2003
DOI: 10.1007/s00134-003-1764-5
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Otorhinolaryngological problems occurring within the intensive care unit

Abstract: Otorhinolaryngology should be included in intensive care continuing medical education programs.

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Cited by 12 publications
(10 citation statements)
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“…1,2 On the other hand, short and long-term disabilities (acute otitis media, intracranial infection, sepsis, mastoiditis, chronic otitis media), although rare, can result in an untreated otitis media with effusion, especially in patients with immunocompromised state. 3,4 Otitis media with effusion is rare among adults, but its incidence is higher in ICU patients (25-43.3%). The middle ear is particularly susceptible to the development of effusion and infection in critically ill patients, due to pre- disposing factors existing in these patients: presence of transnasal tubes, prolonged endotracheal intubation, unconsciousness, alterations in mucociliary function and mucous viscosity, neuromotor dysfunction due to sedation or underlying neurological disease, and, lastly, colonization and migration of nosocomial Gram-negative microorganisms that commonly colonize the oro-and nasopharynx, and adhere to nasogastric and endotracheal tubes.…”
Section: Introductionmentioning
confidence: 99%
“…1,2 On the other hand, short and long-term disabilities (acute otitis media, intracranial infection, sepsis, mastoiditis, chronic otitis media), although rare, can result in an untreated otitis media with effusion, especially in patients with immunocompromised state. 3,4 Otitis media with effusion is rare among adults, but its incidence is higher in ICU patients (25-43.3%). The middle ear is particularly susceptible to the development of effusion and infection in critically ill patients, due to pre- disposing factors existing in these patients: presence of transnasal tubes, prolonged endotracheal intubation, unconsciousness, alterations in mucociliary function and mucous viscosity, neuromotor dysfunction due to sedation or underlying neurological disease, and, lastly, colonization and migration of nosocomial Gram-negative microorganisms that commonly colonize the oro-and nasopharynx, and adhere to nasogastric and endotracheal tubes.…”
Section: Introductionmentioning
confidence: 99%
“…Este processo, se não diagnosticado e tratado adequadamente, pode levar a complicações graves como septicemia, meningite e pneumonia (Pope et al, 1981;Knodel, Beekman, 1982;Kronberg, Goodwing, 1985;Grindlinger et al, 1987;Guerin et al, 1988a;Guerin et al, 1988c;Kulber et al, 1991;Bach et al, 1992;Michelson et al, 1992;Bensadon et al, 1994;Voegels et al, 1994;Bone, 1997;Kountakis et al, 1997;Ramadan et al, 1998;Le Moal et al, 1999;Marik, 2000;Vandenbussche et al, 2000;Roth et al, 2003;Van Zanten et al, 2005).…”
Section: Referencesunclassified
“…A flora bacteriana, normalmente presente, torna-se patogênica quando retida dentro dos seios paranasais, levando à infecção. Em pacientes acamados e que recebem antibióticos de amplo espectro, a colonização por flora hospitalar é comum, o que explica a ocorrência de rinossinusite nosocomial (O'Reilly et al, 1984;Grindlinger et al, 1987;Humphrey et al, 1987;Hansen et al, 1988;Linden et al, 1988;Meyer et al, 1988;Salord et al, 1990;Kulber et al, 1991;Pedersen et al, 1991;Bach et al, 1992;Borman et al, 1992;Rouby et al, 1994;Talmor et al, 1997;George et al, 1998;Le Moal et al, 1999;Torres et al, 1999;Cassiano et al, 2001;Eggimann, Pittet, 2001;Roth et al, 2003;Van Zanten et al, 2005;Pneumatikos et al, 2006 Em pacientes com trauma facial, a lesão da mucosa nasal e do arcabouço ósseo, contaminação durante intubação de emergência e presença de sangramento dentro dos seios, agravam este processo por causarem descontinuidade na cobertura mucosa além de promoverem um meio para crescimento bacteriano Humphrey et al, 1987;Kulber et al, 1991;Mevio et al, 1996;Le Moal et al, 1999).…”
Section: Fisiopatogeniaunclassified
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