Critères conventionnels d’extubation chez l’adulte

Tableau 1 : Critères conventionnels d’extubation chez l’adulte (conférence d’experts SFAR 2006)

Critères respiratoires :

Respiration spontanée, régulière, pas de tirage

Volume courant > 5-8 mL.kg-1

Ventilation minute < 10 L.min-1

Fréquence respiratoire 12-25 c.min-1

Pression inspiratoire négative < -20 cmH2O

Décurarisation complète avec un monitorage quantitatif :

T4/T1> 0,9

Oxymétrie et gaz du sang :

SpO2 > 95% avec FiO2 < 50%, PEP< 5cm H20

PaO2 > 60mmHg

PaCO2 < 50mmHg

Ou constantes équivalentes à l’état antérieur préopératoire

Niveau de conscience : réveil complet

Obtention d’une réponse verbale et motrice aux ordres simples

Réflexe de déglutition récupéré

Absence de dysfonction diaphragmatique liée à la chirurgie

Critères cardio-vasculaires

PA et FC +/-20% valeur initiale, absence de vasopresseur ou d’inotrope

Critères généraux :

température centrale > 36°C,

analgésie correcte,

absence de complication chirurgicale

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