Romero-González JP, Carrillo-Esper R, Meza-Márquez JM, Sosa-García JO

Language: Spanish
References: 0
Page: 99-108
PDF size: 148.57 Kb.

ABSTRACT

Fever is the result of a systemic inflammatory response that can be triggered by numerous stimuli, which can be a double-edged sword, because it can have beneficial effects, such as improved immune response and suppress bacterial growth, but also harmful effects, such as up to six times higher metabolic rate, causing hyperdynamia that in cardiac patients is poorly tolerated and even increases lung damage mediated by cytokines. Therefore several questions arise about how and when to control fever in septic patient; however, current evidence is limited, but it can be concluded that the thermal control must be performed with temperatures above 38.5°C with physical means and if not, give antipyretics is suggested.