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
11625
Axillary Artery and Vein Cannulation
07-30-2015
14731
Blunt Cardiac Trauma
09-29-2016
6560
Free Flap Management
02-21-2020
8866
Hypertension Management
11-26-2015
12856
Noninvasive Hemodynamic Monitoring
09-29-2016
6107
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
4632
Vasopressors and Inotropes in Shock
09-12-2019
38425

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
5886
Hyperglycemia Control in the Critically Ill
12-07-2011
8911
Thyroid Management in the ICU
06-18-2019
5108

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
22807
Fluid Resuscitation
11-03-2017
12807
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
8730
Rhabdomyolysis: Prevention and Treatment
08-12-2018
11915

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
7607
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
11954
Blunt Splenic Injury
09-30-2015
6450
Cirrhotic Management
02-25-2016
5341
Clostridium difficile Infection
06-29-2015
5888
Diverticulitis
09-30-2015
5383
Enteral Feeding Guidelines
04-10-2017
15668
Intra-abdominal Pressure Monitoring
03-23-2015
5107
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
21700
Percutaneous Endoscopic Gastrostomy
06-11-2020
5115
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
10034
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
8628
Small Bowel Obstruction
06-04-2014
4743
Stress Ulcer Prophylaxis
11-03-2017
8445

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
5553
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
9430
Disseminated Intravascular Coagulation
04-10-2017
4127
DVT Prophylaxis in Solid Organ Injury
12-05-2013
5765
Erythropoietin Use in the Critically Ill
02-06-2008
6498
Heparin Induced Thrombocytopenia
09-14-2019
6202
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
4785
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
40931
Non-Vitamin K Anticoagulation Reversal
08-12-2018
5842
Thromboelastography (TEG) in Trauma
12-04-2014
7450
Ultrasound Guided Peripheral IV Insertion
05-27-2020
2687
Venous Thromboprophylaxis in Obesity
02-25-2016
15921
Warfarin Dosing
09-01-2009
5016
Warfarin Reversal
11-30-2017
6495

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
4493
Antibiotic Prophylaxis in Surgery
11-30-2013
13941
Candida Infections in Surgical Patients
04-10-2017
6068
Continuous Antibiotic Infusions
05-16-2007
3986
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
7151
Facial Fracture Antibiotics
04-29-2020
7473
Presumptive Chest Tube Antibiotics
03-07-2013
4404

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
10120
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
26445
Blunt Cerebrovascular Injury
09-30-2015
5443
Brain Death Determination / Apnea Test Procedure
09-10-2019
13027
Cervical Spine Clearance
12-13-2017
5188
Delirium Management in the ICU
08-12-2018
12931
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
11825
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
8192
Pain Management in Surgery
09-30-2015
5008
Sedation and Agitation Management in the ICU
10-25-2009
5314
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
34911
Severe Traumatic Brain Injury Management
09-11-2019
12788
Syncope Evaluation in the Trauma Patient
09-29-2016
4301
Therapeutic Hypothermia
09-01-2020
5537

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
4641
Chest Tube Management
09-29-2016
6570
Diaphragm Pacing
07-18-2019
3656
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
6437
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3981
Independent Lung Ventilation
12-04-2014
3838
Multi-modality Rib Fracture Management
03-05-2020
10488
Peri-Procedural Tracheostomy Complications
01-04-2013
3683
Post-Extubation Stridor
08-01-2017
7054
Post-Tracheostomy Hemorrhage
07-30-2015
5989
Rescue Ventilation
08-22-2018
5261
Retained Hemothorax
04-28-2016
11035
Surgical Fixation of Rib Fractures
09-04-2020
11609
Timing of Tracheostomy
04-29-2020
8426
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
6724
Ventilator-Associated Pneumonia
02-25-2016
4803

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
8016
Burn Resuscitation
11-26-2019
10890
Ketamine for Analgesia
12-27-2019
7121
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
11169
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
7813
Snakebite/crotalid Antivenoms
09-28-2018
5303

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
5190
Central Venous Catheterization
12-04-2009
8462
Fever Assessment
06-27-2019
10225
Gabapentin in Post-operative Pain Management
09-29-2016
6871
Ketamine for Analgesia
12-13-2017
9786
Laparoscopy in Trauma
02-25-2016
4284
Mangled Extremity
04-28-2016
6400
Muscle Relaxants in Multimodal Pain Management
01-26-2017
11083
Necrotizing Soft Tissues Infections
09-28-2018
6494
Negative Pressure Wound Therapy
02-06-2014
3712
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
9907