Effect of Endotracheal Tube Plus STYLET Versus Endotracheal Tube Alone

Patients admitted to Intensive Care Units (ICU) often require respiratory support. Orotracheal intubation is one of the most frequent procedures performed in ICU.When performed in emergency settings, intubation is a challenging issue as it may be associated with life-threatening complications in up to one third of cases Using a preshaped endotracheal tube plus stylet may have potential advantages over endotracheal tube alone without stylet. The stylet is a rigid but malleable introducer which fits inside the endotracheal tube and allows for manipulation of the tube shape; usually into a hockey stick shape, to facilitate passage of the tube through the laryngeal inlet. The stylet can help to increase success of intubation in operating rooms

Inclusion Criteria: * Patients must be present in the intensive care unit (ICU) and require mechanical ventilation through an orotracheal tube. * Adult (age ≥ 18 years) * Subjects must be covered by public health insurance * Written informed consent from the patient or proxy (if present) before inclusion or once possible when patient has been included in a context of emergency. Exclusion Criteria: * Refusal of study participation or to pursue the study by the patient * Pregnancy or breastfeeding * Absence of coverage by the French statutory healthcare insurance system * protected person * intubation in case of cardio circulatory arrest * Previous intubation during the same ICU stay and already included in the study