Fever effects and treatment in critical care

dc.contributor.author	Κιέκκας, Παναγιώτης	el
dc.contributor.author	Αρέθα, Διαμάντω	el
dc.contributor.author	Μπακάλης, Νικόλαος	el
dc.contributor.author	Καρπουχτσή, Ειρήνη	el
dc.contributor.author	Μαρνέρας, Χρήστος	el
dc.date.accessioned	2015-05-17T16:43:56Z
dc.date.available	2015-05-17T16:43:56Z
dc.date.issued	2015-05-17
dc.identifier.uri	http://hdl.handle.net/11400/10597
dc.rights	Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.source	http://www.sciencedirect.com/science/article/pii/S1036731412001518#	el
dc.subject	Temperature
dc.subject	Fever
dc.subject	Infections
dc.subject	Mortality
dc.subject	Πυρετός
dc.subject	Θερμοκρασία
dc.subject	Antipyretic treatment
dc.subject	Αντιπυρετική αγωγή
dc.subject	Λοιμώξεις
dc.subject	Θνησιμότητα
dc.subject	Adult patients
dc.subject	Ενήλικες ασθενείς
dc.title	Fever effects and treatment in critical care	en
heal.type	journalArticle
heal.secondaryTitle	literature review	en
heal.classification	Medicine
heal.classification	Nursing
heal.classification	Ιατρική
heal.classification	Νοσηλευτική
heal.classificationURI	http://id.loc.gov/authorities/subjects/sh00006614
heal.classificationURI	http://skos.um.es/unescothes/C02778
heal.classificationURI	N/A-Ιατρική
heal.classificationURI	N/A-Νοσηλευτική
heal.keywordURI	http://skos.um.es/unescothes/C04018
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh85047994
heal.keywordURI	http://id.loc.gov/authorities/subjects/sh00006124
heal.keywordURI	http://skos.um.es/unescothes/C02591
heal.contributorName	Βαλτόπουλος, Γιώργος Ι.	el
heal.identifier.secondary	doi:10.1016/j.aucc.2012.10.004
heal.language	en
heal.access	campus
heal.recordProvider	Τεχνολογικό Εκπαιδευτικό Ίδρυμα Αθήνας.Σχολή Επαγγελμάτων Υγείας και Πρόνοιας. Τμήμα Νοσηλευτικής	el
heal.publicationDate	2013-08
heal.bibliographicCitation	Kiekkas, P., Aretha, D., Bakalis, N., Karpouhtsi, I., Marneras, C., et.al. (2013). Fever effects and treatment in critical care: literature review. "Australian Critical Care", 26(3), August 2013. pp. 130-136. Available from: http://www.sciencedirect.com/science/article/pii/S1036731412001518#. [Accessed 28/11/2013]	en
heal.abstract	Considering that the incidence of fever may reach up to 75% among critically ill adults, healthcare professionals employed in the Intensive Care Unit (ICU) are called to evaluate and manage patient temperature elevation on a daily basis. This literature review synthesizes the evidence about the effects of fever and antipyretic treatment in ICU patients. Although the febrile response acts protectively against infections, noxious effects are possible for patients with cerebral damage, neuropsychiatric disorders or limited cardiorespiratory reserve. Observational studies on ICU populations have reported associations between fever magnitude and patient mortality. Especially recent findings indicated that infected patients may significantly benefit from temperature elevation, while high fever may be maladaptive for non-infected ones. Aggressive antipyretic treatment of ICU patients has not been followed by decreased mortality in randomized trials. However, fever suppression and return to normothermia improved outcomes of septic shock patients. Antipyretic treatment should begin with drug administration and proceed with external cooling in case of refractory fever, but adverse effects of both antipyretic methods should always be considered. This article concludes by providing implications for antipyretic treatment of critically ill adults and suggesting areas for future research.	en
heal.journalName	Australian Critical Care	en
heal.journalType	peer-reviewed
heal.fullTextAvailability	true