The objective of this study is to evaluate the role of diaphragmatic electrical activity monitoring (collected by esophageal probe) around extubation of preterm patients in order to consider its use as a standardized objective criterion to aid in the decision to extubate.
All newborns born at <32 weeks of amenorrhea hospitalized in the neonatal intensive care unit at CHIC
Patient intubated and ventialted with an Edi tube in place
Patient eligible for scheduled extubation
Absence of Edi tube
Palliative care situation
Patient treated with curare
Patients with neuromuscular disorders
Patients admitted to the neonatal intensive care unit at the Creteil Intercommunal Hospital Center
Cohort
Prospective
Not listed
Extubation success
Comparaison with patients who experience extubation failure. Focusing on clinical, therapeutic, and ventilatory data. In particular data extracted by the servo-tracker software (collected from the time the software is installed on the ventilator following the decision to extubate until the actual extubation): * Maximum, minimum, and average EDI over the period * Tidal volume: maximum, minimum, and average over the period * Inspiratory time: maximum, minimum, and average over the period * Total time between the decision to extubate and the actual extubation This data will be used to calculate: * Neuro-mechanical efficiency: Mean tidal volume / Mean EDI max * Variability of the EDI max signal: its standard deviation * Respiratory variability: standard deviation of tidal volume
Time to reintubation
Duration between extubation and reintubation
Reintubation rate
Ratio of the number of patients who were reintubated to the total population
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