[Fever in the critically ill : To treat or not to treat]. / Fieber bei Intensivpatienten : Senken oder nicht senken?
Med Klin Intensivmed Notfmed
; 114(2): 173-184, 2019 03.
Article
in De
| MEDLINE
| ID: mdl-30488315
ABSTRACT
Fever, arbitrarily defined as a core body temperature >38.3⯰C, is present in 20-70â¯% of intensive care unit patients. Fever caused by infections is a physiologic reset of the thermostatic set-point and is associated with beneficial consequences, but may have negative sequelae with temperatures >39.5⯰C. Fever of non-infectious and neurologic origin affects about 50â¯% of patients with elevated body temperature, presents as a pathologic loss of thermoregulation, and may be associated with untoward side effects at temperatures above 38.5-39.0⯰C. Cooling can be achieved by physical and pharmacologic means. Evidence-based recommendations are not available. The indication for a cooling therapy can only be based on the physiologic reserve and the neurologic, hemodynamic, and respiratory state. The temperature should be lowered to the normothermic range. Hyperthermia syndromes require immediate physical cooling (and dantrolen when indicated).
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Critical Illness
/
Fever
/
Hypothermia, Induced
Type of study:
Guideline
Limits:
Humans
Language:
De
Journal:
Med Klin Intensivmed Notfmed
Year:
2019
Document type:
Article