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
14832
Axillary Artery and Vein Cannulation
07-30-2015
17921
Blunt Cardiac Trauma
09-29-2016
9813
Free Flap Management
02-21-2020
12887
Hypertension Management
11-26-2015
15997
Noninvasive Hemodynamic Monitoring
09-29-2016
9145
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7715
Vasopressors and Inotropes in Shock
09-12-2019
41856

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8908
Hyperglycemia Control in the Critically Ill
12-07-2011
12076
Thyroid Management in the ICU
06-18-2019
9149

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26719
Fluid Resuscitation
11-03-2017
16746
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12023
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15025

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10710
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15211
Blunt Splenic Injury
09-30-2015
9475
Cirrhotic Management
02-25-2016
8423
Clostridium difficile Infection
06-29-2015
8831
Diverticulitis
09-30-2015
8325
Enteral Feeding Guidelines
04-10-2017
18862
Intra-abdominal Pressure Monitoring
03-23-2015
8166
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24625
Percutaneous Endoscopic Gastrostomy
06-11-2020
8067
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12912
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11720
Small Bowel Obstruction
06-04-2014
7689
Stress Ulcer Prophylaxis
11-03-2017
11569

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8511
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12418
Disseminated Intravascular Coagulation
04-10-2017
7028
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8725
Erythropoietin Use in the Critically Ill
02-06-2008
9427
Heparin Induced Thrombocytopenia
09-14-2019
9028
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7675
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44182
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8639
Thromboelastography (TEG) in Trauma
12-04-2014
10489
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5673
Venous Thromboprophylaxis in Obesity
02-25-2016
18786
Warfarin Dosing
09-01-2009
7904
Warfarin Reversal
11-30-2017
9338

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7492
Antibiotic Prophylaxis in Surgery
11-30-2013
17044
Candida Infections in Surgical Patients
04-10-2017
8877
Continuous Antibiotic Infusions
05-16-2007
6937
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10086
Facial Fracture Antibiotics
04-29-2020
11267
Presumptive Chest Tube Antibiotics
03-07-2013
7279

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13059
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29668
Blunt Cerebrovascular Injury
09-30-2015
8347
Brain Death Determination / Apnea Test Procedure
09-10-2019
17892
Cervical Spine Clearance
12-13-2017
8014
Delirium Management in the ICU
08-12-2018
16079
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17462
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11038
Pain Management in Surgery
09-30-2015
7918
Sedation and Agitation Management in the ICU
10-25-2009
8189
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37927
Severe Traumatic Brain Injury Management
09-11-2019
16036
Syncope Evaluation in the Trauma Patient
09-29-2016
7224
Therapeutic Hypothermia
09-01-2020
8543

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
7936
Chest Tube Management
09-29-2016
9772
Diaphragm Pacing
07-18-2019
6774
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9429
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6972
Independent Lung Ventilation
12-04-2014
6801
Multi-modality Rib Fracture Management
03-05-2020
14465
Peri-Procedural Tracheostomy Complications
01-04-2013
6662
Post-Extubation Stridor
08-01-2017
10221
Post-Tracheostomy Hemorrhage
07-30-2015
9125
Rescue Ventilation
08-22-2018
8430
Retained Hemothorax
04-28-2016
14429
Surgical Fixation of Rib Fractures
09-04-2020
14807
Timing of Tracheostomy
04-29-2020
12675
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10043
Ventilator-Associated Pneumonia
02-25-2016
7867

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12642
Burn Resuscitation
11-26-2019
14180
Ketamine for Analgesia
12-27-2019
14437
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15295
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10704
Snakebite/crotalid Antivenoms
09-28-2018
8280

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8364
Central Venous Catheterization
12-04-2009
11581
Fever Assessment
06-27-2019
15305
Gabapentin in Post-operative Pain Management
09-29-2016
9988
Ketamine for Analgesia
12-13-2017
13796
Laparoscopy in Trauma
02-25-2016
7314
Mangled Extremity
04-28-2016
9520
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14416
Necrotizing Soft Tissues Infections
09-28-2018
9564
Negative Pressure Wound Therapy
02-06-2014
6800
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12847