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
14354
Axillary Artery and Vein Cannulation
07-30-2015
17442
Blunt Cardiac Trauma
09-29-2016
9276
Free Flap Management
02-21-2020
12182
Hypertension Management
11-26-2015
15521
Noninvasive Hemodynamic Monitoring
09-29-2016
8703
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7294
Vasopressors and Inotropes in Shock
09-12-2019
41259

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8476
Hyperglycemia Control in the Critically Ill
12-07-2011
11573
Thyroid Management in the ICU
06-18-2019
8403

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
25951
Fluid Resuscitation
11-03-2017
16249
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
11438
Rhabdomyolysis: Prevention and Treatment
08-12-2018
14544

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10210
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
14633
Blunt Splenic Injury
09-30-2015
9011
Cirrhotic Management
02-25-2016
7941
Clostridium difficile Infection
06-29-2015
8421
Diverticulitis
09-30-2015
7854
Enteral Feeding Guidelines
04-10-2017
18371
Intra-abdominal Pressure Monitoring
03-23-2015
7609
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24177
Percutaneous Endoscopic Gastrostomy
06-11-2020
7662
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12497
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11199
Small Bowel Obstruction
06-04-2014
7252
Stress Ulcer Prophylaxis
11-03-2017
11104

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8108
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12006
Disseminated Intravascular Coagulation
04-10-2017
6637
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8306
Erythropoietin Use in the Critically Ill
02-06-2008
9017
Heparin Induced Thrombocytopenia
09-14-2019
8683
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7235
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
43699
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8297
Thromboelastography (TEG) in Trauma
12-04-2014
9996
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5258
Venous Thromboprophylaxis in Obesity
02-25-2016
18441
Warfarin Dosing
09-01-2009
7492
Warfarin Reversal
11-30-2017
8952

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7040
Antibiotic Prophylaxis in Surgery
11-30-2013
16543
Candida Infections in Surgical Patients
04-10-2017
8486
Continuous Antibiotic Infusions
05-16-2007
6492
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
9615
Facial Fracture Antibiotics
04-29-2020
10685
Presumptive Chest Tube Antibiotics
03-07-2013
6880

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
12657
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29132
Blunt Cerebrovascular Injury
09-30-2015
7949
Brain Death Determination / Apnea Test Procedure
09-10-2019
16695
Cervical Spine Clearance
12-13-2017
7604
Delirium Management in the ICU
08-12-2018
15661
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
16754
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
10627
Pain Management in Surgery
09-30-2015
7508
Sedation and Agitation Management in the ICU
10-25-2009
7752
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37511
Severe Traumatic Brain Injury Management
09-11-2019
15521
Syncope Evaluation in the Trauma Patient
09-29-2016
6779
Therapeutic Hypothermia
09-01-2020
8047

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
7229
Chest Tube Management
09-29-2016
9241
Diaphragm Pacing
07-18-2019
6287
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
8994
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6512
Independent Lung Ventilation
12-04-2014
6345
Multi-modality Rib Fracture Management
03-05-2020
13436
Peri-Procedural Tracheostomy Complications
01-04-2013
6208
Post-Extubation Stridor
08-01-2017
9706
Post-Tracheostomy Hemorrhage
07-30-2015
8627
Rescue Ventilation
08-22-2018
7923
Retained Hemothorax
04-28-2016
13807
Surgical Fixation of Rib Fractures
09-04-2020
14313
Timing of Tracheostomy
04-29-2020
12028
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
9508
Ventilator-Associated Pneumonia
02-25-2016
7384

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
11926
Burn Resuscitation
11-26-2019
13607
Ketamine for Analgesia
12-27-2019
13739
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
14458
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10287
Snakebite/crotalid Antivenoms
09-28-2018
7814

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
7878
Central Venous Catheterization
12-04-2009
11028
Fever Assessment
06-27-2019
14365
Gabapentin in Post-operative Pain Management
09-29-2016
9465
Ketamine for Analgesia
12-13-2017
12986
Laparoscopy in Trauma
02-25-2016
6849
Mangled Extremity
04-28-2016
9001
Muscle Relaxants in Multimodal Pain Management
01-26-2017
13852
Necrotizing Soft Tissues Infections
09-28-2018
9089
Negative Pressure Wound Therapy
02-06-2014
6284
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12368