Should we treat pyrexia? And how do we do it?

被引:0
作者
James F. Doyle
Frédérique Schortgen
机构
[1] Royal Surrey County Hospital NHS Foundation Trust,Department of Intensive Care Medicine and Surrey Peri
[2] Groupe Hospitalier Henri Mondor-APHP,Operative Anaesthesia and Critical Care Collaborative Research Group, Intensive Care Unit
来源
Critical Care | / 20卷
关键词
Acute Brain Injury; Target Temperature Management; Secondary Brain Injury; Endovascular Cool; Hospital Cardiac Arrest;
D O I
暂无
中图分类号
学科分类号
摘要
The concept of pyrexia as a protective physiological response to aid in host defence has been challenged with the awareness of the severe metabolic stress induced by pyrexia. The host response to pyrexia varies, however, according to the disease profile and severity and, as such, the management of pyrexia should differ; for example, temperature control is safe and effective in septic shock but remains controversial in sepsis. From the reported findings discussed in this review, treating pyrexia appears to be beneficial in septic shock, out of hospital cardiac arrest and acute brain injury.
引用
收藏
相关论文
共 525 条
[1]  
Loke AY(2005)Comparing the effectiveness of two types of cooling blankets for febrile patients Nurs Crit Care 10 247-254
[2]  
Chan HC(1999)A prospective study of fever in the intensive care unit Intensive Care Med 25 668-673
[3]  
Chan T(2008)Temperature rhythm in aneurysmal subarachnoid hemorrhage Neurocrit Care 8 380-390
[4]  
Circiumaru B(2013)Altered circadian rhythmicity in patients in the ICU Chest 144 483-489
[5]  
Baldock G(1998)Concepts of fever Arch Intern Med 158 1870-1881
[6]  
Cohen J(2014)Fever management in intensive care patients with infections Crit Care. 18 206-1349
[7]  
Kirkness CJ(2008)Guidelines for evaluation of new fever in critically ill adult patients: 2008 update from the American College of Critical Care Medicine and the Infectious Diseases Society of America Crit Care Med 36 1330-777
[8]  
Burr RL(2015)Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis Ann Intern Med 163 768-S278
[9]  
Thompson HJ(2009)Fever in the critically ill medical patient Crit Care Med 37 S273-2056
[10]  
Mitchell PH(2015)European Resuscitation Council and European Society of Intensive Care Medicine 2015 guidelines for post-resuscitation care Intensive Care Med 41 2039-653