Fever in Critical Care

A review the physiology of fever, discuss the costs and benefits of fever in adult critically ill populations

The lecture duration is 36min.

0.75 CPD Points, 0.75 CEUs, 0.75 AMA PRA Category 1 Credits.
Accredited by CPDUK, CBRN and EB Medicine.

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Vininder Bains
Clinical Nurse Specialist for Critical Care at Providence Healthcare, Vancouver, Canada
Lecture Summary

There is no simple answer to the question of “should we treat fever and how?” Fever is a potent immune response that can be protective for some ICU patients, especially when therapeutic options are limited. Fever also comes at a significant metabolic cost, which critically ill patients may, or may not be able to tolerate. I will review the physiology of fever, discuss the costs and benefits of fever in adult critically ill populationsFever in Critical Care, and present available fever management strategies. While there is no simple answer, we can make more informed decisions about how and when to treat fever in critical illness.

Target Audience

Critical Care Nurses
Trainee Critical Care Doctors

Learning Objectives:

Upon completion of this activity, you should be able to:

  • Explain the physiologic process of fever
  • Describe how two fever suppressive therapies (i.e., antipyretics and mechanical cooling) impact the physiologic process of fever
  • Summarize the costs and benefits of fever in the adult critically ill population
  • Summarize the costs and benefits of fever suppressive therapies in adult critically ill populations
  • Make decisions about when and how to manage fever that is informed by the critically ill patient’s unique, and evolving clinical context

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of EB Medicine and Continulus. EB Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

EB Medicine designates this internet-enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Needs Assessment

The need for this educational activity was determined by surveys of the target audience and experts in the specialty. Further assessment was provided by examining the topics of recently published evidence-based medicine reviews, national clinical guidelines, and specialty society recommendations, as well as suggestions from evaluations of previous learning programs to determine practice gaps.

CME Faculty Disclosure

It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME accreditation requirements and policies, all faculty for this CME activity were asked to complete a full disclosure statement. The speaker did not report any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.

Earning Credit

In order to earn CME credit, the participant must take the pre-test, watch the course, take the CME post-test, and complete the post-test evaluation.

Hardware/Software Requirements

Online learners will need a computer or web-enabled device to access the podcast, additional learning materials, and CME test.

Commercial Support

This activity received no commercial support.