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
10448
Axillary Artery and Vein Cannulation
07-30-2015
12703
Blunt Cardiac Trauma
09-29-2016
5580
Free Flap Management
02-21-2020
7295
Hypertension Management
11-26-2015
11662
Noninvasive Hemodynamic Monitoring
09-29-2016
5232
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
3825
Vasopressors and Inotropes in Shock
09-12-2019
36799

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
5032
Hyperglycemia Control in the Critically Ill
12-07-2011
7792
Thyroid Management in the ICU
06-18-2019
3792

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
20446
Fluid Resuscitation
11-03-2017
11828
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
7651
Rhabdomyolysis: Prevention and Treatment
08-12-2018
10779

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6515
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
10244
Blunt Splenic Injury
09-30-2015
5554
Cirrhotic Management
02-25-2016
4301
Clostridium difficile Infection
06-29-2015
5054
Diverticulitis
09-30-2015
4593
Enteral Feeding Guidelines
04-10-2017
14040
Intra-abdominal Pressure Monitoring
03-23-2015
4329
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
20478
Percutaneous Endoscopic Gastrostomy
06-11-2020
4263
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
9244
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
7330
Small Bowel Obstruction
06-04-2014
3902
Stress Ulcer Prophylaxis
11-03-2017
7168

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
4656
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
8316
Disseminated Intravascular Coagulation
04-10-2017
3330
DVT Prophylaxis in Solid Organ Injury
12-05-2013
4921
Erythropoietin Use in the Critically Ill
02-06-2008
5664
Heparin Induced Thrombocytopenia
09-14-2019
5301
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
3871
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
38683
Non-Vitamin K Anticoagulation Reversal
08-12-2018
5043
Thromboelastography (TEG) in Trauma
12-04-2014
6619
Ultrasound Guided Peripheral IV Insertion
05-27-2020
1805
Venous Thromboprophylaxis in Obesity
02-25-2016
14808
Warfarin Dosing
09-01-2009
4256
Warfarin Reversal
11-30-2017
5700

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3559
Antibiotic Prophylaxis in Surgery
11-30-2013
12945
Candida Infections in Surgical Patients
04-10-2017
5412
Continuous Antibiotic Infusions
05-16-2007
3241
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6401
Facial Fracture Antibiotics
04-29-2020
5880
Presumptive Chest Tube Antibiotics
03-07-2013
3679

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9330
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25425
Blunt Cerebrovascular Injury
09-30-2015
4748
Brain Death Determination / Apnea Test Procedure
09-10-2019
11609
Cervical Spine Clearance
12-13-2017
4445
Delirium Management in the ICU
08-12-2018
8385
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
8387
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7456
Pain Management in Surgery
09-30-2015
4234
Sedation and Agitation Management in the ICU
10-25-2009
4510
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
34034
Severe Traumatic Brain Injury Management
09-11-2019
11828
Syncope Evaluation in the Trauma Patient
09-29-2016
3482
Therapeutic Hypothermia
09-01-2020
4621

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
3896
Chest Tube Management
09-29-2016
5565
Diaphragm Pacing
07-18-2019
2646
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4431
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3288
Independent Lung Ventilation
12-04-2014
3130
Multi-modality Rib Fracture Management
03-05-2020
8590
Peri-Procedural Tracheostomy Complications
01-04-2013
3008
Post-Extubation Stridor
08-01-2017
6350
Post-Tracheostomy Hemorrhage
07-30-2015
4990
Rescue Ventilation
08-22-2018
4169
Retained Hemothorax
04-28-2016
9615
Surgical Fixation of Rib Fractures
09-04-2020
10789
Timing of Tracheostomy
04-29-2020
7426
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
5301
Ventilator-Associated Pneumonia
02-25-2016
4021

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
5240
Burn Resuscitation
11-26-2019
9399
Ketamine for Analgesia
12-27-2019
6170
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
8284
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
7105
Snakebite/crotalid Antivenoms
09-28-2018
4625

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4439
Central Venous Catheterization
12-04-2009
7517
Fever Assessment
06-27-2019
9087
Gabapentin in Post-operative Pain Management
09-29-2016
6069
Ketamine for Analgesia
12-13-2017
8394
Laparoscopy in Trauma
02-25-2016
3553
Mangled Extremity
04-28-2016
5496
Muscle Relaxants in Multimodal Pain Management
01-26-2017
10118
Necrotizing Soft Tissues Infections
09-28-2018
5792
Negative Pressure Wound Therapy
02-06-2014
3028
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
9008