CC BY-NC-ND 4.0 · Journal of Neuroanaesthesiology and Critical Care 2019; 06(03): 275-283
DOI: 10.1055/s-0039-3399399
Review Article
Indian Society of Neuroanaesthesiology and Critical Care

Fever in the Neurointensive Care Unit

1  Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Manjari Tripathi
2  Department of Neurology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
,
Vanitha Rajagopalan
1  Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences (AIIMS), New Delhi, India
› Author Affiliations
Further Information

Publication History

Received: 20 August 2019

Accepted after revision: 23 September 2019

Publication Date:
20 November 2019 (online)

  

Abstract

Fever occurs commonly in patients admitted to the neurocritical care unit. An increase in the body temperature is known to have deleterious effects on patients with acute nervous system injury and in most cases is associated with an increase in mortality and morbidity of these patients. There are multiple causes of fever in these patients. Due to the potentially devastating effects of fever in patients with cerebral diseases, it warrants treatment in every case. In all patients with acute cerebral damage, treatment of fever and maintenance of euthermia is important to obtain a better functional recovery and to limit any further secondary insult to the brain. This review highlights the etiology and pathophysiology of fever in neurocritical care unit patients, the effects on various organ systems and associated systemic complications, and the evaluation and different therapeutic options available for the management of fever in this patient subset.