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
15079
Axillary Artery and Vein Cannulation
07-30-2015
18151
Blunt Cardiac Trauma
09-29-2016
10080
Free Flap Management
02-21-2020
13317
Hypertension Management
11-26-2015
16224
Noninvasive Hemodynamic Monitoring
09-29-2016
9363
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7943
Vasopressors and Inotropes in Shock
09-12-2019
42251

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
9119
Hyperglycemia Control in the Critically Ill
12-07-2011
12288
Thyroid Management in the ICU
06-18-2019
9538

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26988
Fluid Resuscitation
11-03-2017
16973
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12275
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15292

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10942
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15603
Blunt Splenic Injury
09-30-2015
9706
Cirrhotic Management
02-25-2016
8652
Clostridium difficile Infection
06-29-2015
9043
Diverticulitis
09-30-2015
8535
Enteral Feeding Guidelines
04-10-2017
19085
Intra-abdominal Pressure Monitoring
03-23-2015
8404
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24868
Percutaneous Endoscopic Gastrostomy
06-11-2020
8256
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
13113
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11938
Small Bowel Obstruction
06-04-2014
7897
Stress Ulcer Prophylaxis
11-03-2017
11786

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8746
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12610
Disseminated Intravascular Coagulation
04-10-2017
7244
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8937
Erythropoietin Use in the Critically Ill
02-06-2008
9632
Heparin Induced Thrombocytopenia
09-14-2019
9247
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7851
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44454
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8849
Thromboelastography (TEG) in Trauma
12-04-2014
10719
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5911
Venous Thromboprophylaxis in Obesity
02-25-2016
18986
Warfarin Dosing
09-01-2009
8102
Warfarin Reversal
11-30-2017
9542

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7698
Antibiotic Prophylaxis in Surgery
11-30-2013
17281
Candida Infections in Surgical Patients
04-10-2017
9071
Continuous Antibiotic Infusions
05-16-2007
7134
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10278
Facial Fracture Antibiotics
04-29-2020
11575
Presumptive Chest Tube Antibiotics
03-07-2013
7486

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13281
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29918
Blunt Cerebrovascular Injury
09-30-2015
8554
Brain Death Determination / Apnea Test Procedure
09-10-2019
18651
Cervical Spine Clearance
12-13-2017
8213
Delirium Management in the ICU
08-12-2018
16293
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17708
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11241
Pain Management in Surgery
09-30-2015
8132
Sedation and Agitation Management in the ICU
10-25-2009
8404
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
38150
Severe Traumatic Brain Injury Management
09-11-2019
16298
Syncope Evaluation in the Trauma Patient
09-29-2016
7452
Therapeutic Hypothermia
09-01-2020
8762

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8668
Chest Tube Management
09-29-2016
10002
Diaphragm Pacing
07-18-2019
7032
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9647
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7194
Independent Lung Ventilation
12-04-2014
7020
Multi-modality Rib Fracture Management
03-05-2020
14714
Peri-Procedural Tracheostomy Complications
01-04-2013
6883
Post-Extubation Stridor
08-01-2017
10475
Post-Tracheostomy Hemorrhage
07-30-2015
9349
Rescue Ventilation
08-22-2018
9019
Retained Hemothorax
04-28-2016
14696
Surgical Fixation of Rib Fractures
09-04-2020
15050
Timing of Tracheostomy
04-29-2020
13124
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10294
Ventilator-Associated Pneumonia
02-25-2016
8119

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12903
Burn Resuscitation
11-26-2019
14435
Ketamine for Analgesia
12-27-2019
14757
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15565
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10906
Snakebite/crotalid Antivenoms
09-28-2018
8494

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8593
Central Venous Catheterization
12-04-2009
11808
Fever Assessment
06-27-2019
15804
Gabapentin in Post-operative Pain Management
09-29-2016
10207
Ketamine for Analgesia
12-13-2017
14209
Laparoscopy in Trauma
02-25-2016
7531
Mangled Extremity
04-28-2016
9750
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14648
Necrotizing Soft Tissues Infections
09-28-2018
9798
Negative Pressure Wound Therapy
02-06-2014
7023
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
13101