Transnasal puncture based on echographic sinusitis evidence in mechanically ventilated patients with suspicion of nosocomial maxillary sinusitis.

Intensive Care Medicine
F VargasG Hilbert

Abstract

The aim of this prospective study was to evaluate the value of sinus echography results to directly indicate a transnasal puncture in intubated patients with suspicion of nosocomial maxillary sinusitis. prospective clinical investigation. medical intensive care unit. sixty patients undergoing intubation and mechanical ventilation more than 2 days, with a clinical suspicion of maxillary sinusitis with purulent nasal discharge. 120 sinuses were examined by sinus ultrasound. The image defined as normal was an acoustic shadow arising from the front wall. Two levels of positive echography were described: (1) a partial sinusogram was defined as the visualization of the hyperechogenic posterior wall of the sinus; and (2) a complete sinusogram was defined as the hyperechogenic visualization of posterior wall and the extension by the internal and external walls of the sinus. When sinus ultrasound was positive, a transnasal puncture was performed the same day. The transnasal puncture was positive if a fluid was obtained from sinus aspiration. The transnasal puncture was negative if there was no aspirated material. sinus ultrasound was positive in 84 cases (54 complete sinusograms and 30 partial sinusograms). Seventy-eight of 84 transnasa...Continue Reading

References

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Citations

Aug 12, 2009·Infectious Disease Clinics of North America·George Dimopoulos, Matthew E Falagas
Sep 29, 2009·Journal of Critical Care·Andreas KarabinisDimitrios Karakitsos
Sep 27, 2014·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Anju T PetersRaymond G Slavin
Apr 24, 2012·Respiratory Medicine·Michalis AgrafiotisMatthew E Falagas
Jul 10, 2016·The Journal of Allergy and Clinical Immunology. in Practice·Sumit BoseAnju T Peters
Jan 20, 2011·American Journal of Rhinology & Allergy·Fernando Mirage Jardim VieiraLuiz Carlos Gregório
Mar 17, 2020·Journal of Anaesthesiology, Clinical Pharmacology·Kinshuki JainSushma Bhatnagar

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