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
14391
Axillary Artery and Vein Cannulation
07-30-2015
17494
Blunt Cardiac Trauma
09-29-2016
9324
Free Flap Management
02-21-2020
12243
Hypertension Management
11-26-2015
15571
Noninvasive Hemodynamic Monitoring
09-29-2016
8743
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7326
Vasopressors and Inotropes in Shock
09-12-2019
41313

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8519
Hyperglycemia Control in the Critically Ill
12-07-2011
11628
Thyroid Management in the ICU
06-18-2019
8475

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26030
Fluid Resuscitation
11-03-2017
16299
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
11491
Rhabdomyolysis: Prevention and Treatment
08-12-2018
14585

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10258
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
14673
Blunt Splenic Injury
09-30-2015
9053
Cirrhotic Management
02-25-2016
7983
Clostridium difficile Infection
06-29-2015
8454
Diverticulitis
09-30-2015
7888
Enteral Feeding Guidelines
04-10-2017
18415
Intra-abdominal Pressure Monitoring
03-23-2015
7655
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24208
Percutaneous Endoscopic Gastrostomy
06-11-2020
7693
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12535
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11246
Small Bowel Obstruction
06-04-2014
7291
Stress Ulcer Prophylaxis
11-03-2017
11135

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8140
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12051
Disseminated Intravascular Coagulation
04-10-2017
6680
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8341
Erythropoietin Use in the Critically Ill
02-06-2008
9048
Heparin Induced Thrombocytopenia
09-14-2019
8707
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7262
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
43728
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8317
Thromboelastography (TEG) in Trauma
12-04-2014
10024
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5292
Venous Thromboprophylaxis in Obesity
02-25-2016
18461
Warfarin Dosing
09-01-2009
7514
Warfarin Reversal
11-30-2017
8973

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7085
Antibiotic Prophylaxis in Surgery
11-30-2013
16596
Candida Infections in Surgical Patients
04-10-2017
8516
Continuous Antibiotic Infusions
05-16-2007
6536
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
9658
Facial Fracture Antibiotics
04-29-2020
10740
Presumptive Chest Tube Antibiotics
03-07-2013
6920

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
12685
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29167
Blunt Cerebrovascular Injury
09-30-2015
7980
Brain Death Determination / Apnea Test Procedure
09-10-2019
16781
Cervical Spine Clearance
12-13-2017
7636
Delirium Management in the ICU
08-12-2018
15696
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
16815
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
10651
Pain Management in Surgery
09-30-2015
7546
Sedation and Agitation Management in the ICU
10-25-2009
7797
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37544
Severe Traumatic Brain Injury Management
09-11-2019
15571
Syncope Evaluation in the Trauma Patient
09-29-2016
6817
Therapeutic Hypothermia
09-01-2020
8084

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
7276
Chest Tube Management
09-29-2016
9291
Diaphragm Pacing
07-18-2019
6336
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9031
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6551
Independent Lung Ventilation
12-04-2014
6382
Multi-modality Rib Fracture Management
03-05-2020
13678
Peri-Procedural Tracheostomy Complications
01-04-2013
6240
Post-Extubation Stridor
08-01-2017
9750
Post-Tracheostomy Hemorrhage
07-30-2015
8672
Rescue Ventilation
08-22-2018
7965
Retained Hemothorax
04-28-2016
13861
Surgical Fixation of Rib Fractures
09-04-2020
14351
Timing of Tracheostomy
04-29-2020
12074
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
9549
Ventilator-Associated Pneumonia
02-25-2016
7417

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
11974
Burn Resuscitation
11-26-2019
13683
Ketamine for Analgesia
12-27-2019
13800
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
14504
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10327
Snakebite/crotalid Antivenoms
09-28-2018
7846

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
7921
Central Venous Catheterization
12-04-2009
11063
Fever Assessment
06-27-2019
14435
Gabapentin in Post-operative Pain Management
09-29-2016
9517
Ketamine for Analgesia
12-13-2017
13043
Laparoscopy in Trauma
02-25-2016
6890
Mangled Extremity
04-28-2016
9041
Muscle Relaxants in Multimodal Pain Management
01-26-2017
13914
Necrotizing Soft Tissues Infections
09-28-2018
9131
Negative Pressure Wound Therapy
02-06-2014
6337
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12411