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
14740
Axillary Artery and Vein Cannulation
07-30-2015
17809
Blunt Cardiac Trauma
09-29-2016
9689
Free Flap Management
02-21-2020
12713
Hypertension Management
11-26-2015
15891
Noninvasive Hemodynamic Monitoring
09-29-2016
9042
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7611
Vasopressors and Inotropes in Shock
09-12-2019
41691

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
8808
Hyperglycemia Control in the Critically Ill
12-07-2011
11966
Thyroid Management in the ICU
06-18-2019
9007

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26554
Fluid Resuscitation
11-03-2017
16648
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
11923
Rhabdomyolysis: Prevention and Treatment
08-12-2018
14914

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10595
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15055
Blunt Splenic Injury
09-30-2015
9369
Cirrhotic Management
02-25-2016
8314
Clostridium difficile Infection
06-29-2015
8730
Diverticulitis
09-30-2015
8201
Enteral Feeding Guidelines
04-10-2017
18758
Intra-abdominal Pressure Monitoring
03-23-2015
8054
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24528
Percutaneous Endoscopic Gastrostomy
06-11-2020
7976
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
12815
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11597
Small Bowel Obstruction
06-04-2014
7584
Stress Ulcer Prophylaxis
11-03-2017
11465

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8419
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12329
Disseminated Intravascular Coagulation
04-10-2017
6942
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8628
Erythropoietin Use in the Critically Ill
02-06-2008
9319
Heparin Induced Thrombocytopenia
09-14-2019
8931
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7541
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44050
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8544
Thromboelastography (TEG) in Trauma
12-04-2014
10374
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5571
Venous Thromboprophylaxis in Obesity
02-25-2016
18686
Warfarin Dosing
09-01-2009
7789
Warfarin Reversal
11-30-2017
9239

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7388
Antibiotic Prophylaxis in Surgery
11-30-2013
16937
Candida Infections in Surgical Patients
04-10-2017
8778
Continuous Antibiotic Infusions
05-16-2007
6830
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
9982
Facial Fracture Antibiotics
04-29-2020
11132
Presumptive Chest Tube Antibiotics
03-07-2013
7184

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
12961
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29536
Blunt Cerebrovascular Injury
09-30-2015
8253
Brain Death Determination / Apnea Test Procedure
09-10-2019
17645
Cervical Spine Clearance
12-13-2017
7907
Delirium Management in the ICU
08-12-2018
15981
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17344
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
10931
Pain Management in Surgery
09-30-2015
7823
Sedation and Agitation Management in the ICU
10-25-2009
8102
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
37825
Severe Traumatic Brain Injury Management
09-11-2019
15932
Syncope Evaluation in the Trauma Patient
09-29-2016
7106
Therapeutic Hypothermia
09-01-2020
8414

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
7726
Chest Tube Management
09-29-2016
9659
Diaphragm Pacing
07-18-2019
6651
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9306
High frequency oscillatory ventilation in the surgical patient
03-04-2009
6851
Independent Lung Ventilation
12-04-2014
6684
Multi-modality Rib Fracture Management
03-05-2020
14257
Peri-Procedural Tracheostomy Complications
01-04-2013
6545
Post-Extubation Stridor
08-01-2017
10097
Post-Tracheostomy Hemorrhage
07-30-2015
9002
Rescue Ventilation
08-22-2018
8298
Retained Hemothorax
04-28-2016
14246
Surgical Fixation of Rib Fractures
09-04-2020
14685
Timing of Tracheostomy
04-29-2020
12482
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
9903
Ventilator-Associated Pneumonia
02-25-2016
7741

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12416
Burn Resuscitation
11-26-2019
14038
Ketamine for Analgesia
12-27-2019
14285
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15063
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10598
Snakebite/crotalid Antivenoms
09-28-2018
8164

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8243
Central Venous Catheterization
12-04-2009
11457
Fever Assessment
06-27-2019
15044
Gabapentin in Post-operative Pain Management
09-29-2016
9864
Ketamine for Analgesia
12-13-2017
13590
Laparoscopy in Trauma
02-25-2016
7198
Mangled Extremity
04-28-2016
9390
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14299
Necrotizing Soft Tissues Infections
09-28-2018
9445
Negative Pressure Wound Therapy
02-06-2014
6685
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12732