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
14269
Axillary Artery and Vein Cannulation
07-30-2015
17373
Blunt Cardiac Trauma
09-29-2016
9175
Free Flap Management
02-21-2020
12065
Hypertension Management
11-26-2015
15437
Noninvasive Hemodynamic Monitoring
09-29-2016
8626
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7228
Vasopressors and Inotropes in Shock
09-12-2019
41173

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8396
Hyperglycemia Control in the Critically Ill
12-07-2011
11488
Thyroid Management in the ICU
06-18-2019
8283

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
25806
Fluid Resuscitation
11-03-2017
15873
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
11357
Rhabdomyolysis: Prevention and Treatment
08-12-2018
14461

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10123
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
14538
Blunt Splenic Injury
09-30-2015
8943
Cirrhotic Management
02-25-2016
7865
Clostridium difficile Infection
06-29-2015
8347
Diverticulitis
09-30-2015
7784
Enteral Feeding Guidelines
04-10-2017
18290
Intra-abdominal Pressure Monitoring
03-23-2015
7528
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24108
Percutaneous Endoscopic Gastrostomy
06-11-2020
7590
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12424
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11113
Small Bowel Obstruction
06-04-2014
7185
Stress Ulcer Prophylaxis
11-03-2017
11004

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8042
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
11942
Disseminated Intravascular Coagulation
04-10-2017
6572
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8236
Erythropoietin Use in the Critically Ill
02-06-2008
8951
Heparin Induced Thrombocytopenia
09-14-2019
8615
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7160
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
43607
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8229
Thromboelastography (TEG) in Trauma
12-04-2014
9914
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5185
Venous Thromboprophylaxis in Obesity
02-25-2016
18375
Warfarin Dosing
09-01-2009
7425
Warfarin Reversal
11-30-2017
8880

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
6966
Antibiotic Prophylaxis in Surgery
11-30-2013
16454
Candida Infections in Surgical Patients
04-10-2017
8423
Continuous Antibiotic Infusions
05-16-2007
6433
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
9549
Facial Fracture Antibiotics
04-29-2020
10579
Presumptive Chest Tube Antibiotics
03-07-2013
6817

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
12577
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29017
Blunt Cerebrovascular Injury
09-30-2015
7878
Brain Death Determination / Apnea Test Procedure
09-10-2019
16486
Cervical Spine Clearance
12-13-2017
7539
Delirium Management in the ICU
08-12-2018
15585
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
16670
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
10550
Pain Management in Surgery
09-30-2015
7440
Sedation and Agitation Management in the ICU
10-25-2009
7684
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37442
Severe Traumatic Brain Injury Management
09-11-2019
15420
Syncope Evaluation in the Trauma Patient
09-29-2016
6713
Therapeutic Hypothermia
09-01-2020
7968

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
7132
Chest Tube Management
09-29-2016
9153
Diaphragm Pacing
07-18-2019
6214
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
8903
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6439
Independent Lung Ventilation
12-04-2014
6270
Multi-modality Rib Fracture Management
03-05-2020
13319
Peri-Procedural Tracheostomy Complications
01-04-2013
6134
Post-Extubation Stridor
08-01-2017
9634
Post-Tracheostomy Hemorrhage
07-30-2015
8546
Rescue Ventilation
08-22-2018
7830
Retained Hemothorax
04-28-2016
13704
Surgical Fixation of Rib Fractures
09-04-2020
14221
Timing of Tracheostomy
04-29-2020
11606
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
9414
Ventilator-Associated Pneumonia
02-25-2016
7292

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
11828
Burn Resuscitation
11-26-2019
13527
Ketamine for Analgesia
12-27-2019
9905
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
14333
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10220
Snakebite/crotalid Antivenoms
09-28-2018
7745

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
7794
Central Venous Catheterization
12-04-2009
10936
Fever Assessment
06-27-2019
14194
Gabapentin in Post-operative Pain Management
09-29-2016
9384
Ketamine for Analgesia
12-13-2017
12860
Laparoscopy in Trauma
02-25-2016
6770
Mangled Extremity
04-28-2016
8925
Muscle Relaxants in Multimodal Pain Management
01-26-2017
13766
Necrotizing Soft Tissues Infections
09-28-2018
9018
Negative Pressure Wound Therapy
02-06-2014
6214
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12295