadeghirad B, Burns KEA, Fan E, Brodie D, Munshi L, Goligher EC, Cook DJ, Fowler RA, Herridge MS, Cardinal P, Jaber S, Møller MH, Thille AW, Ferguson ND, Slutsky AS, Brochard LJ, Seely AJE, Rochwerg B (2022) Noninvasive respiratory support following extubation in critically ill adults: a systematic review and network meta-analysis. Intensive Care Med 48:137–147

    Article  Google Scholar 

  12. Hernández G, Paredes I, Moran F, Buj M, Colinas L, Rodríguez ML, Velasco A, Rodríguez P, Pérez-Pedrero MJ, Suarez-Sipmann F, Canabal A, Cuena R, Blanch L, Roca O (2022) Effect of postextubation noninvasive ventilation with active humidification vs high-flow nasal cannula on reintubation in patients at very high risk for extubation failure: a randomized trial. Intensive Care Med 2:1–9

    Google Scholar 

  13. Thille AW, Coudroy R, Nay MA, Gacouin A, Decavèle M, Sonneville R, Beloncle F, Girault C, Dangers L, Lautrette A, Levrat Q, Rouzé A, Vivier E, Lascarrou JB, Ricard JD, Mekontso-Dessap A, Barberet G, Lebert C, Ehrmann S, Massri A, Bourenne J, Pradel G, Bailly P, Terzi N, Dellamonica J, Lacave G, Robert R, Frat JP, Ragot S (2022) Beneficial effects of noninvasive ventilation after extubation in obese or overweight patients: a post hoc analysis of a randomized clinical trial. Am J Respir Crit Care Med 205:440–449

    Article  Google Scholar 

  14. De Jong A, Huguet H, Molinari N, Jaber S (2022) Non-invasive ventilation versus oxygen therapy after extubation in patients with obesity in intensive care units: the multicentre randomised EXTUB-OBESE study protocol. BMJ Open 12:e052712

    Article  PubMed Central  Google Scholar 

  15. Cinotti R, Mijangos JC, Pelosi P, Haenggi M, Gurjar M, Schultz MJ, Kaye C, Godoy DA, Alvarez P, Ioakeimidou A, Ueno Y, Badenes R, Suei Elbuzidi AA, Piagnerelli M, Elhadi M, Reza ST, Azab MA, McCredie V, Stevens RD, Digitale JC, Fong N, Asehnoune K (2022) Extubation in neurocritical care patients: the ENIO international prospective study. Intensive Care Med 48:1539–1550

    Article  Google Scholar 

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Authors and Affiliations

  1. Intensive Care Unit, Anesthesia and Critical Care Department (DAR-B), Saint Eloi Teaching Hospital, University of Montpellier, Research Unit: PhyMedExp, INSERM U-1046, CNRS, 1, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5, France

    Audrey De Jong & Samir Jaber

  2. Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02215, USA

    Daniel Talmor

Authors
  1. Audrey De Jong
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  2. Daniel Talmor
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  3. Samir Jaber
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Correspondence to Samir Jaber.

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Conflicts of interest

SJ reports receiving consulting fees from Drager, Medtronic, Mindray, Fresenius, Baxter, and Fisher & Paykel. DT reports funding from the National Institute for Health, Hamilton Medical, Sedana and Mindray, all outside the present work. ADJ reports receiving remuneration for presentations from Medtronic, Drager and Fisher & Paykel.

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De Jong, A., Talmor, D. & Jaber, S. How to optimize extubation?. Intensive Care Med 49, 337–340 (2023). https://doi.org/10.1007/s00134-022-06964-y

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  • DOI: https://doi.org/10.1007/s00134-022-06964-y

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