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
10968
Axillary Artery and Vein Cannulation
07-30-2015
13611
Blunt Cardiac Trauma
09-29-2016
6025
Free Flap Management
02-21-2020
8018
Hypertension Management
11-26-2015
12233
Noninvasive Hemodynamic Monitoring
09-29-2016
5602
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
4176
Vasopressors and Inotropes in Shock
09-12-2019
37430

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
5386
Hyperglycemia Control in the Critically Ill
12-07-2011
8300
Thyroid Management in the ICU
06-18-2019
4360

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
21499
Fluid Resuscitation
11-03-2017
12274
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
8070
Rhabdomyolysis: Prevention and Treatment
08-12-2018
11397

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6973
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
11021
Blunt Splenic Injury
09-30-2015
5929
Cirrhotic Management
02-25-2016
4694
Clostridium difficile Infection
06-29-2015
5409
Diverticulitis
09-30-2015
4935
Enteral Feeding Guidelines
04-10-2017
14820
Intra-abdominal Pressure Monitoring
03-23-2015
4673
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
21114
Percutaneous Endoscopic Gastrostomy
06-11-2020
4628
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
9608
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
7957
Small Bowel Obstruction
06-04-2014
4261
Stress Ulcer Prophylaxis
11-03-2017
7752

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
5030
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
8711
Disseminated Intravascular Coagulation
04-10-2017
3673
DVT Prophylaxis in Solid Organ Injury
12-05-2013
5272
Erythropoietin Use in the Critically Ill
02-06-2008
6010
Heparin Induced Thrombocytopenia
09-14-2019
5677
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
4211
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
39613
Non-Vitamin K Anticoagulation Reversal
08-12-2018
5369
Thromboelastography (TEG) in Trauma
12-04-2014
6991
Ultrasound Guided Peripheral IV Insertion
05-27-2020
2200
Venous Thromboprophylaxis in Obesity
02-25-2016
15271
Warfarin Dosing
09-01-2009
4575
Warfarin Reversal
11-30-2017
6041

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3939
Antibiotic Prophylaxis in Surgery
11-30-2013
13392
Candida Infections in Surgical Patients
04-10-2017
5711
Continuous Antibiotic Infusions
05-16-2007
3552
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6735
Facial Fracture Antibiotics
04-29-2020
6629
Presumptive Chest Tube Antibiotics
03-07-2013
3995

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9674
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25762
Blunt Cerebrovascular Injury
09-30-2015
5064
Brain Death Determination / Apnea Test Procedure
09-10-2019
12168
Cervical Spine Clearance
12-13-2017
4761
Delirium Management in the ICU
08-12-2018
12014
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
9636
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7771
Pain Management in Surgery
09-30-2015
4549
Sedation and Agitation Management in the ICU
10-25-2009
4891
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
34451
Severe Traumatic Brain Injury Management
09-11-2019
12274
Syncope Evaluation in the Trauma Patient
09-29-2016
3820
Therapeutic Hypothermia
09-01-2020
5008

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
4215
Chest Tube Management
09-29-2016
5952
Diaphragm Pacing
07-18-2019
3048
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4913
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3589
Independent Lung Ventilation
12-04-2014
3435
Multi-modality Rib Fracture Management
03-05-2020
9450
Peri-Procedural Tracheostomy Complications
01-04-2013
3291
Post-Extubation Stridor
08-01-2017
6647
Post-Tracheostomy Hemorrhage
07-30-2015
5402
Rescue Ventilation
08-22-2018
4547
Retained Hemothorax
04-28-2016
10157
Surgical Fixation of Rib Fractures
09-04-2020
11107
Timing of Tracheostomy
04-29-2020
7832
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
5883
Ventilator-Associated Pneumonia
02-25-2016
4334

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
6280
Burn Resuscitation
11-26-2019
10031
Ketamine for Analgesia
12-27-2019
6552
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
9371
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
7417
Snakebite/crotalid Antivenoms
09-28-2018
4932

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4748
Central Venous Catheterization
12-04-2009
7885
Fever Assessment
06-27-2019
9605
Gabapentin in Post-operative Pain Management
09-29-2016
6446
Ketamine for Analgesia
12-13-2017
8919
Laparoscopy in Trauma
02-25-2016
3864
Mangled Extremity
04-28-2016
5863
Muscle Relaxants in Multimodal Pain Management
01-26-2017
10572
Necrotizing Soft Tissues Infections
09-28-2018
6092
Negative Pressure Wound Therapy
02-06-2014
3313
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
9406