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
14987
Axillary Artery and Vein Cannulation
07-30-2015
18065
Blunt Cardiac Trauma
09-29-2016
9970
Free Flap Management
02-21-2020
13074
Hypertension Management
11-26-2015
16134
Noninvasive Hemodynamic Monitoring
09-29-2016
9280
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7851
Vasopressors and Inotropes in Shock
09-12-2019
42118

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
9040
Hyperglycemia Control in the Critically Ill
12-07-2011
12207
Thyroid Management in the ICU
06-18-2019
9371

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26888
Fluid Resuscitation
11-03-2017
16879
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12170
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15164

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10852
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15504
Blunt Splenic Injury
09-30-2015
9603
Cirrhotic Management
02-25-2016
8554
Clostridium difficile Infection
06-29-2015
8959
Diverticulitis
09-30-2015
8449
Enteral Feeding Guidelines
04-10-2017
18996
Intra-abdominal Pressure Monitoring
03-23-2015
8313
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24768
Percutaneous Endoscopic Gastrostomy
06-11-2020
8180
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
13031
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11842
Small Bowel Obstruction
06-04-2014
7817
Stress Ulcer Prophylaxis
11-03-2017
11704

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8640
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12541
Disseminated Intravascular Coagulation
04-10-2017
7159
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8855
Erythropoietin Use in the Critically Ill
02-06-2008
9549
Heparin Induced Thrombocytopenia
09-14-2019
9153
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7794
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44341
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8766
Thromboelastography (TEG) in Trauma
12-04-2014
10632
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5813
Venous Thromboprophylaxis in Obesity
02-25-2016
18910
Warfarin Dosing
09-01-2009
8033
Warfarin Reversal
11-30-2017
9462

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7620
Antibiotic Prophylaxis in Surgery
11-30-2013
17194
Candida Infections in Surgical Patients
04-10-2017
9006
Continuous Antibiotic Infusions
05-16-2007
7065
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10214
Facial Fracture Antibiotics
04-29-2020
11450
Presumptive Chest Tube Antibiotics
03-07-2013
7407

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13193
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29823
Blunt Cerebrovascular Injury
09-30-2015
8473
Brain Death Determination / Apnea Test Procedure
09-10-2019
18352
Cervical Spine Clearance
12-13-2017
8134
Delirium Management in the ICU
08-12-2018
16205
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17614
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11160
Pain Management in Surgery
09-30-2015
8053
Sedation and Agitation Management in the ICU
10-25-2009
8315
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
38066
Severe Traumatic Brain Injury Management
09-11-2019
16202
Syncope Evaluation in the Trauma Patient
09-29-2016
7368
Therapeutic Hypothermia
09-01-2020
8680

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8326
Chest Tube Management
09-29-2016
9921
Diaphragm Pacing
07-18-2019
6940
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9571
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7114
Independent Lung Ventilation
12-04-2014
6936
Multi-modality Rib Fracture Management
03-05-2020
14617
Peri-Procedural Tracheostomy Complications
01-04-2013
6801
Post-Extubation Stridor
08-01-2017
10359
Post-Tracheostomy Hemorrhage
07-30-2015
9272
Rescue Ventilation
08-22-2018
8922
Retained Hemothorax
04-28-2016
14597
Surgical Fixation of Rib Fractures
09-04-2020
14959
Timing of Tracheostomy
04-29-2020
12945
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10198
Ventilator-Associated Pneumonia
02-25-2016
8025

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12818
Burn Resuscitation
11-26-2019
14341
Ketamine for Analgesia
12-27-2019
14617
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15459
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10846
Snakebite/crotalid Antivenoms
09-28-2018
8414

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8507
Central Venous Catheterization
12-04-2009
11722
Fever Assessment
06-27-2019
15634
Gabapentin in Post-operative Pain Management
09-29-2016
10127
Ketamine for Analgesia
12-13-2017
14036
Laparoscopy in Trauma
02-25-2016
7449
Mangled Extremity
04-28-2016
9666
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14557
Necrotizing Soft Tissues Infections
09-28-2018
9712
Negative Pressure Wound Therapy
02-06-2014
6943
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12994