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
11925
Axillary Artery and Vein Cannulation
07-30-2015
15098
Blunt Cardiac Trauma
09-29-2016
6818
Free Flap Management
02-21-2020
9349
Hypertension Management
11-26-2015
13103
Noninvasive Hemodynamic Monitoring
09-29-2016
6344
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
4849
Vasopressors and Inotropes in Shock
09-12-2019
38790

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
6137
Hyperglycemia Control in the Critically Ill
12-07-2011
9189
Thyroid Management in the ICU
06-18-2019
5751

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
23360
Fluid Resuscitation
11-03-2017
13040
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
8966
Rhabdomyolysis: Prevention and Treatment
08-12-2018
12181

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
7833
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
12231
Blunt Splenic Injury
09-30-2015
6672
Cirrhotic Management
02-25-2016
5592
Clostridium difficile Infection
06-29-2015
6098
Diverticulitis
09-30-2015
5575
Enteral Feeding Guidelines
04-10-2017
15909
Intra-abdominal Pressure Monitoring
03-23-2015
5319
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
21909
Percutaneous Endoscopic Gastrostomy
06-11-2020
5341
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
10224
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
8884
Small Bowel Obstruction
06-04-2014
4945
Stress Ulcer Prophylaxis
11-03-2017
8692

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
5823
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
9653
Disseminated Intravascular Coagulation
04-10-2017
4347
DVT Prophylaxis in Solid Organ Injury
12-05-2013
5989
Erythropoietin Use in the Critically Ill
02-06-2008
6736
Heparin Induced Thrombocytopenia
09-14-2019
6434
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
4999
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
41228
Non-Vitamin K Anticoagulation Reversal
08-12-2018
6056
Thromboelastography (TEG) in Trauma
12-04-2014
7678
Ultrasound Guided Peripheral IV Insertion
05-27-2020
2940
Venous Thromboprophylaxis in Obesity
02-25-2016
16171
Warfarin Dosing
09-01-2009
5221
Warfarin Reversal
11-30-2017
6687

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
4742
Antibiotic Prophylaxis in Surgery
11-30-2013
14189
Candida Infections in Surgical Patients
04-10-2017
6246
Continuous Antibiotic Infusions
05-16-2007
4182
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
7336
Facial Fracture Antibiotics
04-29-2020
7945
Presumptive Chest Tube Antibiotics
03-07-2013
4591

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
10330
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
26673
Blunt Cerebrovascular Injury
09-30-2015
5633
Brain Death Determination / Apnea Test Procedure
09-10-2019
13575
Cervical Spine Clearance
12-13-2017
5385
Delirium Management in the ICU
08-12-2018
13273
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
13280
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
8373
Pain Management in Surgery
09-30-2015
5203
Sedation and Agitation Management in the ICU
10-25-2009
5488
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
35137
Severe Traumatic Brain Injury Management
09-11-2019
13069
Syncope Evaluation in the Trauma Patient
09-29-2016
4522
Therapeutic Hypothermia
09-01-2020
5746

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
4837
Chest Tube Management
09-29-2016
6836
Diaphragm Pacing
07-18-2019
3911
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
6647
High frequency oscillatory ventilation in the surgical patient
03-04-2009
4172
Independent Lung Ventilation
12-04-2014
4042
Multi-modality Rib Fracture Management
03-05-2020
10855
Peri-Procedural Tracheostomy Complications
01-04-2013
3882
Post-Extubation Stridor
08-01-2017
7280
Post-Tracheostomy Hemorrhage
07-30-2015
6262
Rescue Ventilation
08-22-2018
5521
Retained Hemothorax
04-28-2016
11373
Surgical Fixation of Rib Fractures
09-04-2020
11870
Timing of Tracheostomy
04-29-2020
8677
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
6993
Ventilator-Associated Pneumonia
02-25-2016
5009

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
8828
Burn Resuscitation
11-26-2019
11162
Ketamine for Analgesia
12-27-2019
7475
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
11739
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
8025
Snakebite/crotalid Antivenoms
09-28-2018
5504

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
5445
Central Venous Catheterization
12-04-2009
8698
Fever Assessment
06-27-2019
10924
Gabapentin in Post-operative Pain Management
09-29-2016
7093
Ketamine for Analgesia
12-13-2017
10195
Laparoscopy in Trauma
02-25-2016
4503
Mangled Extremity
04-28-2016
6633
Muscle Relaxants in Multimodal Pain Management
01-26-2017
11343
Necrotizing Soft Tissues Infections
09-28-2018
6716
Negative Pressure Wound Therapy
02-06-2014
3905
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
10086