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
14003
Axillary Artery and Vein Cannulation
07-30-2015
17132
Blunt Cardiac Trauma
09-29-2016
8896
Free Flap Management
02-21-2020
11646
Hypertension Management
11-26-2015
15167
Noninvasive Hemodynamic Monitoring
09-29-2016
8390
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7000
Vasopressors and Inotropes in Shock
09-12-2019
40887

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8160
Hyperglycemia Control in the Critically Ill
12-07-2011
11252
Thyroid Management in the ICU
06-18-2019
7948

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
25484
Fluid Resuscitation
11-03-2017
15037
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
11045
Rhabdomyolysis: Prevention and Treatment
08-12-2018
14216

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
9887
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
14293
Blunt Splenic Injury
09-30-2015
8711
Cirrhotic Management
02-25-2016
7632
Clostridium difficile Infection
06-29-2015
8114
Diverticulitis
09-30-2015
7566
Enteral Feeding Guidelines
04-10-2017
18023
Intra-abdominal Pressure Monitoring
03-23-2015
7318
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
23896
Percutaneous Endoscopic Gastrostomy
06-11-2020
7371
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12204
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
10893
Small Bowel Obstruction
06-04-2014
6964
Stress Ulcer Prophylaxis
11-03-2017
10761

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
7830
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
11717
Disseminated Intravascular Coagulation
04-10-2017
6354
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8016
Erythropoietin Use in the Critically Ill
02-06-2008
8741
Heparin Induced Thrombocytopenia
09-14-2019
8436
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
6992
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
43362
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8053
Thromboelastography (TEG) in Trauma
12-04-2014
9709
Ultrasound Guided Peripheral IV Insertion
05-27-2020
4970
Venous Thromboprophylaxis in Obesity
02-25-2016
18184
Warfarin Dosing
09-01-2009
7237
Warfarin Reversal
11-30-2017
8685

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
6747
Antibiotic Prophylaxis in Surgery
11-30-2013
16204
Candida Infections in Surgical Patients
04-10-2017
8246
Continuous Antibiotic Infusions
05-16-2007
6225
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
9341
Facial Fracture Antibiotics
04-29-2020
10223
Presumptive Chest Tube Antibiotics
03-07-2013
6606

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
12355
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
28795
Blunt Cerebrovascular Injury
09-30-2015
7653
Brain Death Determination / Apnea Test Procedure
09-10-2019
15936
Cervical Spine Clearance
12-13-2017
7373
Delirium Management in the ICU
08-12-2018
15338
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
16313
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
10370
Pain Management in Surgery
09-30-2015
7225
Sedation and Agitation Management in the ICU
10-25-2009
7467
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37213
Severe Traumatic Brain Injury Management
09-11-2019
15123
Syncope Evaluation in the Trauma Patient
09-29-2016
6528
Therapeutic Hypothermia
09-01-2020
7748

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
6865
Chest Tube Management
09-29-2016
8884
Diaphragm Pacing
07-18-2019
5969
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
8663
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6208
Independent Lung Ventilation
12-04-2014
6051
Multi-modality Rib Fracture Management
03-05-2020
13012
Peri-Procedural Tracheostomy Complications
01-04-2013
5916
Post-Extubation Stridor
08-01-2017
9369
Post-Tracheostomy Hemorrhage
07-30-2015
8312
Rescue Ventilation
08-22-2018
7595
Retained Hemothorax
04-28-2016
13450
Surgical Fixation of Rib Fractures
09-04-2020
13984
Timing of Tracheostomy
04-29-2020
10760
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
9136
Ventilator-Associated Pneumonia
02-25-2016
7065

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
11383
Burn Resuscitation
11-26-2019
13257
Ketamine for Analgesia
12-27-2019
9621
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
13912
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10007
Snakebite/crotalid Antivenoms
09-28-2018
7530

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
7558
Central Venous Catheterization
12-04-2009
10718
Fever Assessment
06-27-2019
13602
Gabapentin in Post-operative Pain Management
09-29-2016
9122
Ketamine for Analgesia
12-13-2017
12448
Laparoscopy in Trauma
02-25-2016
6550
Mangled Extremity
04-28-2016
8702
Muscle Relaxants in Multimodal Pain Management
01-26-2017
13482
Necrotizing Soft Tissues Infections
09-28-2018
8790
Negative Pressure Wound Therapy
02-06-2014
5958
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12079