• Neurocritical care · Sep 2011

    Review

    Fever management in SAH.

    • V Scaravilli, G Tinchero, G Citerio, and Participants in the International Multi-Disciplinary Consensus Conference on the Critical Care Management of Subarachnoid Hemorrhage.
    • Neurorianimazione, Anestesia e Rianimazione II, Ospedale San Gerardo, Via Pergolesi 33, 20900, Monza, Italy.
    • Neurocrit Care. 2011 Sep 1;15(2):287-94.

    AbstractAn electronic literature search through August 2010 was performed to obtain articles describing fever incidence, impact, and treatment in patients with subarachnoid hemorrhage. A total of 24 original research studies evaluating fever in SAH were identified, with studies evaluating fever and outcome, temperature control strategies, and shivering. Fever during acute hospitalization for subarachnoid hemorrhage was consistently linked with worsened outcome and increased mortality. Antipyretic medications, surface cooling, and intravascular cooling may all reduce temperatures in patients with subarachnoid hemorrhage; however, benefits from cooling may be offset by negative consequences from shivering.

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