Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Fever is an unspecific symptom of most intensive care patients during their stay on an intensive care unit. The reasons for the increase of body temperature often remain unclear, even extended diagnostic measures are performed. The pathogenetic relevance of fever is commonly underestimated and leads to unreflected treatment of every increase of body temperature above 38 C. ⋯ Physical measures like ice packs and surface cooling are only allowed to be used, if the central set point is lower than the actual core body temperature. This gradient can be recognized, when the patient starts to sweat. Principally, the treatment of fever in cardiovascular risk patients, patients with high risk for adverse neurological outcome, pregnant women during the first trimenon and in children with seizures must start with pharmacological interventions,which can be followed by physical measures.
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Almost everyone who has amputated a limb will experience a phantom limb. They have the vivid impression, that the limb is still present. 60 to 70% of these amputees will suffer from phantom limb pain. ⋯ Treatment of phantom limb pain is sometimes very difficult. It includes drug therapy, psychological therapy, physiotherapy as well as the prevention of phantom limb pain with regional analgesia techniques.