Show simple item record Κιέκκας, Παναγιώτης el Αρέθα, Διαμάντω el Μπακάλης, Νικόλαος el Καρπουχτσή, Ειρήνη el Μαρνέρας, Χρήστος el 2015-05-17T16:43:56Z 2015-05-17T16:43:56Z 2015-05-17
dc.rights Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες *
dc.rights.uri *
dc.source 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 **N/A**-Ιατρική
heal.classificationURI **N/A**-Νοσηλευτική
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., (2013). Fever effects and treatment in critical care: literature review. "Australian Critical Care", 26(3), August 2013. pp. 130-136. Available from: [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

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Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες Except where otherwise noted, this item's license is described as Αναφορά Δημιουργού-Μη Εμπορική Χρήση-Όχι Παράγωγα Έργα 3.0 Ηνωμένες Πολιτείες