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
15002
Axillary Artery and Vein Cannulation
07-30-2015
18080
Blunt Cardiac Trauma
09-29-2016
9989
Free Flap Management
02-21-2020
13104
Hypertension Management
11-26-2015
16151
Noninvasive Hemodynamic Monitoring
09-29-2016
9296
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7866
Vasopressors and Inotropes in Shock
09-12-2019
42137

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
9051
Hyperglycemia Control in the Critically Ill
12-07-2011
12222
Thyroid Management in the ICU
06-18-2019
9392

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26904
Fluid Resuscitation
11-03-2017
16892
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12187
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15181

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10867
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15518
Blunt Splenic Injury
09-30-2015
9620
Cirrhotic Management
02-25-2016
8571
Clostridium difficile Infection
06-29-2015
8973
Diverticulitis
09-30-2015
8464
Enteral Feeding Guidelines
04-10-2017
19012
Intra-abdominal Pressure Monitoring
03-23-2015
8330
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24783
Percutaneous Endoscopic Gastrostomy
06-11-2020
8193
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
13044
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11858
Small Bowel Obstruction
06-04-2014
7830
Stress Ulcer Prophylaxis
11-03-2017
11720

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8654
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12554
Disseminated Intravascular Coagulation
04-10-2017
7173
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8868
Erythropoietin Use in the Critically Ill
02-06-2008
9564
Heparin Induced Thrombocytopenia
09-14-2019
9167
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7805
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44355
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8776
Thromboelastography (TEG) in Trauma
12-04-2014
10644
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5829
Venous Thromboprophylaxis in Obesity
02-25-2016
18921
Warfarin Dosing
09-01-2009
8049
Warfarin Reversal
11-30-2017
9474

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7634
Antibiotic Prophylaxis in Surgery
11-30-2013
17211
Candida Infections in Surgical Patients
04-10-2017
9018
Continuous Antibiotic Infusions
05-16-2007
7079
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10231
Facial Fracture Antibiotics
04-29-2020
11471
Presumptive Chest Tube Antibiotics
03-07-2013
7421

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13211
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29839
Blunt Cerebrovascular Injury
09-30-2015
8484
Brain Death Determination / Apnea Test Procedure
09-10-2019
18382
Cervical Spine Clearance
12-13-2017
8146
Delirium Management in the ICU
08-12-2018
16225
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17625
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11171
Pain Management in Surgery
09-30-2015
8066
Sedation and Agitation Management in the ICU
10-25-2009
8333
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
38077
Severe Traumatic Brain Injury Management
09-11-2019
16214
Syncope Evaluation in the Trauma Patient
09-29-2016
7381
Therapeutic Hypothermia
09-01-2020
8694

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8365
Chest Tube Management
09-29-2016
9934
Diaphragm Pacing
07-18-2019
6954
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9582
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7125
Independent Lung Ventilation
12-04-2014
6946
Multi-modality Rib Fracture Management
03-05-2020
14633
Peri-Procedural Tracheostomy Complications
01-04-2013
6813
Post-Extubation Stridor
08-01-2017
10374
Post-Tracheostomy Hemorrhage
07-30-2015
9283
Rescue Ventilation
08-22-2018
8945
Retained Hemothorax
04-28-2016
14610
Surgical Fixation of Rib Fractures
09-04-2020
14973
Timing of Tracheostomy
04-29-2020
12969
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10210
Ventilator-Associated Pneumonia
02-25-2016
8037

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12830
Burn Resuscitation
11-26-2019
14354
Ketamine for Analgesia
12-27-2019
14634
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15473
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10856
Snakebite/crotalid Antivenoms
09-28-2018
8428

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8518
Central Venous Catheterization
12-04-2009
11735
Fever Assessment
06-27-2019
15655
Gabapentin in Post-operative Pain Management
09-29-2016
10141
Ketamine for Analgesia
12-13-2017
14062
Laparoscopy in Trauma
02-25-2016
7462
Mangled Extremity
04-28-2016
9679
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14572
Necrotizing Soft Tissues Infections
09-28-2018
9724
Negative Pressure Wound Therapy
02-06-2014
6957
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
13007