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
11925
Axillary Artery and Vein Cannulation
07-30-2015
15099
Blunt Cardiac Trauma
09-29-2016
6821
Free Flap Management
02-21-2020
9350
Hypertension Management
11-26-2015
13105
Noninvasive Hemodynamic Monitoring
09-29-2016
6345
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
4850
Vasopressors and Inotropes in Shock
09-12-2019
38795

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
6139
Hyperglycemia Control in the Critically Ill
12-07-2011
9191
Thyroid Management in the ICU
06-18-2019
5751

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
23360
Fluid Resuscitation
11-03-2017
13041
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
8967
Rhabdomyolysis: Prevention and Treatment
08-12-2018
12181

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
7836
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
12232
Blunt Splenic Injury
09-30-2015
6675
Cirrhotic Management
02-25-2016
5594
Clostridium difficile Infection
06-29-2015
6101
Diverticulitis
09-30-2015
5576
Enteral Feeding Guidelines
04-10-2017
15910
Intra-abdominal Pressure Monitoring
03-23-2015
5321
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
21909
Percutaneous Endoscopic Gastrostomy
06-11-2020
5341
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
10231
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
8886
Small Bowel Obstruction
06-04-2014
4946
Stress Ulcer Prophylaxis
11-03-2017
8694

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
5826
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
9654
Disseminated Intravascular Coagulation
04-10-2017
4347
DVT Prophylaxis in Solid Organ Injury
12-05-2013
5991
Erythropoietin Use in the Critically Ill
02-06-2008
6736
Heparin Induced Thrombocytopenia
09-14-2019
6434
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
5000
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
41230
Non-Vitamin K Anticoagulation Reversal
08-12-2018
6060
Thromboelastography (TEG) in Trauma
12-04-2014
7680
Ultrasound Guided Peripheral IV Insertion
05-27-2020
2940
Venous Thromboprophylaxis in Obesity
02-25-2016
16173
Warfarin Dosing
09-01-2009
5224
Warfarin Reversal
11-30-2017
6688

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
4743
Antibiotic Prophylaxis in Surgery
11-30-2013
14190
Candida Infections in Surgical Patients
04-10-2017
6247
Continuous Antibiotic Infusions
05-16-2007
4185
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
7340
Facial Fracture Antibiotics
04-29-2020
7952
Presumptive Chest Tube Antibiotics
03-07-2013
4593

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
10333
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
26675
Blunt Cerebrovascular Injury
09-30-2015
5633
Brain Death Determination / Apnea Test Procedure
09-10-2019
13579
Cervical Spine Clearance
12-13-2017
5386
Delirium Management in the ICU
08-12-2018
13274
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
13291
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
8373
Pain Management in Surgery
09-30-2015
5206
Sedation and Agitation Management in the ICU
10-25-2009
5489
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
35139
Severe Traumatic Brain Injury Management
09-11-2019
13071
Syncope Evaluation in the Trauma Patient
09-29-2016
4522
Therapeutic Hypothermia
09-01-2020
5747

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
4838
Chest Tube Management
09-29-2016
6837
Diaphragm Pacing
07-18-2019
3913
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
6649
High frequency oscillatory ventilation in the surgical patient
03-04-2009
4172
Independent Lung Ventilation
12-04-2014
4043
Multi-modality Rib Fracture Management
03-05-2020
10857
Peri-Procedural Tracheostomy Complications
01-04-2013
3882
Post-Extubation Stridor
08-01-2017
7283
Post-Tracheostomy Hemorrhage
07-30-2015
6262
Rescue Ventilation
08-22-2018
5522
Retained Hemothorax
04-28-2016
11374
Surgical Fixation of Rib Fractures
09-04-2020
11871
Timing of Tracheostomy
04-29-2020
8677
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
6997
Ventilator-Associated Pneumonia
02-25-2016
5011

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
8842
Burn Resuscitation
11-26-2019
11163
Ketamine for Analgesia
12-27-2019
7479
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
11741
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
8026
Snakebite/crotalid Antivenoms
09-28-2018
5506

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
5447
Central Venous Catheterization
12-04-2009
8701
Fever Assessment
06-27-2019
10937
Gabapentin in Post-operative Pain Management
09-29-2016
7093
Ketamine for Analgesia
12-13-2017
10203
Laparoscopy in Trauma
02-25-2016
4503
Mangled Extremity
04-28-2016
6636
Muscle Relaxants in Multimodal Pain Management
01-26-2017
11344
Necrotizing Soft Tissues Infections
09-28-2018
6717
Negative Pressure Wound Therapy
02-06-2014
3908
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
10089