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Temperature Management in the Neurointensive Care Unit
1Department of Neurological Sciences, Rush University, 1725 W. Harrison Blvd, Suite 1106, Chicago, IL, 60612, USA. George_Lopez@rush.edu.
Current Treatment Options in Neurology
|February 28, 2016
Summary
Fever is common in neurocritical care and linked to poor outcomes. Aggressive temperature management using medications and devices may help reduce fever duration and mitigate brain injury in severe neurologic illness.
Area of Science:
- Neurocritical Care
- Neurology
- Critical Care Medicine
Background:
- Fever is highly prevalent in neurocritical care units.
- Fever correlates with worse outcomes in severe neurologic illness.
- The benefit of aggressive fever management on patient outcomes remains unclear.
Purpose of the Study:
- To discuss the management of fever in neurocritical care.
- To explore the role of temperature monitoring and control.
- To review pharmacologic and device-based interventions for fever.
Main Methods:
- Routine temperature monitoring is recommended.
- Appropriate workup for infectious etiology is crucial.
- Clinicians must decide on the initiation, aggressiveness, and target temperature for fever control.
Main Results:
- Fever can stem from infection or be exacerbated by brain injury.
- Pharmacological agents are available for first-line therapy.
- Advanced temperature-control devices (invasive and noninvasive) can supplement pharmacologic measures.
Conclusions:
- Fever management in neurocritical care requires careful consideration.
- A combination of pharmacologic and device-based therapies may minimize febrile states.
- Mitigating fever may help reduce secondary brain injury.
Keywords:
FeverHypothermiaIntracerebral hemorrhageIntracranial hypertensionNormothermiaStrokeSubarachnoid hemorrhageTraumatic brain injuryMore Related Videos
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