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
10169
Axillary Artery and Vein Cannulation
07-30-2015
12519
Blunt Cardiac Trauma
09-29-2016
5502
Free Flap Management
02-21-2020
7123
Hypertension Management
11-26-2015
11516
Noninvasive Hemodynamic Monitoring
09-29-2016
5160
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
3747
Vasopressors and Inotropes in Shock
09-12-2019
36686

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
4946
Hyperglycemia Control in the Critically Ill
12-07-2011
7672
Thyroid Management in the ICU
06-18-2019
3680

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
20265
Fluid Resuscitation
11-03-2017
11723
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
7572
Rhabdomyolysis: Prevention and Treatment
08-12-2018
10680

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6409
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
9960
Blunt Splenic Injury
09-30-2015
5476
Cirrhotic Management
02-25-2016
4201
Clostridium difficile Infection
06-29-2015
4967
Diverticulitis
09-30-2015
4202
Enteral Feeding Guidelines
04-10-2017
13932
Intra-abdominal Pressure Monitoring
03-23-2015
4255
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
20376
Percutaneous Endoscopic Gastrostomy
06-11-2020
4186
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
9171
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
7178
Small Bowel Obstruction
06-04-2014
3829
Stress Ulcer Prophylaxis
11-03-2017
7014

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
4577
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
8237
Disseminated Intravascular Coagulation
04-10-2017
3263
DVT Prophylaxis in Solid Organ Injury
12-05-2013
4848
Erythropoietin Use in the Critically Ill
02-06-2008
5575
Heparin Induced Thrombocytopenia
09-14-2019
5211
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
3786
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
38330
Non-Vitamin K Anticoagulation Reversal
08-12-2018
4968
Thromboelastography (TEG) in Trauma
12-04-2014
6527
Ultrasound Guided Peripheral IV Insertion
05-27-2020
1730
Venous Thromboprophylaxis in Obesity
02-25-2016
14711
Warfarin Dosing
09-01-2009
4181
Warfarin Reversal
11-30-2017
5620

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3476
Antibiotic Prophylaxis in Surgery
11-30-2013
12854
Candida Infections in Surgical Patients
04-10-2017
5338
Continuous Antibiotic Infusions
05-16-2007
3170
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6324
Facial Fracture Antibiotics
04-29-2020
5706
Presumptive Chest Tube Antibiotics
03-07-2013
3596

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9237
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25347
Blunt Cerebrovascular Injury
09-30-2015
4671
Brain Death Determination / Apnea Test Procedure
09-10-2019
8140
Cervical Spine Clearance
12-13-2017
4369
Delirium Management in the ICU
08-12-2018
8299
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
7988
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7380
Pain Management in Surgery
09-30-2015
4156
Sedation and Agitation Management in the ICU
10-25-2009
4422
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
33942
Severe Traumatic Brain Injury Management
09-11-2019
11727
Syncope Evaluation in the Trauma Patient
09-29-2016
3412
Therapeutic Hypothermia
09-01-2020
4531

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
3817
Chest Tube Management
09-29-2016
5443
Diaphragm Pacing
07-18-2019
2567
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4323
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3225
Independent Lung Ventilation
12-04-2014
3063
Multi-modality Rib Fracture Management
03-05-2020
8343
Peri-Procedural Tracheostomy Complications
01-04-2013
2942
Post-Extubation Stridor
08-01-2017
6283
Post-Tracheostomy Hemorrhage
07-30-2015
4879
Rescue Ventilation
08-22-2018
4052
Retained Hemothorax
04-28-2016
9484
Surgical Fixation of Rib Fractures
09-04-2020
10714
Timing of Tracheostomy
04-29-2020
7291
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
5175
Ventilator-Associated Pneumonia
02-25-2016
3946

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
4888
Burn Resuscitation
11-26-2019
9199
Ketamine for Analgesia
12-27-2019
6061
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
8144
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
3682
Snakebite/crotalid Antivenoms
09-28-2018
4550

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4372
Central Venous Catheterization
12-04-2009
7435
Fever Assessment
06-27-2019
8943
Gabapentin in Post-operative Pain Management
09-29-2016
5953
Ketamine for Analgesia
12-13-2017
8323
Laparoscopy in Trauma
02-25-2016
3476
Mangled Extremity
04-28-2016
5428
Muscle Relaxants in Multimodal Pain Management
01-26-2017
6626
Necrotizing Soft Tissues Infections
09-28-2018
5719
Negative Pressure Wound Therapy
02-06-2014
2967
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
8912