Postoperative Fever: To What Is the Body Really Responding?

Ballestas, Helen C.

doi:10.1016/j.aorn.2007.08.018

Cited by 13 publications

(6 citation statements)

References 5 publications

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“…Different misconceptions on BTM among graduates have also been described in literature [25]. In general, nurses and doctors still consider BTM to be essential to support their clinical judgement and confirm clinical signs of infection [26] and although the majority of staff surgeons were confident to identify an infection without BTM, the surgical residents were not. A lack of self‐efficacy in doctors has been described as a main barrier to guideline adherence and can be present in up to 65% [24].…”

Section: Discussionmentioning

confidence: 99%

Long‐term adherence to a local guideline on postoperative body temperature measurement: mixed methods analysis

Storm‐Versloot

Knops

Ubbink

et al. 2011

Evaluation Clinical Practice

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A multifaceted implementation strategy is not sufficient to maintain long-term adherence. To ensure long-term adherence, especially of controversial guidelines, adherence should be monitored and reported regularly over time. Strong staff support and leadership on all wards is crucial to maintain awareness. Medical and nursing curricula should include the pros and cons of taking BTM, combined with enhancing self-efficacy.

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Section: Discussionmentioning

confidence: 99%

Long‐term adherence to a local guideline on postoperative body temperature measurement: mixed methods analysis

Storm‐Versloot

Knops

Ubbink

et al. 2011

Evaluation Clinical Practice

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“…For Ballestas, immediate postoperative fever is non-infectious. It is a normal inflammatory response of the organism to surgical aggression [3] mediated by Interleukin 6 [4] But the situation presents itself otherwise in the regions where rage of the endemic febrile pathologies. Post-operative fever is often attached to a preoperative infectious cause for which expression would be favored by the surgical trauma.…”

Section: Introductionmentioning

confidence: 99%

Immediate fever after clean operations (class i of altemeier) in the northeast of the democratic republic of thecongo (drc): etiologic and therapeutic aspects

Azabali¹,

Mutupeni²,

Pierre³

et al. 2017

Int J Recent Sci Res

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Background: A high temperature compared to normal in postoperative first forty-eight hours or immediate postoperative fever is commonly observed and raises anxiety both in the patient than in the caregiver himself. This last is still in trouble whether the fever is related or no to infection especially when the operation is clean. This study aims to determine association between the immediate postoperative fever and infection after clean operations (Class I of Althemeir) in order to limit the misuse of antibiotics and antimalarials. Patients and Methods: This is a prospective study led at the Referral General Hospital of Kabondo, in the city of Kisangani to north-eastern of Democratic Republic of Congo, with 209 operated. Data were recorded on Excel spreadsheet and analyzed with SPSS 20 software. Results: In the immediate postoperative period, 29 (13.87%) operated presented fever. 51.72% of these fevers were moderate around 38°C to 39°C. Caesareans predominated (48.27%). The systemic inflammatory syndrome was found in 55.17% of the cases followed of the malaria in 41.38% of which 37.93% with the positive thick drop. All operated were under a post-operative systematic antibiotherapy (100%) and 55.17% of operated received association antibiotics, antipyretics and antimalarials. Conclusion:Most of immediate post-operative fever after a clean operation is not infectious although malaria remains as significant cause in countries with malaria endemicity. PATIENTS AND METHODSWe conducted a prospective cross-sectional study at the Referral General Hospital (RGH) of Kabondo, in the city of Kisangani situated at the North-East of the DRC (Democratic Republic of Congo) from July 1 st to December 31 th , 2015. The hospital was of secondary level, located at the East of the city of Kisangani, with a capacity of 150 beds. The medical staff

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“…Fever is defined as an increase in the CBT ≥ 38.3°C attributed to the upregulation of the thermostatic setpoint, which is controlled by the hypothalamus . The incidence of fever ranges between 28% and 75% in critically ill patients, and fever has an infection and non‐infectious causes . Febrile episodes occur in roughly 50% of patients in the neurosurgical ICU.…”

Section: Introductionmentioning

confidence: 99%

Effects of peripheral cold application on core body temperature and haemodynamic parameters in febrile patients

Pour

Yavuz

2013

Int J of Nursing Practice

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This study designed to assess the effects of peripheral cold application (PCA) on core body temperature and haemodynamic parameters in febrile patients. This study was an experimental, repeated-measures performed in the neurosurgical intensive-care unit. The research sample included all patients with fever in postoperative period. PCA was performed for 20 min. During fever, systolic blood pressure, mean arterial blood pressure and arterial oxygen saturation (O2 Sat) decreased by 5.07 ± 7.89 mm Hg, 0.191 ± 6.00 mm Hg and 0.742% ± 0.97%, respectively, whereas the pulse rate and diastolic blood pressure increased by 8.528 ± 4.42 beats/ min and 1.842 ± 6.9 mmHg, respectively. Immediately after PCA, core body temperature and pulse rate decreased by 0.3°C, 3.3 beats/min, respectively, whereas systolic, diastolic, mean arterial blood pressure and O2 Sat increased by, 1.40 mm Hg, 1.87 mm Hg, 0.98 mmHg and 0.27%, respectively. Thirty minutes after the end of PCA, core body temperature, diastolic, mean arterial blood pressure and pulse rate decreased by 0.57°C, 0.34 mm Hg, 0.60 mm Hg and 4.5 beats/min, respectively, whereas systolic blood pressure and O2 Sat increased by 0.98 mm Hg and 0.04%, respectively. The present results showed that PCA increases systolic, diastolic, mean arterial blood pressure and O2 Sat, and decreases core body temperature and pulse rate.

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Postoperative Fever: To What Is the Body Really Responding?

Cited by 13 publications

References 5 publications

Long‐term adherence to a local guideline on postoperative body temperature measurement: mixed methods analysis

Long‐term adherence to a local guideline on postoperative body temperature measurement: mixed methods analysis

Immediate fever after clean operations (class i of altemeier) in the northeast of the democratic republic of thecongo (drc): etiologic and therapeutic aspects

Effects of peripheral cold application on core body temperature and haemodynamic parameters in febrile patients

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