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
10594
Axillary Artery and Vein Cannulation
07-30-2015
12906
Blunt Cardiac Trauma
09-29-2016
5703
Free Flap Management
02-21-2020
7528
Hypertension Management
11-26-2015
11846
Noninvasive Hemodynamic Monitoring
09-29-2016
5335
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
3922
Vasopressors and Inotropes in Shock
09-12-2019
36943

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
5133
Hyperglycemia Control in the Critically Ill
12-07-2011
7949
Thyroid Management in the ICU
06-18-2019
3948

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
20821
Fluid Resuscitation
11-03-2017
11936
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
7756
Rhabdomyolysis: Prevention and Treatment
08-12-2018
10916

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6644
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
10510
Blunt Splenic Injury
09-30-2015
5655
Cirrhotic Management
02-25-2016
4408
Clostridium difficile Infection
06-29-2015
5159
Diverticulitis
09-30-2015
4678
Enteral Feeding Guidelines
04-10-2017
14211
Intra-abdominal Pressure Monitoring
03-23-2015
4429
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
20733
Percutaneous Endoscopic Gastrostomy
06-11-2020
4361
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
9350
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
7544
Small Bowel Obstruction
06-04-2014
4003
Stress Ulcer Prophylaxis
11-03-2017
7348

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
4756
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
8416
Disseminated Intravascular Coagulation
04-10-2017
3428
DVT Prophylaxis in Solid Organ Injury
12-05-2013
5018
Erythropoietin Use in the Critically Ill
02-06-2008
5767
Heparin Induced Thrombocytopenia
09-14-2019
5405
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
3966
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
39001
Non-Vitamin K Anticoagulation Reversal
08-12-2018
5127
Thromboelastography (TEG) in Trauma
12-04-2014
6719
Ultrasound Guided Peripheral IV Insertion
05-27-2020
1944
Venous Thromboprophylaxis in Obesity
02-25-2016
14933
Warfarin Dosing
09-01-2009
4334
Warfarin Reversal
11-30-2017
5796

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3664
Antibiotic Prophylaxis in Surgery
11-30-2013
13057
Candida Infections in Surgical Patients
04-10-2017
5492
Continuous Antibiotic Infusions
05-16-2007
3320
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6492
Facial Fracture Antibiotics
04-29-2020
6085
Presumptive Chest Tube Antibiotics
03-07-2013
3759

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9417
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25513
Blunt Cerebrovascular Injury
09-30-2015
4844
Brain Death Determination / Apnea Test Procedure
09-10-2019
11764
Cervical Spine Clearance
12-13-2017
4532
Delirium Management in the ICU
08-12-2018
8504
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
8794
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7547
Pain Management in Surgery
09-30-2015
4318
Sedation and Agitation Management in the ICU
10-25-2009
4613
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
34136
Severe Traumatic Brain Injury Management
09-11-2019
11970
Syncope Evaluation in the Trauma Patient
09-29-2016
3567
Therapeutic Hypothermia
09-01-2020
4717

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
3978
Chest Tube Management
09-29-2016
5671
Diaphragm Pacing
07-18-2019
2757
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4559
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3374
Independent Lung Ventilation
12-04-2014
3215
Multi-modality Rib Fracture Management
03-05-2020
8837
Peri-Procedural Tracheostomy Complications
01-04-2013
3086
Post-Extubation Stridor
08-01-2017
6429
Post-Tracheostomy Hemorrhage
07-30-2015
5103
Rescue Ventilation
08-22-2018
4288
Retained Hemothorax
04-28-2016
9745
Surgical Fixation of Rib Fractures
09-04-2020
10874
Timing of Tracheostomy
04-29-2020
7537
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
5445
Ventilator-Associated Pneumonia
02-25-2016
4123

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
5571
Burn Resuscitation
11-26-2019
9597
Ketamine for Analgesia
12-27-2019
6282
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
8431
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
7184
Snakebite/crotalid Antivenoms
09-28-2018
4709

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4527
Central Venous Catheterization
12-04-2009
7627
Fever Assessment
06-27-2019
9274
Gabapentin in Post-operative Pain Management
09-29-2016
6169
Ketamine for Analgesia
12-13-2017
8526
Laparoscopy in Trauma
02-25-2016
3643
Mangled Extremity
04-28-2016
5603
Muscle Relaxants in Multimodal Pain Management
01-26-2017
10277
Necrotizing Soft Tissues Infections
09-28-2018
5873
Negative Pressure Wound Therapy
02-06-2014
3105
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
9111