A survey of fever management for febrile intensive care patients without neurological injury

Saxena, Manoj K., Hammond, Naomi E., Taylor, Colman, Young, Paul, Reade, Michael C., Bellomo, Rinaldo and Myburgh, John (2011) A survey of fever management for febrile intensive care patients without neurological injury. Critical Care and Resuscitation, 13 4: 238-243.

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Name Description MIMEType Size Downloads
Author Saxena, Manoj K.
Hammond, Naomi E.
Taylor, Colman
Young, Paul
Reade, Michael C.
Bellomo, Rinaldo
Myburgh, John
Title A survey of fever management for febrile intensive care patients without neurological injury
Journal name Critical Care and Resuscitation   Check publisher's open access policy
ISSN 1441-2772
Publication date 2011-12
Sub-type Article (original research)
Volume 13
Issue 4
Start page 238
End page 243
Total pages 6
Place of publication Melbourne, Vic, Australia
Publisher Australasian Academy of Critical Care Medicine
Collection year 2012
Language eng
Formatted abstract
To determine the attitudes of critical care clinicians in Australia and New Zealand towards fever management for critically ill patients with sepsis but without neurological injury. Online scenario-based survey distributed to members of the Australian and New Zealand Intensive Care Society Clinical Trials Group and their intensive care colleagues. The choice of intervention and preferred threshold temperature for modification of temperature in clinical practice and in a clinical trial. Most respondents indicated a preference for the use of interventions to lower temperature at or below 39.0degreesC (80%; 337/423), with first-line preference being a combination of paracetamol and physical cooling. Secondline interventions included the addition of intensive physical cooling. Doctors chose higher temperature thresholds for intervention (32% [43/134] below 38.5degreesC and 27% [36/134] above 39.5degreesC) than nurses (78% [226/289] and 7% [19/289], respectively), who, in turn, indicated stronger preferences for the use of physical cooling. There is support (78%) for a clinical trial of fever management, with respondents suggesting randomising patients to a mean intensive control of temperature to 38.0degreesC versus a permissive approach with a threshold for intervention of between 38.8degrees×C (SD, 0.6degreesC) (nurses) and 39.5degreesC (SD, 0.7degreesC) (doctors). There is considerable variability in attitudes to fever management with a reported tendency to act to reduce fever in febrile patients with sepsis. There was broad support for a clinical trial of fever management.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
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Created: Wed, 04 Jan 2012, 16:53:50 EST by Michael Reade on behalf of School of Medicine