Nawrót gorączki podczas intensywnej terapii w zależności od użytej metody schładzania pacjenta

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Background. From our experience, we know that after cooling the patient to normothermia, recurrence of fever is often observed within 24 h. We have examined various factors influencing fever recurrence within 24 h after completion of cooling, such as the APACHE II score, use of antipyretics, sedation and patient age; nevertheless, these observations are not a part of this article.Objectives. The main aim of the work was to compare the efficacy in decreasing fever and preventing its recurrence of using the Blanketrol III cooling device and cooling gel pads.Material and methods. The required data was retrieved from patient medical records and recorded in the research protocol. A total of 60 patients were enrolled in our study, in whom a recurrence of fever was observed within 24 h. The study subjects were divided into 2 numerically equal groups. The subjects in the experimental group were cooled using the Blanketrol III cooling device, while cooling gel pads were used in the control group. The decision regarding initiation of cooling and the use of antipyretics was at the discretion of the attending physician.Results. Comparison of the 2 groups of the observed study subjects showed that recurrence of fever was observed within 24 h after completion of the cooling procedure in 80% of patients in Group 1, and in 73.33% of patients in Group 2. Analysis of the data revealed no statistically significant difference in fever recurrence between the 2 groups.Conclusion. The authors found that the rate of fever recurrence was approximately identical in both groups studied. It is thus possible to conclude that no difference in results exists between cooling the patients with the Blanketrol III device, utilizing a blanket with circulating water placed on the entire body surface of the patient, and the use of cooling gel pads placed on the groin area, the axilla and near the head.