Fever Evaluation, Complication and Treatment in Surgical Patients
Clinical Medicine Research
Volume 5, Issue 2-1, March 2016, Pages: 11-15
Received: Feb. 1, 2016;
Accepted: Feb. 13, 2016;
Published: Mar. 14, 2016
Views 5874 Downloads 216
Hossein Asgar Pour, Surgical Nursing Department, Aydın School of Health, Adnan Menderes University, Aydın, TurkeySurgical Nursing Department, Aydın School of Health, Adnan Menderes University, Aydın, Turkey
Serap Gökçe, Surgical Nursing Department, Aydın School of Health, Adnan Menderes University, Aydın, Turkey
Follow on us
Fever following surgery is a common event occurring in 14%-91% of postoperative patients. Fever can occur immediately after surgery and seen to be related directly to the operation or may occur sometime after the surgery as a result of complication related to surgery. Although the list of causes of postoperative fever is extensive, the initial focus for most patients should be on a limited number of the more common infectious and noninfectious causes. The classic W5 of postoperative fever are as follows: Wind: atelectasis on postoperative day 1-2, Water: urinary tract infection on postoperative day 2-3, Wound: wound infection on postoperative day 3-7, Walking: deep venous thrombosis/thrombophlebitis on postoperative day 5-7, and Wonder Drug: drug fever on postoperative day>7. Postoperative fever evaluations should take into account numerous factors including timing, the patient’s own medical, surgical, and social history, as well as details of the procedure including significant events comprising the patient’s preoperative, intraoperative, and postoperative period. A focused physical assessment and any additional symptoms the patient is experiencing should be taken into account in evaluating the clinical significance of a postoperative fever and determining appropriate action. Treatments for the postoperative fever are all dependent on the etiology. Thus, identifying the likely cause through a thorough patient history and physical examination becomes critical.
Fever, Surgery, Postoperative Period
To cite this article
Hossein Asgar Pour,
Fever Evaluation, Complication and Treatment in Surgical Patients, Clinical Medicine Research. Special Issue: Fever: Incidence, Clinical Assessment, Management Choices & Outcomes.
Vol. 5, No. 2-1,
2016, pp. 11-15.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under 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.
Asgar Pour H, Yavuz M. Effects of fever on haemodynamic parameters in neurosurgical intensive care unit patients. Intensive and Critical Care Nursing. 2014; 30: 325-332.
Asgar Pour H. Ameliyat sonrası ateş ve hemşirelik bakımı. Gümüşhane University Journal of Health Sciences. 2012; 1(4): 309-322.
Asgar Pour H, Yavuz M. Vücut Sıcaklığındaki Yükselmenin (Ateşin) Hemodinamik Parametrelere Etkisi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, 2010; 3 (3): 73-79.
Baid AR, Shetty KS, Joshua VT, Math KS. Study of postoperative fever in patients undergoing clean surgeries. IOSR Journal of Dental and Medical Sciences. 2014; 13 (4): 99-102.
Cohen J, Opal SM, Powderly WG. Infectious Diseases, Third Edition, 2010, Elsevier Limited.
Burke L. Postoperative fever: A normal inflammatory response or cause for concern. Journal of the American Academy of Nurse Practitioners 22 (2010) 192–197.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of Surgery. 2004. 240 (2): 205-213.
Jonathan A. Myers, Keith W. Millikan, Theodore J. Saclarides. Common surgical diseases. Johnson M. Postoperative fever. Springer New York, 2008. ISBN 978-0-387-75246-4. 371-374.
Lesperance R, Lehman R, Lesperance K, Cronk D, Martin M. Early Postoperative Fever and the Routine Fever Work-Up: Results of a Prospective Study. Journal of Surgical Research, 2011. 171, 245-250.
Lorente L, Jimenez A, Santana M, et al. Microorganisms responsible for intravascular catheter-related bloodstream infection according to the catheter site. Crit Care Med 2007; 35: 2424-2427.
Mermel LA, Allon M, Bouza E, et al. Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. Clin Infect Dis 2009; 49: 1-45.
O'Grady NP, Barie PS, Bartlett JG, et al. Guidelines for evaluation of new fever in critically ill adult patients: 2008 update from the American College of Critical Care Medicine and the Infectious Diseases Society of America. Crit Care Med 2008; 36: 1330-1349.
Pile JC. Evaluating postoperative fever: a focused approach. Cleve Clin J Med. 2006; 73(1): 62-66.
Rudra A, Pal S. Acharjee A. Postoperative fever. Indian J Crit Care Med. 2006, 10 (4): 264- 271.
Ryan M, Levy MM. Clinical review: fever in intensive care unit patients. Critical Care 2003, 7: 221-225.
Saavedra F, Myburg C, Lanfranconi MB, Urtasun M, De Oca LM, Silberman A, Lambierto A, Gnocchi CA. Postoperative fever in orthopedic and urologic surgery. Medicina (B Aires). 2008; 68 (1): 6-12.
Sikora C, Embil JM. Fever in the Postoperative Patient: A Chilling Problem. The Canadian Journal of CME. 2004: 93-98.