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
15005
Axillary Artery and Vein Cannulation
07-30-2015
18081
Blunt Cardiac Trauma
09-29-2016
9993
Free Flap Management
02-21-2020
13117
Hypertension Management
11-26-2015
16154
Noninvasive Hemodynamic Monitoring
09-29-2016
9297
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7868
Vasopressors and Inotropes in Shock
09-12-2019
42143

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
9053
Hyperglycemia Control in the Critically Ill
12-07-2011
12222
Thyroid Management in the ICU
06-18-2019
9406

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26910
Fluid Resuscitation
11-03-2017
16894
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12189
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15184

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10871
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15522
Blunt Splenic Injury
09-30-2015
9623
Cirrhotic Management
02-25-2016
8575
Clostridium difficile Infection
06-29-2015
8974
Diverticulitis
09-30-2015
8466
Enteral Feeding Guidelines
04-10-2017
19014
Intra-abdominal Pressure Monitoring
03-23-2015
8336
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24788
Percutaneous Endoscopic Gastrostomy
06-11-2020
8194
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
13047
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11863
Small Bowel Obstruction
06-04-2014
7834
Stress Ulcer Prophylaxis
11-03-2017
11722

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8657
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12560
Disseminated Intravascular Coagulation
04-10-2017
7174
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8869
Erythropoietin Use in the Critically Ill
02-06-2008
9569
Heparin Induced Thrombocytopenia
09-14-2019
9170
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7808
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44364
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8778
Thromboelastography (TEG) in Trauma
12-04-2014
10648
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5834
Venous Thromboprophylaxis in Obesity
02-25-2016
18922
Warfarin Dosing
09-01-2009
8051
Warfarin Reversal
11-30-2017
9475

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7636
Antibiotic Prophylaxis in Surgery
11-30-2013
17214
Candida Infections in Surgical Patients
04-10-2017
9023
Continuous Antibiotic Infusions
05-16-2007
7081
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10233
Facial Fracture Antibiotics
04-29-2020
11476
Presumptive Chest Tube Antibiotics
03-07-2013
7422

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13213
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29843
Blunt Cerebrovascular Injury
09-30-2015
8485
Brain Death Determination / Apnea Test Procedure
09-10-2019
18398
Cervical Spine Clearance
12-13-2017
8147
Delirium Management in the ICU
08-12-2018
16226
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17630
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11173
Pain Management in Surgery
09-30-2015
8069
Sedation and Agitation Management in the ICU
10-25-2009
8336
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
38081
Severe Traumatic Brain Injury Management
09-11-2019
16221
Syncope Evaluation in the Trauma Patient
09-29-2016
7384
Therapeutic Hypothermia
09-01-2020
8698

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8397
Chest Tube Management
09-29-2016
9935
Diaphragm Pacing
07-18-2019
6958
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9583
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7126
Independent Lung Ventilation
12-04-2014
6949
Multi-modality Rib Fracture Management
03-05-2020
14636
Peri-Procedural Tracheostomy Complications
01-04-2013
6814
Post-Extubation Stridor
08-01-2017
10382
Post-Tracheostomy Hemorrhage
07-30-2015
9285
Rescue Ventilation
08-22-2018
8946
Retained Hemothorax
04-28-2016
14614
Surgical Fixation of Rib Fractures
09-04-2020
14977
Timing of Tracheostomy
04-29-2020
12979
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10214
Ventilator-Associated Pneumonia
02-25-2016
8040

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12831
Burn Resuscitation
11-26-2019
14358
Ketamine for Analgesia
12-27-2019
14639
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15479
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10858
Snakebite/crotalid Antivenoms
09-28-2018
8429

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8519
Central Venous Catheterization
12-04-2009
11738
Fever Assessment
06-27-2019
15665
Gabapentin in Post-operative Pain Management
09-29-2016
10143
Ketamine for Analgesia
12-13-2017
14080
Laparoscopy in Trauma
02-25-2016
7463
Mangled Extremity
04-28-2016
9682
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14575
Necrotizing Soft Tissues Infections
09-28-2018
9727
Negative Pressure Wound Therapy
02-06-2014
6960
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
13014