TY  - CHAP
M1  - Book, Section
TI  - Chapter 47. Sinus Infections in the Ventilated Patient
A1  - Rouby, Jean-Jacques
A1  - Lu, Qin
A2  - Tobin, Martin J.
PY  - 2013
T2  - Principles and Practice of Mechanical Ventilation, 3e
AB  - Infection  of  paranasal  sinus  cavities  is  a  well-recognized  cause  of  fever  in  mechanically  ventilated  patients.1–7  Easy  to  detect  in  maxillary  sinuses,  the  infectious  process  also  frequently  involves  ethmoid,  frontal,  and  sphenoid  sinuses8  where  the  diagnosis  is  more  difficult  to  establish.9  Infectious  sinusitis  represents  an  important  reservoir  of  bacteria10  that  may  disseminate  into  the  respiratory  tract11  and  intracranially.12  In  contrast  to  community-acquired  sinusitis,  ventilator-associated  sinusitis  is  often  clinically  silent  in  sedated  critically  ill  patients  and  may  be  underdiagnosed  if  not  systematically  screened  for  in  the  presence  of  fever  of  unknown  origin.  In  the  absence  of  diagnosis  and  appropriate  treatment,  bacteremia,2,5  ventilator-associated  pneumonia,13  and  life-threatening  complications,  such  as  orbital  infection,14  meningitis,  mastoiditis,  cerebral  abscess,  or  thrombosis  of  the  sinus  cavernosus,  may  result.12  Early  detection  and  treatment  of  infectious  maxillary  sinusitis  significantly  reduces  the  incidence  of  ventilator-associated  pneumonia  and  may  decrease  intensive  care  mortality.11  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/18
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57076995
ER  -