Related Experiment Videos
Maxillary sinusitis in the surgical intensive care unit: a study using bedside sinus ultrasound
K L Kaups1, S M Cohn, B Nageris
1Department of Surgery, University of Massachusetts Medical Center, Worcester, USA.
American Journal of Otolaryngology
|January 1, 1995
Summary
Acute maxillary sinusitis (AMS) is rare in surgical intensive care units (SICU), with only 1% incidence. Sinus ultrasound (SUS) effectively detects maxillary sinus fluid, aiding in diagnosis.
Area of Science:
- Critical Care Medicine
- Diagnostic Imaging
- Infectious Diseases
Background:
- Acute maxillary sinusitis (AMS) can complicate critical care.
- Early detection of AMS is crucial for appropriate management in surgical intensive care units (SICUs).
Purpose of the Study:
- To determine the incidence of AMS in SICU patients.
- To evaluate the utility of bedside sinus ultrasound (SUS) for detecting maxillary sinus fluid.
Main Methods:
- Prospective observational study of 100 consecutive SICU patients.
- Bedside sinus ultrasound (SUS) performed on admission and every 48 hours.
- Sinus aspiration for patients with SUS-identified fluid and unexplained sepsis.
Main Results:
- Maxillary sinus fluid detected by SUS in 15 patients.
- Confirmed acute maxillary sinusitis (AMS) in only 1 patient (1% incidence).
Conclusions:
- Bedside sinus ultrasound (SUS) is a simple and efficient tool for identifying maxillary sinus fluid.
- AMS is an uncommon diagnosis in the SICU setting.
- Avoidance of nasal instrumentation may reduce AMS incidence in high-risk populations.