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
14914
Axillary Artery and Vein Cannulation
07-30-2015
17989
Blunt Cardiac Trauma
09-29-2016
9890
Free Flap Management
02-21-2020
12986
Hypertension Management
11-26-2015
16071
Noninvasive Hemodynamic Monitoring
09-29-2016
9226
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7788
Vasopressors and Inotropes in Shock
09-12-2019
42038

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8976
Hyperglycemia Control in the Critically Ill
12-07-2011
12145
Thyroid Management in the ICU
06-18-2019
9263

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26814
Fluid Resuscitation
11-03-2017
16815
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12102
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15100

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10784
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15413
Blunt Splenic Injury
09-30-2015
9541
Cirrhotic Management
02-25-2016
8491
Clostridium difficile Infection
06-29-2015
8898
Diverticulitis
09-30-2015
8389
Enteral Feeding Guidelines
04-10-2017
18934
Intra-abdominal Pressure Monitoring
03-23-2015
8244
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24701
Percutaneous Endoscopic Gastrostomy
06-11-2020
8127
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12978
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11781
Small Bowel Obstruction
06-04-2014
7759
Stress Ulcer Prophylaxis
11-03-2017
11640

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8572
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12481
Disseminated Intravascular Coagulation
04-10-2017
7101
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8793
Erythropoietin Use in the Critically Ill
02-06-2008
9494
Heparin Induced Thrombocytopenia
09-14-2019
9094
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7737
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44258
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8709
Thromboelastography (TEG) in Trauma
12-04-2014
10561
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5746
Venous Thromboprophylaxis in Obesity
02-25-2016
18856
Warfarin Dosing
09-01-2009
7976
Warfarin Reversal
11-30-2017
9408

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7557
Antibiotic Prophylaxis in Surgery
11-30-2013
17126
Candida Infections in Surgical Patients
04-10-2017
8946
Continuous Antibiotic Infusions
05-16-2007
7010
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10158
Facial Fracture Antibiotics
04-29-2020
11356
Presumptive Chest Tube Antibiotics
03-07-2013
7348

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13122
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29753
Blunt Cerebrovascular Injury
09-30-2015
8406
Brain Death Determination / Apnea Test Procedure
09-10-2019
18108
Cervical Spine Clearance
12-13-2017
8074
Delirium Management in the ICU
08-12-2018
16145
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17540
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11102
Pain Management in Surgery
09-30-2015
7988
Sedation and Agitation Management in the ICU
10-25-2009
8251
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37998
Severe Traumatic Brain Injury Management
09-11-2019
16122
Syncope Evaluation in the Trauma Patient
09-29-2016
7302
Therapeutic Hypothermia
09-01-2020
8619

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8123
Chest Tube Management
09-29-2016
9847
Diaphragm Pacing
07-18-2019
6860
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9509
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7046
Independent Lung Ventilation
12-04-2014
6869
Multi-modality Rib Fracture Management
03-05-2020
14549
Peri-Procedural Tracheostomy Complications
01-04-2013
6738
Post-Extubation Stridor
08-01-2017
10291
Post-Tracheostomy Hemorrhage
07-30-2015
9210
Rescue Ventilation
08-22-2018
8821
Retained Hemothorax
04-28-2016
14513
Surgical Fixation of Rib Fractures
09-04-2020
14886
Timing of Tracheostomy
04-29-2020
12825
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10125
Ventilator-Associated Pneumonia
02-25-2016
7951

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12739
Burn Resuscitation
11-26-2019
14264
Ketamine for Analgesia
12-27-2019
14527
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15389
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10779
Snakebite/crotalid Antivenoms
09-28-2018
8348

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8439
Central Venous Catheterization
12-04-2009
11657
Fever Assessment
06-27-2019
15463
Gabapentin in Post-operative Pain Management
09-29-2016
10064
Ketamine for Analgesia
12-13-2017
13929
Laparoscopy in Trauma
02-25-2016
7389
Mangled Extremity
04-28-2016
9601
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14493
Necrotizing Soft Tissues Infections
09-28-2018
9641
Negative Pressure Wound Therapy
02-06-2014
6877
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12917