TY - JOUR
T1 - Acute paranasal sinusitis related to nasotracheal intubation of head-injured patients
AU - Grindlinger, G. A.
AU - Niehoff, J.
AU - Hughes, S. L.
AU - Humphrey, M. A.
AU - Simpson, G.
PY - 1987/1/1
Y1 - 1987/1/1
N2 - One hundred eleven head-injured patients were examined for paranasal sinusitis during early convalescence. Glasgow coma scale (GCS) was less then 8 in 79 patients. Ninety-three patients had sustained blunt injuries, and 18 had penetrating ones. Sixty-five orotracheal intubations (OTI) and 31 nasotracheal intubations (NTI) were performed at the scene or on hospital arrival. Fifteen patients were not tracheally intubated. Paranasal sinus air fluid levels (AFL) were present in 30 patients on their admitting computerized tomography scans. Paranasal sinusitis developed in 19 patients with a mean GCS of 5.4 ± 3.3 (SD). Sixteen of the 19 had NTI, and three had OTI (p < .05). Of 30 patients with AFL, sinusitis occurred in 13. Ten of these 13 had NTI, and three had OTI (p < .05). Penetrating injury did not increase the risk of sinusitis (p > .1). Seventeen of the 19 infections were polymicrobial. Sinusitis after head trauma is related to NTI, AFL, and severity of head injury.
AB - One hundred eleven head-injured patients were examined for paranasal sinusitis during early convalescence. Glasgow coma scale (GCS) was less then 8 in 79 patients. Ninety-three patients had sustained blunt injuries, and 18 had penetrating ones. Sixty-five orotracheal intubations (OTI) and 31 nasotracheal intubations (NTI) were performed at the scene or on hospital arrival. Fifteen patients were not tracheally intubated. Paranasal sinus air fluid levels (AFL) were present in 30 patients on their admitting computerized tomography scans. Paranasal sinusitis developed in 19 patients with a mean GCS of 5.4 ± 3.3 (SD). Sixteen of the 19 had NTI, and three had OTI (p < .05). Of 30 patients with AFL, sinusitis occurred in 13. Ten of these 13 had NTI, and three had OTI (p < .05). Penetrating injury did not increase the risk of sinusitis (p > .1). Seventeen of the 19 infections were polymicrobial. Sinusitis after head trauma is related to NTI, AFL, and severity of head injury.
UR - https://www.scopus.com/pages/publications/0023137292
U2 - 10.1097/00003246-198703000-00006
DO - 10.1097/00003246-198703000-00006
M3 - Article
C2 - 3816254
AN - SCOPUS:0023137292
SN - 0090-3493
VL - 15
SP - 214
EP - 217
JO - Critical care medicine
JF - Critical care medicine
IS - 3
ER -