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
14788
Axillary Artery and Vein Cannulation
07-30-2015
17866
Blunt Cardiac Trauma
09-29-2016
9742
Free Flap Management
02-21-2020
12778
Hypertension Management
11-26-2015
15942
Noninvasive Hemodynamic Monitoring
09-29-2016
9088
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7658
Vasopressors and Inotropes in Shock
09-12-2019
41771

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8864
Hyperglycemia Control in the Critically Ill
12-07-2011
12018
Thyroid Management in the ICU
06-18-2019
9077

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26657
Fluid Resuscitation
11-03-2017
16698
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
11974
Rhabdomyolysis: Prevention and Treatment
08-12-2018
14961

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10650
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15132
Blunt Splenic Injury
09-30-2015
9418
Cirrhotic Management
02-25-2016
8367
Clostridium difficile Infection
06-29-2015
8780
Diverticulitis
09-30-2015
8261
Enteral Feeding Guidelines
04-10-2017
18811
Intra-abdominal Pressure Monitoring
03-23-2015
8106
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24574
Percutaneous Endoscopic Gastrostomy
06-11-2020
8017
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12864
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11660
Small Bowel Obstruction
06-04-2014
7637
Stress Ulcer Prophylaxis
11-03-2017
11520

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8466
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12372
Disseminated Intravascular Coagulation
04-10-2017
6984
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8675
Erythropoietin Use in the Critically Ill
02-06-2008
9375
Heparin Induced Thrombocytopenia
09-14-2019
8983
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7611
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44112
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8587
Thromboelastography (TEG) in Trauma
12-04-2014
10426
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5616
Venous Thromboprophylaxis in Obesity
02-25-2016
18735
Warfarin Dosing
09-01-2009
7840
Warfarin Reversal
11-30-2017
9284

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7444
Antibiotic Prophylaxis in Surgery
11-30-2013
16983
Candida Infections in Surgical Patients
04-10-2017
8827
Continuous Antibiotic Infusions
05-16-2007
6885
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10028
Facial Fracture Antibiotics
04-29-2020
11196
Presumptive Chest Tube Antibiotics
03-07-2013
7231

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13008
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29610
Blunt Cerebrovascular Injury
09-30-2015
8298
Brain Death Determination / Apnea Test Procedure
09-10-2019
17752
Cervical Spine Clearance
12-13-2017
7961
Delirium Management in the ICU
08-12-2018
16024
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17397
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
10986
Pain Management in Surgery
09-30-2015
7868
Sedation and Agitation Management in the ICU
10-25-2009
8142
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37874
Severe Traumatic Brain Injury Management
09-11-2019
15986
Syncope Evaluation in the Trauma Patient
09-29-2016
7156
Therapeutic Hypothermia
09-01-2020
8471

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
7804
Chest Tube Management
09-29-2016
9710
Diaphragm Pacing
07-18-2019
6701
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9359
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6900
Independent Lung Ventilation
12-04-2014
6734
Multi-modality Rib Fracture Management
03-05-2020
14365
Peri-Procedural Tracheostomy Complications
01-04-2013
6595
Post-Extubation Stridor
08-01-2017
10151
Post-Tracheostomy Hemorrhage
07-30-2015
9057
Rescue Ventilation
08-22-2018
8355
Retained Hemothorax
04-28-2016
14337
Surgical Fixation of Rib Fractures
09-04-2020
14737
Timing of Tracheostomy
04-29-2020
12549
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
9961
Ventilator-Associated Pneumonia
02-25-2016
7791

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12537
Burn Resuscitation
11-26-2019
14102
Ketamine for Analgesia
12-27-2019
14342
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15201
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10642
Snakebite/crotalid Antivenoms
09-28-2018
8217

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8296
Central Venous Catheterization
12-04-2009
11515
Fever Assessment
06-27-2019
15153
Gabapentin in Post-operative Pain Management
09-29-2016
9920
Ketamine for Analgesia
12-13-2017
13671
Laparoscopy in Trauma
02-25-2016
7251
Mangled Extremity
04-28-2016
9448
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14352
Necrotizing Soft Tissues Infections
09-28-2018
9495
Negative Pressure Wound Therapy
02-06-2014
6731
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12779