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Evidence-based practice: fever-related interventions

R Henker1

  • 1Acute/Tertiary Care Department, School of Nursing, University of Pittsburgh, Pa., USA.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
|February 13, 1999
PubMed
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Fever management in critically ill patients requires evidence-based decisions. This review evaluates research on when and how to best treat fever in these vulnerable individuals.

Area of Science:

  • Critical Care Medicine
  • Nursing Research
  • Evidence-Based Practice

Background:

  • Fever is a frequent occurrence in critically ill patients.
  • Treatment decisions for fever often lack robust research support.
  • Existing research on fever treatment in critical care is unevenly developed.

Purpose of the Study:

  • To evaluate the utility of existing research on fever treatment in critically ill patients.
  • To determine optimal timing for fever intervention in critical care.
  • To identify the most effective methods for fever management in critically ill populations.

Main Methods:

  • Systematic evaluation of research studies concerning fever treatment in the critically ill.
  • Assessment of evidence quality using the American Association of Critical-Care Nurses' research-based practice protocols.

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  • Analysis focused on two key questions: benefit of treatment and effective treatment modalities.

    • Main Results:

    • The available research evidence for fever treatment in critically ill patients varies in quality and quantity.
    • Specific recommendations regarding the optimal timing and methods for fever management are derived from the evaluated evidence.
    • The American Association of Critical-Care Nurses' levels of evidence guide the assessment of research utility.

    Conclusions:

    • Evidence-based guidelines are crucial for managing fever in critically ill patients.
    • Further research is needed to strengthen the evidence base for fever treatment protocols in critical care.
    • Applying established evidence-based practice protocols aids in optimizing patient care for fever.