Corticosteroids Before Extubation in Pediatric Intensive Care Unit

Exclusion Criteria

• •Refusal of consent by at least one parent or by the legal guardian(s),
• •Patient with a contraindication to IV-DXM:
• •* Uncontrolled local or general infection,
• •* Active viral infections (hepatitis, herpes, chickenpox, shingles),
• •* Live vaccines,
• •* Severe coagulation disorders,
• •* Ongoing gastrointestinal bleeding,
• •* Known hypersensitivity to IV-DXM or one of its excipients.
• •Patient participating in another interventional study involving human subjects or being in the exclusion period following a previous study involving human subjects, if applicable,
• •Patient receiving State Medical Aid,
• •Patient on long-term NIV,
• •Known upper airway pathology (UAP) before intubation or at the time of extubation,
• •History of UAP surgery within the month preceding inclusion,
• •Any situation deemed incompatible with the child's participation in the trial at the discretion of the investigating physician,
• •Decision to limit or stop therapeutic interventions.
• •Premature patients aged less than 40 weeks of gestation
• •Newborns aged less than 2 days after post-term birth