@article{16407,
  author = {Taylor Colman and  and Hammond Naomi and Reade M. and Bellomo Rinaldo and Young P. and M. Saxena},
  title = {A survey of fever management for febrile intensive care patients without neurological injury},
  abstract = {<p>
OBJECTIVE: To determine the attitudes of critical care clinicians in Australia and New Zealand towards fever management for critically ill patients with sepsis but without neurological injury. DESIGN: Online scenario-based survey distributed to members of the Australian and New Zealand Intensive Care Society Clinical Trials Group and their intensive care colleagues. MAIN OUTCOME MEASURES: The choice of intervention and preferred threshold temperature for modification of temperature in clinical practice and in a clinical trial. RESULTS: Most respondents indicated a preference for the use of interventions to lower temperature at or below 39.0 degrees C (80%; 337/423), with first-line preference being a combination of paracetamol and physical cooling. Secondline interventions included the addition of intensive physical cooling. Doctors chose higher temperature thresholds for intervention (32% [43/134] below 38.5 degrees C and 27% [36/134] above 39.5 degrees C) than nurses (78% [226/289] and 7% [19/289], respectively), who, in turn, indicated stronger preferences for the use of physical cooling. There is support (78%) for a clinical trial of fever management, with respondents suggesting randomising patients to a mean intensive control of temperature to 38.0 degrees C versus a permissive approach with a threshold for intervention of between 38.8 degrees xC (SD, 0.6 degrees C) (nurses) and 39.5 degrees C (SD, 0.7 degrees C) (doctors). CONCLUSION: There is considerable variability in attitudes to fever management with a reported tendency to act to reduce fever in febrile patients with sepsis. There was broad support for a clinical trial of fever management.
</p>
},
  year = {2011},
  journal = {Critical Care and Resuscitation},
  volume = {13},
  edition = {2011/12/02},
  number = {4},
  pages = {238-43},
  isbn = {1441-2772 (Print)1441-2772 (Linking)},
  note = {Saxena, Manoj KHammond, Naomi ETaylor, ColmanYoung, PaulReade, Michael CBellomo, RinaldoMyburgh, JohnAustraliaCritical care and resuscitation : journal of the Australasian Academy of Critical Care MedicineCrit Care Resusc. 2011 Dec;13(4):238-43.},
  language = {eng},
}