New Fever in the Surgical Intensive Care Unit Patient

  • Evan Ross
  • Deidra Allison
  • Athena Hobbs
  • Ben Coopwood
Chapter

Abstract

Fever is defined as an increase in core body temperature above 38.3 °C (101 °F). It can be considered part of the body’s adaptive and regulated response to infection, trauma, and tissue injury, or it can be considered maladaptive and dysregulated, as when caused by a drug side effect, venous thrombosis, thyroid storm, or a neurological injury. Fever has been shown to enhance the immune response to invading pathogens, while on the other hand, fever increases cardiac output, oxygen consumption, carbon dioxide production, and energy expenditure, which can have untoward effects in those with poor cardiopulmonary reserve, those suffering from neurologic insult, and pregnant patients. Determining the etiology of fever and the appropriate clinical treatment is therefore an important element in improving outcomes for critically ill patients.

Keywords

Fever ICU Infection Sepsis Ventilator-associated pneumonia Central venous catheter Urinary catheter management C. difficile Acute acalculous cholecystitis SIRS Postoperative fever 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Evan Ross
    • 1
  • Deidra Allison
    • 2
  • Athena Hobbs
    • 3
  • Ben Coopwood
    • 4
  1. 1.Department of SurgeryThe University of Texas Medical BranchGalvestonUSA
  2. 2.Dell Seton Medical Center at University of Texas, Surgical Intensive Care UnitAustinUSA
  3. 3.Department of Clinical PharmacyBaptist Memorial Health Care & The University of Tennessee Health Science Center – MemphisMemphisUSA
  4. 4.Department of SurgeryDell Medical School, University of Texas at AustinAustinUSA

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