Fever Management in SAH

Abstract An 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.

• Content Type Journal Article
• Pages 1-8
• DOI 10.1007/s12028-011-9588-6
• Authors
  • V. Scaravilli, Neurorianimazione, Anestesia e Rianimazione II, Ospedale San Gerardo, Via Pergolesi 33, 20900 Monza, Italy
  • G. Tinchero, Neurorianimazione, Anestesia e Rianimazione II, Ospedale San Gerardo, Via Pergolesi 33, 20900 Monza, Italy
  • G. Citerio, Neurorianimazione, Anestesia e Rianimazione II, Ospedale San Gerardo, Via Pergolesi 33, 20900 Monza, Italy
  • The Participants in the International Multi-disciplinary Consensus Conference on the Critical Care Management of Subarachnoid Hemorrhage

• Journal Neurocritical Care
• Online ISSN 1556-0961
• Print ISSN 1541-6933