Surgicalcriticalcare.net

Evidence Based-Medicine Guidelines

The following is a collection of best practice guidelines currently in use by the Surgical Critical Care service at Orlando Regional Medical Center (ORMC). They are based upon the most recent medical literature and are reviewed and updated on a regular basis. Guidelines that are either or have been within the past 180 days are marked accordingly. Please note that certain aspects of these guidelines, such as antibiotic sensitivities and recommendations, are specific to the adult ICU's at ORMC and may not be applicable to other patient populations. These guidelines may be downloaded and adapted for use in your own intensive care unit. Please contact the Webmaster if you have questions or suggestions regarding these guidelines.

The Evidence-Based Medicine Guidelines Committee is pleased to share these guidelines for clinical use in your intensive care unit. If you choose to do so, the Committee requests that the time and effort involved in developing these guidelines be appropriately recognized. All guidelines contained on this site are copyrighted by Surgicalcriticalcare.net unless otherwise indicated.

Guidelines should be referenced in the following manner: Rojas K, Birrer K, Cheatham M, Smith C. Seizure Prophylaxis following Traumatic Brain Injury. http://www.surgicalcriticalcare.net/Guidelines/Seizure prophylaxis in TBI 2017.pdf. Updated July 26, 2017. Accessed January 13, 2021.


Cardiovascular

EBM Guideline
Revision Date
Times Accessed
Acute Atrial Fibrillation in the Surgical Patient
12-13-2017
14897
Axillary Artery and Vein Cannulation
07-30-2015
17974
Blunt Cardiac Trauma
09-29-2016
9865
Free Flap Management
02-21-2020
12958
Hypertension Management
11-26-2015
16048
Noninvasive Hemodynamic Monitoring
09-29-2016
9203
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7764
Vasopressors and Inotropes in Shock
09-12-2019
41972

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8959
Hyperglycemia Control in the Critically Ill
12-07-2011
12126
Thyroid Management in the ICU
06-18-2019
9229

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26790
Fluid Resuscitation
11-03-2017
16790
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12077
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15078

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10761
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15350
Blunt Splenic Injury
09-30-2015
9521
Cirrhotic Management
02-25-2016
8467
Clostridium difficile Infection
06-29-2015
8880
Diverticulitis
09-30-2015
8369
Enteral Feeding Guidelines
04-10-2017
18911
Intra-abdominal Pressure Monitoring
03-23-2015
8216
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24682
Percutaneous Endoscopic Gastrostomy
06-11-2020
8110
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12962
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11760
Small Bowel Obstruction
06-04-2014
7739
Stress Ulcer Prophylaxis
11-03-2017
11618

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8552
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12463
Disseminated Intravascular Coagulation
04-10-2017
7078
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8776
Erythropoietin Use in the Critically Ill
02-06-2008
9473
Heparin Induced Thrombocytopenia
09-14-2019
9076
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7716
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44236
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8687
Thromboelastography (TEG) in Trauma
12-04-2014
10542
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5725
Venous Thromboprophylaxis in Obesity
02-25-2016
18835
Warfarin Dosing
09-01-2009
7953
Warfarin Reversal
11-30-2017
9385

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7539
Antibiotic Prophylaxis in Surgery
11-30-2013
17097
Candida Infections in Surgical Patients
04-10-2017
8917
Continuous Antibiotic Infusions
05-16-2007
6987
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10136
Facial Fracture Antibiotics
04-29-2020
11329
Presumptive Chest Tube Antibiotics
03-07-2013
7327

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13105
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29726
Blunt Cerebrovascular Injury
09-30-2015
8387
Brain Death Determination / Apnea Test Procedure
09-10-2019
18037
Cervical Spine Clearance
12-13-2017
8056
Delirium Management in the ICU
08-12-2018
16126
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17516
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11084
Pain Management in Surgery
09-30-2015
7964
Sedation and Agitation Management in the ICU
10-25-2009
8230
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37974
Severe Traumatic Brain Injury Management
09-11-2019
16100
Syncope Evaluation in the Trauma Patient
09-29-2016
7275
Therapeutic Hypothermia
09-01-2020
8593

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8059
Chest Tube Management
09-29-2016
9822
Diaphragm Pacing
07-18-2019
6835
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9483
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7028
Independent Lung Ventilation
12-04-2014
6844
Multi-modality Rib Fracture Management
03-05-2020
14521
Peri-Procedural Tracheostomy Complications
01-04-2013
6716
Post-Extubation Stridor
08-01-2017
10269
Post-Tracheostomy Hemorrhage
07-30-2015
9184
Rescue Ventilation
08-22-2018
8786
Retained Hemothorax
04-28-2016
14487
Surgical Fixation of Rib Fractures
09-04-2020
14865
Timing of Tracheostomy
04-29-2020
12762
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10102
Ventilator-Associated Pneumonia
02-25-2016
7926

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12712
Burn Resuscitation
11-26-2019
14241
Ketamine for Analgesia
12-27-2019
14499
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15358
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10757
Snakebite/crotalid Antivenoms
09-28-2018
8325

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8417
Central Venous Catheterization
12-04-2009
11634
Fever Assessment
06-27-2019
15407
Gabapentin in Post-operative Pain Management
09-29-2016
10040
Ketamine for Analgesia
12-13-2017
13888
Laparoscopy in Trauma
02-25-2016
7368
Mangled Extremity
04-28-2016
9574
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14471
Necrotizing Soft Tissues Infections
09-28-2018
9617
Negative Pressure Wound Therapy
02-06-2014
6857
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12898