A postural change test improves the prediction of a radiological maxillary sinusitis by ultrasonography in mechanically ventilated patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-06-09

AUTHORS

Frédéric Vargas, Alexandre Boyer, Hoang Nam Bui, Louis Rachid Salmi, Didier Gruson, Gilles Hilbert

ABSTRACT

ObjectiveThe aim of this study was to evaluate a postural change test during sinus ultrasound, compared with CT scan, in case of partial sinusogram to differentiate air-fluid level from mucosal thickening.DesignProspective clinical investigation.SettingMedical intensive care unit.Patients150 intubated patients.InterventionsPatients were examined by sinus ultrasound in half-sitting position. A partial sinusogram was defined as the sole visualization of the hyperechogenic posterior wall of the sinus. In this situation, a postural change was performed and ultrasound was achieved in supine position. If the partial sinusogram disappeared when the patient was placed in a supine position (positive test), the partial sinusogram was an air-fluid level. If the partial sinusogram did not disappear (negative test), we considered it as a mucosal thickening. The CT and ultrasound were performed on the same day. Radiological maxillary sinusitis (RMS) on CT was defined as the presence of an air-fluid level. Absence of RMS on CT was defined as normal sinus or as the presence of mucosal thickening.Measurements and results300 sinuses were examined. A partial sinusogram was found in 90 sinuses and CT scan confirmed the presence of RMS in 55 sinuses (61%). Sensitivity, specificity, positive predictive value, and negative predictive value of postural change test compared with CT were, respectively, 94.6, 85.6, 91.2 and 90.9%. The positive predictive value increased from 61 to 91.2% after the postural change test.ConclusionsIn case of a partial sinusogram, a postural change increases the accuracy of ultrasound to diagnose RMS. More... »

PAGES

1474-1478

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00134-007-0726-8

DOI

http://dx.doi.org/10.1007/s00134-007-0726-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1012997248

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17558492


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