Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sinusitis in the intensive care unit patient

S E Kountakis1, L Burke, J J Rafie

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical School at Houston, 77030, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 27, 1997
PubMed
Summary

Sinusitis is a common cause of fever in intensive care unit (ICU) patients. Physical exam combined with CT scans accurately predicts purulence in maxillary sinuses, aiding diagnosis and treatment.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Exploring the Role of the Advanced Nurse Practitioner (ANP) Older Persons From the Perspective of the Interdisciplinary Team.

Journal of nursing management·2026
Same author

Barriers and Facilitators to PrEP Adherence among Transgender and Non-binary Individuals: A Mixed-Methods Analysis of Psychosocial Factors and Health Belief Model Constructs.

AIDS and behavior·2025
Same author

Plasma and rectal mucosal oxylipin levels during aspirin and eicosapentaenoic acid treatment in the seAFOod polyp prevention trial.

Prostaglandins, leukotrienes, and essential fatty acids·2023
Same author

Psychedelic science in post-COVID-19 psychiatry.

Irish journal of psychological medicine·2020
Same author

Cryptosporidium spp. in groundwater supplies intended for human consumption - A descriptive review of global prevalence, risk factors and knowledge gaps.

Water research·2020
Same author

The psychedelic renaissance: the next trip for psychiatry?

Irish journal of psychological medicine·2019

Area of Science:

  • Critical Care Medicine
  • Radiology
  • Otolaryngology

Background:

  • Fever in intensive care unit (ICU) patients often necessitates identifying infectious sources.
  • Sinusitis, particularly maxillary sinusitis, is a potential cause of fever in critically ill patients.
  • Accurate diagnosis of sinusitis is crucial for appropriate management.

Purpose of the Study:

  • To determine the incidence of sinusitis as a cause of fever in ICU patients.
  • To evaluate the diagnostic effectiveness of radiologic studies for sinusitis.
  • To develop guidelines for predicting antral lavage results.

Main Methods:

  • Retrospective study analyzing 52-67 patients undergoing sinus imaging and antral lavage.
  • Comparison of plain films and computed tomography (CT) of sinuses for detecting purulence.

Related Experiment Videos

  • Correlation of physical examination findings (middle meatus purulence) with imaging and lavage results.

    • Main Results:

    • CT scans identified purulence in 40.3% of maxillary sinuses compared to 30.7% with plain films.
    • Purulence in the middle meatus predicted maxillary sinus purulence in 76.7% of cases.
    • Combining physical exam with CT significantly improved prediction of positive antral lavage (92.3% accuracy).

    Conclusions:

    • Sinusitis is a relevant source of fever in ICU patients.
    • Computed tomography of sinuses is more effective than plain films in diagnosing sinusitis.
    • Physical examination of the middle meatus, combined with CT findings, is the most reliable predictor of positive antral lavage results.