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Fever in critically ill patients: Mo...
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Schell-Chaple, Hildegarde M.
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Fever in critically ill patients: Monitoring, management, and outcomes.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Fever in critically ill patients: Monitoring, management, and outcomes./
作者:
Schell-Chaple, Hildegarde M.
面頁冊數:
110 p.
附註:
Source: Dissertation Abstracts International, Volume: 77-09(E), Section: B.
Contained By:
Dissertation Abstracts International77-09B(E).
標題:
Nursing. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10100565
ISBN:
9781339644578
Fever in critically ill patients: Monitoring, management, and outcomes.
Schell-Chaple, Hildegarde M.
Fever in critically ill patients: Monitoring, management, and outcomes.
- 110 p.
Source: Dissertation Abstracts International, Volume: 77-09(E), Section: B.
Thesis (Ph.D.)--University of California, San Francisco, 2016.
Fever in critically ill adults: monitoring, management, and outcomes Fever is a common occurrence in intensive care unit (ICU) patients and is routinely treated with antipyretic therapies. Evidence to inform guidelines for fever management in ICUs is limited due to the low level of evaluable data. The introduction (Chapter 1) provides the background and significance of fever management in ICU patients. The question of whether fever should be suppressed based on its impact on outcomes in all ICU patients or in specific subpopulations, such as sepsis, neurological injury, and acute respiratory distress syndrome (ARDS), remains unanswered. To describe the impact of fever on outcomes of ICU patients with ARDS, a secondary analysis was completed and found that early in the ARDS trajectory, fever is associated with improved survival rates (Chapter 2).
ISBN: 9781339644578Subjects--Topical Terms:
528444
Nursing.
Fever in critically ill patients: Monitoring, management, and outcomes.
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Source: Dissertation Abstracts International, Volume: 77-09(E), Section: B.
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Fever in critically ill adults: monitoring, management, and outcomes Fever is a common occurrence in intensive care unit (ICU) patients and is routinely treated with antipyretic therapies. Evidence to inform guidelines for fever management in ICUs is limited due to the low level of evaluable data. The introduction (Chapter 1) provides the background and significance of fever management in ICU patients. The question of whether fever should be suppressed based on its impact on outcomes in all ICU patients or in specific subpopulations, such as sepsis, neurological injury, and acute respiratory distress syndrome (ARDS), remains unanswered. To describe the impact of fever on outcomes of ICU patients with ARDS, a secondary analysis was completed and found that early in the ARDS trajectory, fever is associated with improved survival rates (Chapter 2).
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A common limitation of studies investigating body temperature alterations in ICU patients is the lack of standard measurement of core body temperature. To address this limitation for the primary clinical trial of this dissertation and to evaluate a prospective continuous core temperature monitoring device for use in ICU patients, a method-comparison study was completed (Chapter 3). This method-comparison study tested the agreement and precision of a novel technology for continuous thermometry with standard thermometry methods in febrile ICU patients.
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Fever suppression remains widespread and acetaminophen is the most common first line therapy used by ICU clinicians. There is a lack of high-grade evidence about the antipyretic efficacy and the acute hemodynamic effects of the more recently available intravenous (IV) formulation of acetaminophen in ICU patients. To better understand the therapy response and potential acute adverse effects of this commonly administered medication in febrile critically ill patients, a randomized, double blind, placebo-controlled trial to evaluate the effect of IV acetaminophen on body temperature and hemodynamic responses was conducted (Chapter 4).
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