SCCM is updating its SCCM Connect Community. Access to SCCM Connect may be limited until April 23.

Category: Guidelines

Category Search

visual bubble
visual bubble
visual bubble
visual bubble

Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome

An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline, this document provides evidence-based clinical practice guidelines on the use of mechanical ventilation in adult patients with acute respiratory distress syndrome (ARDS). Am J Respir Crit Care Med. 2017 May 1;195(9):1253-1263

Surviving Sepsis Campaign Guidelines and Translations

The fourth edition of "Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016​" are intended to provide guidance for the clinician caring for adult patients with sepsis or septic shock. 

Defining Futile and Potentially Inappropriate Interventions

The Society of Critical Care Medicine and four other major critical care organizations have endorsed a seven-step process to resolve disagreements about potentially inappropriate treatments. The multiorganization statement (entitled: An official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units) provides examples of potentially inappropriate treatments; however, no clear definition is provided. 

ICU Admission, Discharge, and Triage Guidelines

ICU Admission, Discharge, and Triage Guidelines: A Framework to Enhance Clinical Operations, Development of Institutional Policies, and Further Research aims to update the SCCM Guidelines for ICU ADT and to provide a framework for the development of institutional policies, further research, and discussion for future refinement of these recommendations

Changes in Commercially Available Parenteral Multivitamin and Multi-Trace Element Products

The parenteral multivitamin preparations that are commercially available in the United States (U.S.) meet the requirements for most patients who receive parenteral nutrition (PN). However, a separate parenteral vitamin D preparation (cholecalciferol or ergocalciferol) should be made available for treatment of patients with vitamin D deficiency unresponsive to oral vitamin D supplementation. 

Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients: Part II

Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part II: Cardiac Ultrasonography aims to establish evidence-based guidelines for the use of bedside cardiac ultrasound, echocardiography, in the ICU and equivalent care sites.

Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient

Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient, from A.S.P.E.N. and the Society of Critical Care Medicine, are based on general conclusions of health professionals who, in developing such guidelines, have balanced potential benefits to be derived from a particular mode of medical therapy against certain risks inherent with such therapy. 

Prophylaxis of Venous Thrombosis in Neurocritical Care Patients

The risk of death from venous thromboembolism (VTE) is high in intensive care unit patients with neurological diagnoses. In response to this need for guidance, the Neurocritical Care Society set out to develop and evidence-based guideline using GRADE to safely reduce VTE and its associated complications.

Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part I

Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part I: General Ultrasonography aims to establish evidence-based guidelines for the use of bedside ultrasound by intensivists and specialists in the ICU and equivalent care sites for diagnostic and therapeutic purposes for organs of the chest, abdomen, pelvis, neck, and extremities.

Critical Care Delivery: The Importance of Process and ICU Structure to Improved Outcomes

Summary of the findings of the American College of Critical Care Medicine Task Force on Models of Critical Care: 1) An intensivist-led, high-performing, multidisciplinary team dedicated to the ICU is an integral part of effective care delivery; 2) Process improvement is the backbone of achieving high-quality ICU outcomes; 3) Standardized protocols including care bundles and order sets to facilitate measurable processes and outcomes should be used and further developed in the ICU setting; and 4) Institutional support for comprehensive quality improvement programs as well as tele-ICU programs should be provided.

Management of the Potential Organ Donor in the ICU

This document was developed through the collaborative efforts of the Society of Critical Care Medicine, the American College of Chest Physicians, and the Association of Organ Procurement Organizations.
 The goal of this consensus statement is to provide critical care practitioners with essential information and practical recommendations related to management of the potential organ donor, based on the available literature and expert consensus. 

Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units

This multisociety statement provides recommendations to prevent and manage intractable disagreements about the use of such treatments in intensive care units.

Guidelines for TeleICU Operations

The purpose of the Guidelines for TeleICU Operations is to assist practitioners in pursuing a sound course of action to provide effective and safe medical care that is founded on current information, available resources, and patient needs. The guidelines recognize that safe and effective practices require specific training, skills, and techniques, as described in each document. The resulting products are properties of the ATA and any reproduction or modification of the published guideline must receive prior approval by the ATA.

Insulin Infusion for the Management of Hyperglycemia

Guidelines for the use of an insulin infusion for the management of hyperglycemia in critically ill patients aims to evaluate the literature and identify important aspects of insulin therapy that facilitate safe and effective infusion therapy for a defined glycemic end point. 

Guideline for Reversal of Antithrombotics in Intracranial Hemorrhage

A Statement for Healthcare Professionals from the Neurocritical Care Society and Society of Critical Care Medicine​. 

PANDEM Guidelines for Infants and Children  

Ped Crit Care Med 2022 Feb;23(2):e74-e110

Safe Medication Use in the ICU

Clinical Practice Guideline: Safe Medication Use in the ICU  provides ICU clinicians with evidence-based guidance on safe medication use practices for the critically ill. Crit Care Med 2017; 45(9):e877-e915

Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement

Natural disasters, industrial accidents , terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. This supplement provides suggestions for all of those involved in a disaster or pandemic with multiple critically ill patients, including front-line clinicians, hospital administrators, professional societies, and public health or government officials.

Ethical and Policy Considerations in Organ Donation after Circulatory Determination of Death

An Official American Thoracic Society/International Society for Heart and Lung Transplantation/Society of Critical Care Medicine/Association of Organ and Procurement Organizations/United Network of Organ Sharing Statement. This statement is designed to provide a framework to guide ethics and health policy considerations in adult and pediatric controlled donation after circulatory determination of death (DCDD) from the perspective of critical care medicine and the transplant subspecialties. 

Surviving Sepsis Campaign Guidelines 2021

Critical Care Medicine: October 4, 2021