Middle ear effusion in intensive care unit patients at al-Sadder teaching hospital in al-Najaf City-Iraq : a prospective randomized comparative clinical study
Author
Source
Issue
Vol. 17, Issue 1 (30 Jun. 2014), pp.1-12, 12 p.
Publisher
University of Kufa Faculty of Medicine
Publication Date
2014-06-30
Country of Publication
Iraq
No. of Pages
12
Main Subjects
Abstract EN
Background: Middle ear effusion (MEE) is one of the commonest chronic otological conditions in childhood but has a lower incidence in normal adult.
By definition it is an accumulation of non-purulent fluid in the middle ear.
It is an inflammatory effusion behind an intact tympanic membrane that is not associated with acute otological symptoms or systemic signs.
Aim: To explore factors related to the occurrence of MEE in the intensive care unit (ICU) patients with prolonged oral endotracheal intubation in Al-Najaf city/Iraq.
Methods: Forty patients (80 ears) with a prolonged endotracheal intubation (> 5 days) in the ICU were studied.
Information of the age, gender, level of consciousness, duration of endotracheal intubation and placement of nasogastric tube were retrospectively collected from history and patient`s data.
All patients were subjected to otoscopic examination, tympanometry studies and acoustic reflectometry for evidences of MEE.
Results: Out of the 80 ears examined, 46 ears had MEE (57.5%), 22 ears were normal (27.5%), and 12 ears (15%) had negative pressure in the middle ear by tympanometry.
Patients who were intubated for more than 11 days and those with conscious disturbance had a significantly high incidence of MEE.
No episodes of acute otitis media or systemic infection were encountered.
Conclusion: Prolonged endotracheal intubation (more than 11 days), age advancing and conscious disturbance contribute significantly to the occurrence of MEE in adult ICU patients.
Recommendation: Middle ear pathology like MEE in the ICU patients with prolonged intubation should not be underestimated
American Psychological Association (APA)
Hassun, Yasir Laftah. 2014. Middle ear effusion in intensive care unit patients at al-Sadder teaching hospital in al-Najaf City-Iraq : a prospective randomized comparative clinical study. Kufa Medical Journal،Vol. 17, no. 1, pp.1-12.
https://search.emarefa.net/detail/BIM-790710
Modern Language Association (MLA)
Hassun, Yasir Laftah. Middle ear effusion in intensive care unit patients at al-Sadder teaching hospital in al-Najaf City-Iraq : a prospective randomized comparative clinical study. Kufa Medical Journal Vol. 17, no. 1 (2014), pp.1-12.
https://search.emarefa.net/detail/BIM-790710
American Medical Association (AMA)
Hassun, Yasir Laftah. Middle ear effusion in intensive care unit patients at al-Sadder teaching hospital in al-Najaf City-Iraq : a prospective randomized comparative clinical study. Kufa Medical Journal. 2014. Vol. 17, no. 1, pp.1-12.
https://search.emarefa.net/detail/BIM-790710
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 10-12
Record ID
BIM-790710