- Poster presentation
- Open Access
Management of temperature in sepsis: a survey of current practice and opinion of uk intensive care consultants
© Beverly et al.; 2015
- Published: 1 October 2015
- Target Temperature
- Prefer Agent
- Intravascular Cool
- Regular NSAIDS
Sepsis is a leading cause of ICU admission, morbidity and mortality. Although guidelines exist to aid physicians in the early diagnosis and management of sepsis there exists no consensus for the optimal temperature for a patient with sepsis or the best means of achieving this.
An anonymous on-line survey of ICU consultants regarding their current practice and attitudes to temperature control in treating hypo or hyperthermia in sepsis was conducted. Consultant practice regarding trigger and target temperatures, physical, invasive and pharmacological therapies was assessed. Surveys were distributed via the Critical Care Network nationally; response rate could not be calculated.
Clinician response to temperatures in sepsis
I would use pharmacological cooling
I would use physical/invasive cooling
I would use physical/invasive warming
This temperature causes slight concern
This temperature causes severe concern
While a raised temperature in sepsis is likely to be beneficial, too high a temperature is harmful, but it is not clear even now if there is an optimum temperature, or whether physical or pharmacological cooling is beneficial or harmful . There was considerable spread in this survey around the trigger for manipulating temperature in sepsis, but correlates with the level of perceived concern at that temperature. Of those who don't manipulate temperature, lack of evidence, and lack of guidelines are the commonest causes. This survey highlights the lack of consensus on the optimum target temperature, and the need for further work and guidance.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.