Management of Postoperative Fever in Adult Cardiac Surgical Patients
| Autor: | Susan K. O’Mara |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Antipyretics Fever Inflammation Physical examination 030204 cardiovascular system & hematology Emergency Nursing Critical Care Nursing 03 medical and health sciences Postoperative fever Postoperative Complications 0302 clinical medicine medicine Humans Infection control 030212 general & internal medicine Cardiac Surgical Procedures Intensive care medicine Physical Examination Infection Control medicine.diagnostic_test business.industry Incidence (epidemiology) medicine.disease Pathophysiology Anti-Bacterial Agents Cardiac surgery Surgery medicine.symptom business Surgical patients |
| Zdroj: | Dimensions of Critical Care Nursing. 36:182-192 |
| ISSN: | 0730-4625 |
| DOI: | 10.1097/dcc.0000000000000248 |
| Popis: | Postoperative fever after cardiac surgery is a common occurrence. Most fevers are benign and self-limiting resulting from inflammation caused by surgical trauma and blood contact with cardiopulmonary bypass circuit resulting in the release of cytokines. Only a small percentage of time is postoperative fever due to an infection complicating surgery. The presence of fever frequently triggers a battery of diagnostic tests that are costly, could expose the patient to unnecessary risks, and can produce misleading or inconclusive results. It is therefore important that fever be evaluated in a systematic, prudent, clinically appropriate, and cost-effective manner. This article focuses on the current evidence regarding pathophysiology, incidence, causes, evaluation, and management of fever in postoperative adult cardiac surgical patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|