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[Sinusitis during intensive care. Prospective studies].

B Fougeront1, L Bodin, G Lamas

  • 1Service ORL, Hôpital Pitié-Salpêtrière, Paris.

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|January 1, 1990
PubMed
Summary
This summary is machine-generated.

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Sinusitis is common in ICU patients regardless of intubation method. Unexplained fever may indicate sinusitis, even with early tracheostomy, warranting further investigation into causes beyond nasal intubation.

Area of Science:

  • Medical Imaging
  • Otolaryngology
  • Intensive Care Medicine

Context:

  • Critically ill patients in intensive care units (ICUs) often require airway management, including nasal endotracheal intubation or tracheostomy.
  • Sinus involvement is frequently observed in these patients, potentially leading to complications such as sinusitis.
  • The study prospectively compared radiological sinus involvement in two groups of ICU patients.

Purpose:

  • To investigate the prevalence and characteristics of radiological sinus involvement in ICU patients undergoing nasal endotracheal intubation versus tracheostomy.
  • To determine the association between airway management strategies and the occurrence of sinusitis in the ICU setting.
  • To evaluate the clinical significance of unexplained fever in relation to sinusitis in intubated patients.

Summary:

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  • Repeated CT scans revealed constant radiological sinus involvement in both nasal intubation and tracheostomy groups.
  • Purulent sinusitis was frequently observed in both patient series.
  • Unexplained fever in ICU patients, even those with early tracheostomy, should prompt investigation for sinusitis.

Impact:

  • Highlights the high incidence of sinus pathology in intubated ICU patients, irrespective of intubation type.
  • Suggests that unexplained fever in the ICU may be an indicator of sinusitis, necessitating prompt diagnostic evaluation.
  • Underscores the need for further research into the multifactorial causes of sinusitis in intubated patients, extending beyond nasal endotracheal intubation.