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
14991
Axillary Artery and Vein Cannulation
07-30-2015
18070
Blunt Cardiac Trauma
09-29-2016
9976
Free Flap Management
02-21-2020
13087
Hypertension Management
11-26-2015
16142
Noninvasive Hemodynamic Monitoring
09-29-2016
9286
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7857
Vasopressors and Inotropes in Shock
09-12-2019
42125

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
9043
Hyperglycemia Control in the Critically Ill
12-07-2011
12211
Thyroid Management in the ICU
06-18-2019
9377

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26894
Fluid Resuscitation
11-03-2017
16884
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12177
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15170

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10856
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15510
Blunt Splenic Injury
09-30-2015
9609
Cirrhotic Management
02-25-2016
8561
Clostridium difficile Infection
06-29-2015
8963
Diverticulitis
09-30-2015
8457
Enteral Feeding Guidelines
04-10-2017
19001
Intra-abdominal Pressure Monitoring
03-23-2015
8319
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24772
Percutaneous Endoscopic Gastrostomy
06-11-2020
8185
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
13036
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11847
Small Bowel Obstruction
06-04-2014
7821
Stress Ulcer Prophylaxis
11-03-2017
11709

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8644
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12545
Disseminated Intravascular Coagulation
04-10-2017
7164
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8859
Erythropoietin Use in the Critically Ill
02-06-2008
9553
Heparin Induced Thrombocytopenia
09-14-2019
9158
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7798
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44346
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8769
Thromboelastography (TEG) in Trauma
12-04-2014
10636
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5818
Venous Thromboprophylaxis in Obesity
02-25-2016
18915
Warfarin Dosing
09-01-2009
8037
Warfarin Reversal
11-30-2017
9465

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7625
Antibiotic Prophylaxis in Surgery
11-30-2013
17199
Candida Infections in Surgical Patients
04-10-2017
9012
Continuous Antibiotic Infusions
05-16-2007
7069
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10219
Facial Fracture Antibiotics
04-29-2020
11460
Presumptive Chest Tube Antibiotics
03-07-2013
7411

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13199
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29828
Blunt Cerebrovascular Injury
09-30-2015
8479
Brain Death Determination / Apnea Test Procedure
09-10-2019
18360
Cervical Spine Clearance
12-13-2017
8139
Delirium Management in the ICU
08-12-2018
16213
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17619
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11164
Pain Management in Surgery
09-30-2015
8057
Sedation and Agitation Management in the ICU
10-25-2009
8323
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
38070
Severe Traumatic Brain Injury Management
09-11-2019
16207
Syncope Evaluation in the Trauma Patient
09-29-2016
7373
Therapeutic Hypothermia
09-01-2020
8685

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8338
Chest Tube Management
09-29-2016
9925
Diaphragm Pacing
07-18-2019
6946
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9576
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7118
Independent Lung Ventilation
12-04-2014
6939
Multi-modality Rib Fracture Management
03-05-2020
14623
Peri-Procedural Tracheostomy Complications
01-04-2013
6805
Post-Extubation Stridor
08-01-2017
10365
Post-Tracheostomy Hemorrhage
07-30-2015
9277
Rescue Ventilation
08-22-2018
8930
Retained Hemothorax
04-28-2016
14602
Surgical Fixation of Rib Fractures
09-04-2020
14967
Timing of Tracheostomy
04-29-2020
12954
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10202
Ventilator-Associated Pneumonia
02-25-2016
8029

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12823
Burn Resuscitation
11-26-2019
14347
Ketamine for Analgesia
12-27-2019
14624
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15464
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10850
Snakebite/crotalid Antivenoms
09-28-2018
8420

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8512
Central Venous Catheterization
12-04-2009
11727
Fever Assessment
06-27-2019
15640
Gabapentin in Post-operative Pain Management
09-29-2016
10132
Ketamine for Analgesia
12-13-2017
14044
Laparoscopy in Trauma
02-25-2016
7453
Mangled Extremity
04-28-2016
9671
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14562
Necrotizing Soft Tissues Infections
09-28-2018
9716
Negative Pressure Wound Therapy
02-06-2014
6948
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
13001