Document Detail


Fever and standard monitoring parameters of ICU patients: a descriptive study.
MedLine Citation:
PMID:  17531490     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effect of fever episodes and fever characteristics on heart rate, arterial blood pressure and arterial oxygen saturation of intensive care unit (ICU) patients. METHODS: This was a prospective study conducted in the medical-surgical ICU of General University Hospital of Patras, Greece. All patients who were consecutively admitted from October 2005 to February 2006 and manifested fever during ICU stay were enrolled. A tympanic membrane or an axillary thermometer was used for the measurement of patient temperature. Standard monitoring parameters were recorded by nursing personnel at 1-h intervals. RESULTS: Seventy-five ICU patients manifested fever during the study period. Increase of core temperature during fever episodes was followed by a significant increase in heart rate (p<0.001) and decreases in arterial blood pressure (p<0.001) and arterial oxygen saturation (p=0.002). Alterations of heart rate and arterial blood pressure were significantly affected by magnitude of fever, while alteration of arterial oxygen saturation was affected by etiology of fever. CONCLUSIONS: The present findings confirmed the effect of fever episodes on standard monitoring parameters of ICU patients. However, alterations of these parameters, although statistically significant, were not clinically important and cannot guide antipyretic treatment.
Authors:
Panagiotis Kiekkas; Hero Brokalaki; Evangelos Manolis; Paraskevi Askotiri; Maria Karga; George I Baltopoulos
Publication Detail:
Type:  Journal Article     Date:  2007-05-24
Journal Detail:
Title:  Intensive & critical care nursing : the official journal of the British Association of Critical Care Nurses     Volume:  23     ISSN:  0964-3397     ISO Abbreviation:  Intensive Crit Care Nurs     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-09-07     Completed Date:  2007-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9211274     Medline TA:  Intensive Crit Care Nurs     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  281-8     Citation Subset:  N    
Affiliation:
School of Nursing, University of Athens, Greece. kiekpan@pat.forthnet.gr
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MeSH Terms
Descriptor/Qualifier:
APACHE
Adult
Blood Gas Analysis*
Blood Pressure*
Body Temperature
Clinical Nursing Research
Critical Care / methods
Female
Fever / diagnosis,  etiology,  metabolism,  physiopathology*
Greece
Heart Rate*
Hospitals, University
Humans
Intensive Care Units
Male
Middle Aged
Monitoring, Physiologic* / methods,  nursing
Nursing Assessment / methods
Prospective Studies
Severity of Illness Index
Statistics, Nonparametric
Thermography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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