ICU Cases · ICU-acquired infection
Hot case — the bedside: the new fever on day 5
A CICM hot case on the ICU-acquired fever — the systematic source search (the VAP, the CRBSI, the CAUTI, the C. difficile, the sinusitis, the wound, the drug), and the initial management.
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Prompt
At the bedside of a ventilated patient who develops a new fever on day 5. Assess and identify the source.
Presentation
You are called to the bedside of a 60-year-old man, ventilated for 5 days for a pneumonia, who has developed the new fever of 38.9 degrees, the heart rate of 110, and the white count of 14. The nurse asks you to identify the source and start the management.[1]
References2ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [2]Marino PL The ICU Book. 4th edition, Lippincott Williams & Wilkins, 2014.