Respiratory failure & ventilation

Norepinephrine use at extubation in critically ill patients with obesity: a cohort study with multicenter validation

Intensive Care MedPublished Retrospective cohort study

Authors' conclusion

In critically ill patients with obesity, the use of norepinephrine at the time of extubation did not significantly increase the reintubation rates.

Study context

Population
Critically ill patients with obesityobesity, main cohort of 3186
Participants
837 patients
Exposure
Norepinephrine vs no norepinephrine at extubation
  • Norepinephrinen = 213
Outcome
Reintubation
Follow-up
7 days
Methodological detailsprospectively collected data, multicenter validation cohort
  • Prospectively collected data
  • Multicenter validation cohort

Main finding

As reported in the abstract

Reintubation (main cohort)

P = 0.85

Observational data: associations, not effects.

Secondary outcomes

Reintubation, validation cohort (656 with obesity)

P = 0.45

Norepinephrine dose at extubation
0.097 · median · range 0.04–0.17 · µg/kg/min of real body weight

Reintubation, patients without obesity (n 2349)

Similar results

Original publication

Norepinephrine use at extubation in critically ill patients with obesity: a cohort study with multicenter validation. Intensive Care Med. Published 6 August 2025. doi:10.1007/s00134-025-08066-x

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