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
10149
Axillary Artery and Vein Cannulation
07-30-2015
12477
Blunt Cardiac Trauma
09-29-2016
5490
Free Flap Management
02-21-2020
7101
Hypertension Management
11-26-2015
11492
Noninvasive Hemodynamic Monitoring
09-29-2016
5148
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
3733
Vasopressors and Inotropes in Shock
09-12-2019
36653

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
4930
Hyperglycemia Control in the Critically Ill
12-07-2011
7657
Thyroid Management in the ICU
06-18-2019
3665

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
20243
Fluid Resuscitation
11-03-2017
11704
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
7556
Rhabdomyolysis: Prevention and Treatment
08-12-2018
10661

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6389
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
9925
Blunt Splenic Injury
09-30-2015
5459
Cirrhotic Management
02-25-2016
4178
Clostridium difficile Infection
06-29-2015
4952
Diverticulitis
09-30-2015
4190
Enteral Feeding Guidelines
04-10-2017
13911
Intra-abdominal Pressure Monitoring
03-23-2015
4239
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
20363
Percutaneous Endoscopic Gastrostomy
06-11-2020
4170
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
9159
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
7154
Small Bowel Obstruction
06-04-2014
3812
Stress Ulcer Prophylaxis
11-03-2017
6988

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
4561
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
8221
Disseminated Intravascular Coagulation
04-10-2017
3255
DVT Prophylaxis in Solid Organ Injury
12-05-2013
4836
Erythropoietin Use in the Critically Ill
02-06-2008
5564
Heparin Induced Thrombocytopenia
09-14-2019
5193
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
3769
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
38279
Non-Vitamin K Anticoagulation Reversal
08-12-2018
4955
Thromboelastography (TEG) in Trauma
12-04-2014
6510
Ultrasound Guided Peripheral IV Insertion
05-27-2020
1717
Venous Thromboprophylaxis in Obesity
02-25-2016
14694
Warfarin Dosing
09-01-2009
4170
Warfarin Reversal
11-30-2017
5609

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3462
Antibiotic Prophylaxis in Surgery
11-30-2013
12836
Candida Infections in Surgical Patients
04-10-2017
5326
Continuous Antibiotic Infusions
05-16-2007
3157
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6312
Facial Fracture Antibiotics
04-29-2020
5689
Presumptive Chest Tube Antibiotics
03-07-2013
3584

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9222
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25334
Blunt Cerebrovascular Injury
09-30-2015
4658
Brain Death Determination / Apnea Test Procedure
09-10-2019
8113
Cervical Spine Clearance
12-13-2017
4357
Delirium Management in the ICU
08-12-2018
8284
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
7926
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7367
Pain Management in Surgery
09-30-2015
4145
Sedation and Agitation Management in the ICU
10-25-2009
4405
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
33927
Severe Traumatic Brain Injury Management
09-11-2019
11708
Syncope Evaluation in the Trauma Patient
09-29-2016
3402
Therapeutic Hypothermia
09-01-2020
4516

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
3802
Chest Tube Management
09-29-2016
5425
Diaphragm Pacing
07-18-2019
2549
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4310
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3214
Independent Lung Ventilation
12-04-2014
3051
Multi-modality Rib Fracture Management
03-05-2020
8310
Peri-Procedural Tracheostomy Complications
01-04-2013
2933
Post-Extubation Stridor
08-01-2017
6269
Post-Tracheostomy Hemorrhage
07-30-2015
4868
Rescue Ventilation
08-22-2018
4038
Retained Hemothorax
04-28-2016
9455
Surgical Fixation of Rib Fractures
09-04-2020
10700
Timing of Tracheostomy
04-29-2020
7277
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
5151
Ventilator-Associated Pneumonia
02-25-2016
3934

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
4841
Burn Resuscitation
11-26-2019
9173
Ketamine for Analgesia
12-27-2019
6045
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
8100
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
3671
Snakebite/crotalid Antivenoms
09-28-2018
4540

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4360
Central Venous Catheterization
12-04-2009
7423
Fever Assessment
06-27-2019
8923
Gabapentin in Post-operative Pain Management
09-29-2016
5937
Ketamine for Analgesia
12-13-2017
8312
Laparoscopy in Trauma
02-25-2016
3462
Mangled Extremity
04-28-2016
5415
Muscle Relaxants in Multimodal Pain Management
01-26-2017
6601
Necrotizing Soft Tissues Infections
09-28-2018
5705
Negative Pressure Wound Therapy
02-06-2014
2954
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
8900