Managing Fever in Critical Care

Öz

Fever; is one of the most common abnormal symptoms in patients admitted to adult intensive care units (ICUs) and is associated with increased mortality in critically ill populations. Fever in the critical care unit affects important diagnosis and treatment decisions. It usually occurs early, is often non-infective, and is usually benign. Fever in the intensive care unit can be caused by infectious and non-infectious causes. The cornerstone of treatment is to treat the underlying cause of the fever. There is a need for the clinician to determine the best evidence-based approach for the identification and treatment of fever by paying attention to appropriate body temperature measurement, diagnostic evaluation, replacement of indwelling catheters, administration of antipyretic drugs, antibiotic therapy in critical patient follow-up in the intensive care unit, through literature analysis.

Anahtar Kelimeler

• fever
• critical care
• infectious
• non-infectious

Yoğun Bakımda Ateşin Yönetilmesi

Öz

Ateş; yetişkin yoğun bakım ünitelerine (YBÜ) kabul edilen hastalarda en sık saptanan anormal belirtilerden biridir ve kritik hasta popülasyonlarında artan mortalite ile ilişkilidir. Yoğun bakım ünitesinde ateş, önemli tanı ve tedavi kararlarını etkilemektedir. Genellikle erken döneminde ortaya çıkar, sıklıkla enfektif değildir ve genellikle iyi huyludur. Yoğun bakım ünitesindeki ateş enfeksiyöz ve enföksiyöz olmayan nedenlerden kaynaklı olabilir. Tedavinin temel taşı, ateşin altında yatan nedeni tedavi etmektir. Klinisyenin yoğun bakımda kritik hasta takibinde uygun vücut ısısı ölçümüne, tanısal değerlendirmeye, kalıcı kateterlerin değiştirilmesine, ateş düşürücü ilaçların uygulanmasına ve antibiyotik tedavisine, değişikliğe dikkat edilerek ateşin tanımlanması ve tedavisine yönelik en iyi kanıta dayalı yaklaşımın literatür analizi yoluyla belirlenmesine ihtiyaç vardır.

Anahtar Kelimeler

• ateş
• yoğun bakım
• enfeksiyöz
• non-enfeksiyöz

Kaynakça

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2. O’Grady NP, Barie PS, Bartlett JG, Bleck T, Garvey G, Jacobi J, et al. Practice guidelines for evaluating new fever in critically ill adult patients. Task Force of the Society of Critical Care Medicine and the Infectious Diseases Society of America. Clin Infect Dis. 1998;26(5):1042-1059.
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