Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-12b

12b_Fever Guideline

Pdf Summary

The document presents the 2024 Society of Critical Care Medicine guidelines for evaluating new fever in adult ICU patients. Fever is defined as a temperature greater than 38.3C and is often an early sign of infection requiring thorough evaluation. The guidelines stress the importance of a comprehensive history and physical exam to identify potential infection sources before ordering diagnostic tests. The update from 2023 includes recommendations on temperature monitoring methods, antipyretic medication use, imaging studies, ultrasonography, blood cultures, rapid molecular tests, urine culture, testing for viral pathogens, and rapid biomarker testing. Recommendations are primarily based on weak evidence, emphasizing the need for further research in noninvasive temperature measurement, diagnostic imaging, microbiology advancements, and biomarker utilization in fever evaluation for critically ill patients in the ICU.

Keywords

2024 Society of Critical Care Medicine

fever evaluation

adult ICU patients

temperature greater than 38.3C

infection sources

diagnostic tests

temperature monitoring methods

antipyretic medication

rapid molecular tests

biomarker testing

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