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
14128
Axillary Artery and Vein Cannulation
07-30-2015
17246
Blunt Cardiac Trauma
09-29-2016
9040
Free Flap Management
02-21-2020
11829
Hypertension Management
11-26-2015
15298
Noninvasive Hemodynamic Monitoring
09-29-2016
8507
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7112
Vasopressors and Inotropes in Shock
09-12-2019
41017

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8276
Hyperglycemia Control in the Critically Ill
12-07-2011
11364
Thyroid Management in the ICU
06-18-2019
8104

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
25638
Fluid Resuscitation
11-03-2017
15157
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
11204
Rhabdomyolysis: Prevention and Treatment
08-12-2018
14338

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
9996
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
14409
Blunt Splenic Injury
09-30-2015
8826
Cirrhotic Management
02-25-2016
7746
Clostridium difficile Infection
06-29-2015
8225
Diverticulitis
09-30-2015
7666
Enteral Feeding Guidelines
04-10-2017
18155
Intra-abdominal Pressure Monitoring
03-23-2015
7420
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24007
Percutaneous Endoscopic Gastrostomy
06-11-2020
7476
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12314
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11002
Small Bowel Obstruction
06-04-2014
7069
Stress Ulcer Prophylaxis
11-03-2017
10882

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
7930
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
11830
Disseminated Intravascular Coagulation
04-10-2017
6461
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8121
Erythropoietin Use in the Critically Ill
02-06-2008
8846
Heparin Induced Thrombocytopenia
09-14-2019
8522
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7081
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
43495
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8139
Thromboelastography (TEG) in Trauma
12-04-2014
9806
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5075
Venous Thromboprophylaxis in Obesity
02-25-2016
18279
Warfarin Dosing
09-01-2009
7328
Warfarin Reversal
11-30-2017
8778

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
6852
Antibiotic Prophylaxis in Surgery
11-30-2013
16331
Candida Infections in Surgical Patients
04-10-2017
8335
Continuous Antibiotic Infusions
05-16-2007
6331
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
9448
Facial Fracture Antibiotics
04-29-2020
10406
Presumptive Chest Tube Antibiotics
03-07-2013
6714

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
12469
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
28897
Blunt Cerebrovascular Injury
09-30-2015
7756
Brain Death Determination / Apnea Test Procedure
09-10-2019
16134
Cervical Spine Clearance
12-13-2017
7458
Delirium Management in the ICU
08-12-2018
15459
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
16551
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
10465
Pain Management in Surgery
09-30-2015
7335
Sedation and Agitation Management in the ICU
10-25-2009
7577
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37325
Severe Traumatic Brain Injury Management
09-11-2019
15267
Syncope Evaluation in the Trauma Patient
09-29-2016
6626
Therapeutic Hypothermia
09-01-2020
7846

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
6995
Chest Tube Management
09-29-2016
9013
Diaphragm Pacing
07-18-2019
6072
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
8767
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6311
Independent Lung Ventilation
12-04-2014
6152
Multi-modality Rib Fracture Management
03-05-2020
13159
Peri-Procedural Tracheostomy Complications
01-04-2013
6018
Post-Extubation Stridor
08-01-2017
9491
Post-Tracheostomy Hemorrhage
07-30-2015
8426
Rescue Ventilation
08-22-2018
7700
Retained Hemothorax
04-28-2016
13562
Surgical Fixation of Rib Fractures
09-04-2020
14097
Timing of Tracheostomy
04-29-2020
10877
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
9264
Ventilator-Associated Pneumonia
02-25-2016
7174

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
11615
Burn Resuscitation
11-26-2019
13380
Ketamine for Analgesia
12-27-2019
9750
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
14080
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10107
Snakebite/crotalid Antivenoms
09-28-2018
7628

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
7670
Central Venous Catheterization
12-04-2009
10814
Fever Assessment
06-27-2019
13824
Gabapentin in Post-operative Pain Management
09-29-2016
9249
Ketamine for Analgesia
12-13-2017
12625
Laparoscopy in Trauma
02-25-2016
6661
Mangled Extremity
04-28-2016
8806
Muscle Relaxants in Multimodal Pain Management
01-26-2017
13620
Necrotizing Soft Tissues Infections
09-28-2018
8892
Negative Pressure Wound Therapy
02-06-2014
6078
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12178