Sleep Quality in Intensive Care Unit Patients at High Risk of Extubation Failure

The aim of the study is to evaluate the impact of sleep quality on extubation failure rate in intensive care unit patients at high risk.

Inclusion Criteria:

• Intensive care units patients intubated for at least 24 hours with at least on of the four following risk factor : aged of 65 years or more, any underlying chronic cardiac or lung disease, mechanical ventilation for more than 7 days.
• aged of 18 years or more

Exclusion Criteria:

• peripheral or central nervous system pathology
• known psychiatric pathology or agitation
• patient with decision of no reintubation
• patient refusal
• clinical worsening before polysomnography ( shock with vasopressors drugs, coma, PaO2/FiO2 ratio < 150 with respiratory distress signs, coma with Glasgow scale <8)
• pregnant or breastfeeding women
• patient under legal guardianship or protection
• patient with no health insurance coverage
• aged < 18 years