Unexplained fever in intensive care unit patients with nasal intubation [is the cause: maxillary sinusitis]

ABSTRACT

Fever in ICU patients with nasal intubation were evaluated of 183 patients. In the present study, systemic diagnostic protocol comprising comprising expanded physical examination, observation of other cause of fever an sepsis, otorhinolaryngological examination starting by anterior and posterior rhinoscopy, early roentgen examination, pneumatic otoscopy and antral irrigation as a diagnosis and treatment. From the results obtained, it was recommended that nasal tubes must be exchanged to oral tubes as soon as it clinically feasible where safe choice exist. Plain X-ray is advised in feverish in ICU patients with rhinorrhea. The treatment started early by specific antibiotic, nasal decongestant and sinus irrigation if indicated