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
11742
Axillary Artery and Vein Cannulation
07-30-2015
14933
Blunt Cardiac Trauma
09-29-2016
6652
Free Flap Management
02-21-2020
9037
Hypertension Management
11-26-2015
12950
Noninvasive Hemodynamic Monitoring
09-29-2016
6205
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
4708
Vasopressors and Inotropes in Shock
09-12-2019
38614

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
5997
Hyperglycemia Control in the Critically Ill
12-07-2011
9029
Thyroid Management in the ICU
06-18-2019
5289

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
23096
Fluid Resuscitation
11-03-2017
12904
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
8812
Rhabdomyolysis: Prevention and Treatment
08-12-2018
12023

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
7691
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
12068
Blunt Splenic Injury
09-30-2015
6539
Cirrhotic Management
02-25-2016
5427
Clostridium difficile Infection
06-29-2015
5963
Diverticulitis
09-30-2015
5460
Enteral Feeding Guidelines
04-10-2017
15756
Intra-abdominal Pressure Monitoring
03-23-2015
5182
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
21786
Percutaneous Endoscopic Gastrostomy
06-11-2020
5203
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
10112
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
8758
Small Bowel Obstruction
06-04-2014
4826
Stress Ulcer Prophylaxis
11-03-2017
8547

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
5683
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
9505
Disseminated Intravascular Coagulation
04-10-2017
4212
DVT Prophylaxis in Solid Organ Injury
12-05-2013
5843
Erythropoietin Use in the Critically Ill
02-06-2008
6606
Heparin Induced Thrombocytopenia
09-14-2019
6287
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
4877
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
41058
Non-Vitamin K Anticoagulation Reversal
08-12-2018
5924
Thromboelastography (TEG) in Trauma
12-04-2014
7545
Ultrasound Guided Peripheral IV Insertion
05-27-2020
2800
Venous Thromboprophylaxis in Obesity
02-25-2016
16035
Warfarin Dosing
09-01-2009
5098
Warfarin Reversal
11-30-2017
6565

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
4608
Antibiotic Prophylaxis in Surgery
11-30-2013
14032
Candida Infections in Surgical Patients
04-10-2017
6127
Continuous Antibiotic Infusions
05-16-2007
4048
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
7217
Facial Fracture Antibiotics
04-29-2020
7614
Presumptive Chest Tube Antibiotics
03-07-2013
4472

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
10196
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
26528
Blunt Cerebrovascular Injury
09-30-2015
5512
Brain Death Determination / Apnea Test Procedure
09-10-2019
13217
Cervical Spine Clearance
12-13-2017
5260
Delirium Management in the ICU
08-12-2018
13083
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
12254
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
8253
Pain Management in Surgery
09-30-2015
5077
Sedation and Agitation Management in the ICU
10-25-2009
5383
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
34986
Severe Traumatic Brain Injury Management
09-11-2019
12906
Syncope Evaluation in the Trauma Patient
09-29-2016
4390
Therapeutic Hypothermia
09-01-2020
5616

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
4721
Chest Tube Management
09-29-2016
6687
Diaphragm Pacing
07-18-2019
3748
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
6514
High frequency oscillatory ventilation in the surgical patient
03-04-2009
4043
Independent Lung Ventilation
12-04-2014
3916
Multi-modality Rib Fracture Management
03-05-2020
10678
Peri-Procedural Tracheostomy Complications
01-04-2013
3750
Post-Extubation Stridor
08-01-2017
7126
Post-Tracheostomy Hemorrhage
07-30-2015
6109
Rescue Ventilation
08-22-2018
5351
Retained Hemothorax
04-28-2016
11197
Surgical Fixation of Rib Fractures
09-04-2020
11708
Timing of Tracheostomy
04-29-2020
8509
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
6831
Ventilator-Associated Pneumonia
02-25-2016
4878

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
8295
Burn Resuscitation
11-26-2019
11012
Ketamine for Analgesia
12-27-2019
7226
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
11561
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
7899
Snakebite/crotalid Antivenoms
09-28-2018
5375

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
5286
Central Venous Catheterization
12-04-2009
8550
Fever Assessment
06-27-2019
10364
Gabapentin in Post-operative Pain Management
09-29-2016
6941
Ketamine for Analgesia
12-13-2017
9927
Laparoscopy in Trauma
02-25-2016
4361
Mangled Extremity
04-28-2016
6497
Muscle Relaxants in Multimodal Pain Management
01-26-2017
11156
Necrotizing Soft Tissues Infections
09-28-2018
6565
Negative Pressure Wound Therapy
02-06-2014
3774
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
9970