Best Practice & Research Clinical Anaesthesiology
Volume 22, Issue 4 , Pages 669-694, December 2008

Hyperthermia during anaesthesia and intensive care unit stay

  • Rainer Lenhardt, MD (Associate Professor)

      Affiliations

    • Corresponding Author InformationCorresponding author. Department of Anesthesiology & Perioperative Medicine, University Hospital, 530 S. Jackson St., Louisville, KY 40202, USA. Tel.: +1 502 852 3122; Fax: +1 502 852 2610.
  • Martin Grady, MD (Staff Anesthesiologist)

      Affiliations

    • Tel.: +1 216 445 6500; Fax: 1 216 444 6135.
  • Andrea Kurz, MD (Vice Chair)

      Affiliations

    • Tel.: +1 216 445 9924; Fax: 1 216 444 6135.

Department of Anesthesiology & Perioperative Medicine and Outcomes Research Consortium, University of Louisville, 530 S. Jackson St. Louisville, KY 40202, USA

Anesthesia Institute, Department of Outcomes Research, The Cleveland Clinic, 9500—P77, Euclid Avenue, Cleveland, OH 44195, USA

Department of Outcomes Research, The Cleveland Clinic, 9500 Euclid Avenue—P77, Cleveland, OH 44195, USA

Nosocomial hyperthermia (fever) occurs in about 30% of all medical patients at some time during their hospital stay. In patients admitted to the intensive care unit with severe sepsis the incidence of hyperthermia is greater than 90%, while in a specialized neurological critical care unit the incidence is reported as 47%. In contrast, hyperthermia during anaesthesia is rare owing to the impairment of thermoregulation by anaesthetic agents. This article is designed to give an overview on the various causes of hyperthermia with special emphasis on fever during general and regional anaesthesia in general and neurological critical care patients.

Key words: hyperthermia, fever, epidural-induced fever, malignant hyperthermia

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PII: S1521-6896(07)00108-5

doi:10.1016/j.bpa.2007.11.001

Best Practice & Research Clinical Anaesthesiology
Volume 22, Issue 4 , Pages 669-694, December 2008

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