Fever control and its impact on outcomes: What is the evidence?

Perioperative temperature measurement and management: moving beyond the Surgical Care Improvement Project

“…Hyperthermia is associated with patient discomfort, increased metabolic demand and increased cardiovascular stress [28]. There is a wide range of etiologies for fevers that can be categorized into syndromic, infectious or noninfectious [28,[33][34][35]. The clinical option to treat fevers, specifically in neurologically intact patients, is reliant on etiology and clinical scenario.…”

“…associated with an increased number of infections and mortality [28,34]. However, in patients with neurologic injury, pregnancy or the pediatric population, treatment of fevers may be beneficial [34][35][36][37][38][39].…”

“…However, in patients with neurologic injury, pregnancy or the pediatric population, treatment of fevers may be beneficial [34][35][36][37][38][39]. The SCIP, and this review, focuses on perioperative warming and maintenance of normothermia, current applications of hypothermia, and the detrimental effects associated with hypothermia during the perioperative period.…”

“…This is likely because fever--a form of autologous hyperthermia--functions as an immunologic defense that combats infection [28,[33][34][35]. Moreover, aggressive treatment of fever in the surgical critical care setting is associated with an increased number of infections and mortality [34].…”

“…In patients with neurologic injury [34,[36][37][38], who are pregnant [37], or under the age of six [34,35,39], it may be beneficial to treat or prevent hyperthermia. When controllingfever, the goal is to eliminate the cause.…”