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, Le recours à la ventilation non invasive (VNI) ou à l'oxygénothérapie à haut débit nasal (OHDN) pourrait modifier la balance bénéfice/risque et plaider pour une extubation plus précoce. On se propose d'étudier le devenir de patients de chirurgie cardiothoracique, extubés alors qu'ils présentent un rapport P/F inférieur à 150 et dont l
, Nous avons recueilli de façon rétrospective les données des patients dont le rapport P/F avant extubation était inférieur à 150 et dont l'épreuve de VS était satisfaisante en postopératoire de chirurgie cardio-thoracique, Le critère de jugement principal était le taux de réintubation dans les 7 jours. Les données concernant les gaz du sang de J1 à J3
98 patients ont été extubés alors qu'ils étaient hypoxémiques (PaO2/FiO2 = 134 ± 16), 2011. ,
, 3 % qui semble acceptable, en postopératoire de chirurgie cardio-thoracique. Il serait intéressant d'étudier comparativement deux stratégies différentes (maintien de l'assistance invasive versus extubation précoce aidée par les techniques non-invasives), notamment en termes de complications de l'intubation. Mots clés : Extubation, Hypoxémie, Chirurgie Cardiaque, Chirugie Thoracique, Ventilation non-invasive, associée à des techniques d'assistance respiratoire non invasive, a un taux d'échec de, vol.16