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
15032
Axillary Artery and Vein Cannulation
07-30-2015
18099
Blunt Cardiac Trauma
09-29-2016
10026
Free Flap Management
02-21-2020
13208
Hypertension Management
11-26-2015
16175
Noninvasive Hemodynamic Monitoring
09-29-2016
9320
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7894
Vasopressors and Inotropes in Shock
09-12-2019
42184

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
9074
Hyperglycemia Control in the Critically Ill
12-07-2011
12243
Thyroid Management in the ICU
06-18-2019
9453

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26937
Fluid Resuscitation
11-03-2017
16922
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12221
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15213

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10893
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15550
Blunt Splenic Injury
09-30-2015
9651
Cirrhotic Management
02-25-2016
8602
Clostridium difficile Infection
06-29-2015
8996
Diverticulitis
09-30-2015
8487
Enteral Feeding Guidelines
04-10-2017
19041
Intra-abdominal Pressure Monitoring
03-23-2015
8359
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24817
Percutaneous Endoscopic Gastrostomy
06-11-2020
8216
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
13072
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11892
Small Bowel Obstruction
06-04-2014
7853
Stress Ulcer Prophylaxis
11-03-2017
11741

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8677
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12582
Disseminated Intravascular Coagulation
04-10-2017
7198
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8891
Erythropoietin Use in the Critically Ill
02-06-2008
9594
Heparin Induced Thrombocytopenia
09-14-2019
9197
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7826
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44396
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8798
Thromboelastography (TEG) in Trauma
12-04-2014
10672
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5858
Venous Thromboprophylaxis in Obesity
02-25-2016
18946
Warfarin Dosing
09-01-2009
8072
Warfarin Reversal
11-30-2017
9497

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7655
Antibiotic Prophylaxis in Surgery
11-30-2013
17236
Candida Infections in Surgical Patients
04-10-2017
9041
Continuous Antibiotic Infusions
05-16-2007
7107
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10252
Facial Fracture Antibiotics
04-29-2020
11509
Presumptive Chest Tube Antibiotics
03-07-2013
7443

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13236
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29868
Blunt Cerebrovascular Injury
09-30-2015
8510
Brain Death Determination / Apnea Test Procedure
09-10-2019
18502
Cervical Spine Clearance
12-13-2017
8170
Delirium Management in the ICU
08-12-2018
16244
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17658
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11197
Pain Management in Surgery
09-30-2015
8090
Sedation and Agitation Management in the ICU
10-25-2009
8368
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
38098
Severe Traumatic Brain Injury Management
09-11-2019
16250
Syncope Evaluation in the Trauma Patient
09-29-2016
7408
Therapeutic Hypothermia
09-01-2020
8719

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8488
Chest Tube Management
09-29-2016
9958
Diaphragm Pacing
07-18-2019
6985
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9603
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7146
Independent Lung Ventilation
12-04-2014
6973
Multi-modality Rib Fracture Management
03-05-2020
14663
Peri-Procedural Tracheostomy Complications
01-04-2013
6836
Post-Extubation Stridor
08-01-2017
10418
Post-Tracheostomy Hemorrhage
07-30-2015
9306
Rescue Ventilation
08-22-2018
8972
Retained Hemothorax
04-28-2016
14642
Surgical Fixation of Rib Fractures
09-04-2020
15003
Timing of Tracheostomy
04-29-2020
13034
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10241
Ventilator-Associated Pneumonia
02-25-2016
8068

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12855
Burn Resuscitation
11-26-2019
14388
Ketamine for Analgesia
12-27-2019
14689
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15512
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10879
Snakebite/crotalid Antivenoms
09-28-2018
8451

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8542
Central Venous Catheterization
12-04-2009
11763
Fever Assessment
06-27-2019
15732
Gabapentin in Post-operative Pain Management
09-29-2016
10166
Ketamine for Analgesia
12-13-2017
14135
Laparoscopy in Trauma
02-25-2016
7483
Mangled Extremity
04-28-2016
9704
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14599
Necrotizing Soft Tissues Infections
09-28-2018
9752
Negative Pressure Wound Therapy
02-06-2014
6982
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
13044