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
14884
Axillary Artery and Vein Cannulation
07-30-2015
17963
Blunt Cardiac Trauma
09-29-2016
9857
Free Flap Management
02-21-2020
12940
Hypertension Management
11-26-2015
16041
Noninvasive Hemodynamic Monitoring
09-29-2016
9194
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7754
Vasopressors and Inotropes in Shock
09-12-2019
41936

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8951
Hyperglycemia Control in the Critically Ill
12-07-2011
12117
Thyroid Management in the ICU
06-18-2019
9213

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26780
Fluid Resuscitation
11-03-2017
16783
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12069
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15067

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10753
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15302
Blunt Splenic Injury
09-30-2015
9513
Cirrhotic Management
02-25-2016
8457
Clostridium difficile Infection
06-29-2015
8871
Diverticulitis
09-30-2015
8363
Enteral Feeding Guidelines
04-10-2017
18900
Intra-abdominal Pressure Monitoring
03-23-2015
8207
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24668
Percutaneous Endoscopic Gastrostomy
06-11-2020
8100
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12953
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11755
Small Bowel Obstruction
06-04-2014
7731
Stress Ulcer Prophylaxis
11-03-2017
11612

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8545
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12458
Disseminated Intravascular Coagulation
04-10-2017
7070
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8766
Erythropoietin Use in the Critically Ill
02-06-2008
9465
Heparin Induced Thrombocytopenia
09-14-2019
9067
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7709
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44225
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8679
Thromboelastography (TEG) in Trauma
12-04-2014
10527
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5716
Venous Thromboprophylaxis in Obesity
02-25-2016
18828
Warfarin Dosing
09-01-2009
7941
Warfarin Reversal
11-30-2017
9374

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7529
Antibiotic Prophylaxis in Surgery
11-30-2013
17088
Candida Infections in Surgical Patients
04-10-2017
8912
Continuous Antibiotic Infusions
05-16-2007
6977
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10129
Facial Fracture Antibiotics
04-29-2020
11319
Presumptive Chest Tube Antibiotics
03-07-2013
7319

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13096
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29715
Blunt Cerebrovascular Injury
09-30-2015
8380
Brain Death Determination / Apnea Test Procedure
09-10-2019
18000
Cervical Spine Clearance
12-13-2017
8049
Delirium Management in the ICU
08-12-2018
16116
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17503
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11074
Pain Management in Surgery
09-30-2015
7957
Sedation and Agitation Management in the ICU
10-25-2009
8226
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37965
Severe Traumatic Brain Injury Management
09-11-2019
16087
Syncope Evaluation in the Trauma Patient
09-29-2016
7266
Therapeutic Hypothermia
09-01-2020
8585

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8007
Chest Tube Management
09-29-2016
9813
Diaphragm Pacing
07-18-2019
6822
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9476
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7018
Independent Lung Ventilation
12-04-2014
6839
Multi-modality Rib Fracture Management
03-05-2020
14509
Peri-Procedural Tracheostomy Complications
01-04-2013
6707
Post-Extubation Stridor
08-01-2017
10262
Post-Tracheostomy Hemorrhage
07-30-2015
9173
Rescue Ventilation
08-22-2018
8755
Retained Hemothorax
04-28-2016
14476
Surgical Fixation of Rib Fractures
09-04-2020
14856
Timing of Tracheostomy
04-29-2020
12740
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10093
Ventilator-Associated Pneumonia
02-25-2016
7916

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12699
Burn Resuscitation
11-26-2019
14228
Ketamine for Analgesia
12-27-2019
14493
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15350
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10754
Snakebite/crotalid Antivenoms
09-28-2018
8319

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8406
Central Venous Catheterization
12-04-2009
11625
Fever Assessment
06-27-2019
15379
Gabapentin in Post-operative Pain Management
09-29-2016
10036
Ketamine for Analgesia
12-13-2017
13869
Laparoscopy in Trauma
02-25-2016
7355
Mangled Extremity
04-28-2016
9562
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14462
Necrotizing Soft Tissues Infections
09-28-2018
9609
Negative Pressure Wound Therapy
02-06-2014
6844
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12893