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
9835
Axillary Artery and Vein Cannulation
07-30-2015
11765
Blunt Cardiac Trauma
09-29-2016
5253
Free Flap Management
02-21-2020
6555
Hypertension Management
11-26-2015
11032
Noninvasive Hemodynamic Monitoring
09-29-2016
4954
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
3545
Vasopressors and Inotropes in Shock
09-12-2019
36309

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
4741
Hyperglycemia Control in the Critically Ill
12-07-2011
7291
Thyroid Management in the ICU
06-18-2019
3326

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
19694
Fluid Resuscitation
11-03-2017
11452
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
6944
Rhabdomyolysis: Prevention and Treatment
08-12-2018
10408

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6101
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
9130
Blunt Splenic Injury
09-30-2015
5243
Cirrhotic Management
02-25-2016
3954
Clostridium difficile Infection
06-29-2015
4714
Diverticulitis
09-30-2015
3998
Enteral Feeding Guidelines
04-10-2017
12813
Intra-abdominal Pressure Monitoring
03-23-2015
4058
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
20122
Percutaneous Endoscopic Gastrostomy
06-11-2020
3962
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
8803
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
6695
Small Bowel Obstruction
06-04-2014
3642
Stress Ulcer Prophylaxis
11-03-2017
6557

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
4369
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
7958
Disseminated Intravascular Coagulation
04-10-2017
3090
DVT Prophylaxis in Solid Organ Injury
12-05-2013
4646
Erythropoietin Use in the Critically Ill
02-06-2008
5375
Heparin Induced Thrombocytopenia
09-14-2019
4892
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
3558
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
37088
Non-Vitamin K Anticoagulation Reversal
08-12-2018
4773
Thromboelastography (TEG) in Trauma
12-04-2014
6284
Ultrasound Guided Peripheral IV Insertion
05-27-2020
1522
Venous Thromboprophylaxis in Obesity
02-25-2016
14385
Warfarin Dosing
09-01-2009
4003
Warfarin Reversal
11-30-2017
5422

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3283
Antibiotic Prophylaxis in Surgery
11-30-2013
12607
Candida Infections in Surgical Patients
04-10-2017
5176
Continuous Antibiotic Infusions
05-16-2007
3001
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6130
Facial Fracture Antibiotics
04-29-2020
5013
Presumptive Chest Tube Antibiotics
03-07-2013
3426

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9023
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25149
Blunt Cerebrovascular Injury
09-30-2015
4474
Brain Death Determination / Apnea Test Procedure
09-10-2019
7761
Cervical Spine Clearance
12-13-2017
4196
Delirium Management in the ICU
08-12-2018
8012
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
6528
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7214
Pain Management in Surgery
09-30-2015
3970
Sedation and Agitation Management in the ICU
10-25-2009
4195
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
33713
Severe Traumatic Brain Injury Management
09-11-2019
11369
Syncope Evaluation in the Trauma Patient
09-29-2016
3242
Therapeutic Hypothermia
09-01-2020
4218

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
3606
Chest Tube Management
09-29-2016
5216
Diaphragm Pacing
07-18-2019
2286
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4054
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3088
Independent Lung Ventilation
12-04-2014
2909
Multi-modality Rib Fracture Management
03-05-2020
7189
Peri-Procedural Tracheostomy Complications
01-04-2013
2792
Post-Extubation Stridor
08-01-2017
6117
Post-Tracheostomy Hemorrhage
07-30-2015
4554
Rescue Ventilation
08-22-2018
3778
Retained Hemothorax
04-28-2016
9227
Surgical Fixation of Rib Fractures
09-04-2020
10542
Timing of Tracheostomy
04-29-2020
6887
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
4767
Ventilator-Associated Pneumonia
02-25-2016
3785

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
3837
Burn Resuscitation
11-26-2019
8418
Ketamine for Analgesia
12-27-2019
5808
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
7900
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
3510
Snakebite/crotalid Antivenoms
09-28-2018
4378

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4207
Central Venous Catheterization
12-04-2009
7184
Fever Assessment
06-27-2019
8327
Gabapentin in Post-operative Pain Management
09-29-2016
5779
Ketamine for Analgesia
12-13-2017
8139
Laparoscopy in Trauma
02-25-2016
3315
Mangled Extremity
04-28-2016
5273
Muscle Relaxants in Multimodal Pain Management
01-26-2017
6163
Necrotizing Soft Tissues Infections
09-28-2018
5550
Negative Pressure Wound Therapy
02-06-2014
2827
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
8597