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
9922
Axillary Artery and Vein Cannulation
07-30-2015
11988
Blunt Cardiac Trauma
09-29-2016
5324
Free Flap Management
02-21-2020
6704
Hypertension Management
11-26-2015
11174
Noninvasive Hemodynamic Monitoring
09-29-2016
5008
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
3595
Vasopressors and Inotropes in Shock
09-12-2019
36406

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
4794
Hyperglycemia Control in the Critically Ill
12-07-2011
7396
Thyroid Management in the ICU
06-18-2019
3419

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
19861
Fluid Resuscitation
11-03-2017
11542
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
7081
Rhabdomyolysis: Prevention and Treatment
08-12-2018
10477

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6177
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
9428
Blunt Splenic Injury
09-30-2015
5301
Cirrhotic Management
02-25-2016
4019
Clostridium difficile Infection
06-29-2015
4767
Diverticulitis
09-30-2015
4045
Enteral Feeding Guidelines
04-10-2017
13207
Intra-abdominal Pressure Monitoring
03-23-2015
4113
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
20189
Percutaneous Endoscopic Gastrostomy
06-11-2020
4019
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
8922
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
6823
Small Bowel Obstruction
06-04-2014
3693
Stress Ulcer Prophylaxis
11-03-2017
6683

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
4431
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
8040
Disseminated Intravascular Coagulation
04-10-2017
3136
DVT Prophylaxis in Solid Organ Injury
12-05-2013
4707
Erythropoietin Use in the Critically Ill
02-06-2008
5428
Heparin Induced Thrombocytopenia
09-14-2019
5008
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
3610
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
37552
Non-Vitamin K Anticoagulation Reversal
08-12-2018
4832
Thromboelastography (TEG) in Trauma
12-04-2014
6350
Ultrasound Guided Peripheral IV Insertion
05-27-2020
1582
Venous Thromboprophylaxis in Obesity
02-25-2016
14481
Warfarin Dosing
09-01-2009
4051
Warfarin Reversal
11-30-2017
5476

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3329
Antibiotic Prophylaxis in Surgery
11-30-2013
12668
Candida Infections in Surgical Patients
04-10-2017
5222
Continuous Antibiotic Infusions
05-16-2007
3044
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6189
Facial Fracture Antibiotics
04-29-2020
5216
Presumptive Chest Tube Antibiotics
03-07-2013
3467

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9083
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25197
Blunt Cerebrovascular Injury
09-30-2015
4525
Brain Death Determination / Apnea Test Procedure
09-10-2019
7895
Cervical Spine Clearance
12-13-2017
4244
Delirium Management in the ICU
08-12-2018
8062
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
6901
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7255
Pain Management in Surgery
09-30-2015
4019
Sedation and Agitation Management in the ICU
10-25-2009
4255
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
33768
Severe Traumatic Brain Injury Management
09-11-2019
11471
Syncope Evaluation in the Trauma Patient
09-29-2016
3285
Therapeutic Hypothermia
09-01-2020
4305

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
3653
Chest Tube Management
09-29-2016
5274
Diaphragm Pacing
07-18-2019
2377
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4125
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3121
Independent Lung Ventilation
12-04-2014
2943
Multi-modality Rib Fracture Management
03-05-2020
7655
Peri-Procedural Tracheostomy Complications
01-04-2013
2828
Post-Extubation Stridor
08-01-2017
6159
Post-Tracheostomy Hemorrhage
07-30-2015
4648
Rescue Ventilation
08-22-2018
3867
Retained Hemothorax
04-28-2016
9276
Surgical Fixation of Rib Fractures
09-04-2020
10585
Timing of Tracheostomy
04-29-2020
6982
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
4893
Ventilator-Associated Pneumonia
02-25-2016
3830

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
4138
Burn Resuscitation
11-26-2019
8634
Ketamine for Analgesia
12-27-2019
5862
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
7956
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
3558
Snakebite/crotalid Antivenoms
09-28-2018
4432

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4248
Central Venous Catheterization
12-04-2009
7257
Fever Assessment
06-27-2019
8471
Gabapentin in Post-operative Pain Management
09-29-2016
5823
Ketamine for Analgesia
12-13-2017
8191
Laparoscopy in Trauma
02-25-2016
3359
Mangled Extremity
04-28-2016
5313
Muscle Relaxants in Multimodal Pain Management
01-26-2017
6310
Necrotizing Soft Tissues Infections
09-28-2018
5595
Negative Pressure Wound Therapy
02-06-2014
2857
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
8693