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Array ( [id] => 1005 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1005.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => We recommend postponing elective surgery in patients who have altered mental status or impairment of decision- making capacity due to acute cannabis intoxication.( Level of certainty: Moderate，Grade A) [laiyuan] => 我们建议因急性大麻中毒导致精神状态改变或决策能力受损的患者推迟择期手术。( Level of certainty: Moderate，Grade A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
我们建议因急性大麻中毒导致精神状态改变或决策能力受损的患者推迟择期手术。( Level of certainty: Moderate，Grade A)

We recommend postponing elective surgery in patients who have altered mental status or impairment of decision- making capacity due to acute cannabis intoxication.( Level of certainty: Moderate，Grade A)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：ASRA,American Society of Regional Anesthesia and P

来源 ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids
原文链接
阅读
Array ( [id] => 1006 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1006.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => W e recommend delaying elective surgery for a minimum of 2 hours after cannabis smoking because of increased perioperative risk of acute MI . ( Level of certainty: Moderate，Grade C) [laiyuan] => 我们建议在吸食大麻后将择期手术推迟至少2小时，因为围手术期急性心肌梗死的风险增加。( Level of certainty: Moderate，Grade C) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在吸食大麻后将择期手术推迟至少2小时，因为围手术期急性心肌梗死的风险增加。( Level of certainty: Moderate，Grade C)

W e recommend delaying elective surgery for a minimum of 2 hours after cannabis smoking because of increased perioperative risk of acute MI . ( Level of certainty: Moderate，Grade C)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：ASRA,American Society of Regional Anesthesia and P

来源 ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids
原文链接
阅读
Array ( [id] => 1007 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1007.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => With other cannabinoids routes (non- smoking) of administration, consider weighing the risks and benefits before proceeding with elective surgery given the temporal associ-ation of cannabis usage and adverse cardiovascular effects. There is a lack of published data to recommend a specific duration. ( Level of certainty: Moderate，Grade I) [laiyuan] => 对于其他大麻类药物给药途径(非吸食)，考虑到大麻使用与心血管不良影响的暂时联系，在继续进行择期手术之前，应考虑权衡风险和益处。目前还缺乏公布的数据来建议具体的持续时间。( Level of certainty: Moderate，Grade I) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
对于其他大麻类药物给药途径(非吸食)，考虑到大麻使用与心血管不良影响的暂时联系，在继续进行择期手术之前，应考虑权衡风险和益处。目前还缺乏公布的数据来建议具体的持续时间。( Level of certainty: Moderate，Grade I)

With other cannabinoids routes (non- smoking) of administration, consider weighing the risks and benefits before proceeding with elective surgery given the temporal associ-ation of cannabis usage and adverse cardiovascular effects. There is a lack of published data to recommend a specific duration. ( Level of certainty: Moderate，Grade I)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：ASRA,American Society of Regional Anesthesia and P

来源 ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids
原文链接
阅读
Array ( [id] => 1008 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1008.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => W e recommend that the frequent cannabis user be counseled on the potentially negative effects on postoperative pain control. Low- dose, medically supervised use likely has a lower risk of negative effects. ( Level of certainty: Low，GradeA) [laiyuan] => 我们建议对频繁使用大麻的患者就其对术后疼痛控制的潜在负面影响进行咨询；在医学监督下的小剂量使用可能有较低的负面影响的风险。( Level of certainty: Low，GradeA) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
我们建议对频繁使用大麻的患者就其对术后疼痛控制的潜在负面影响进行咨询；在医学监督下的小剂量使用可能有较低的负面影响的风险。( Level of certainty: Low，GradeA)

W e recommend that the frequent cannabis user be counseled on the potentially negative effects on postoperative pain control. Low- dose, medically supervised use likely has a lower risk of negative effects. ( Level of certainty: Low，GradeA)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：ASRA,American Society of Regional Anesthesia and P

来源 ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids
原文链接
阅读
Array ( [id] => 1009 [catid] => 290 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1009.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => W e cannot recommend for or against the routine tapering of cannabis and cannabinoids in the perioperative period.(Level of certainty: Low，GradeI) [laiyuan] => 我们不建议或反对在围手术期常规减少大麻和大麻类药物。 (Level of certainty: Low，GradeI) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
我们不建议或反对在围手术期常规减少大麻和大麻类药物。 (Level of certainty: Low，GradeI)

W e cannot recommend for or against the routine tapering of cannabis and cannabinoids in the perioperative period.(Level of certainty: Low，GradeI)

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：ASRA,American Society of Regional Anesthesia and P

来源 ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids
原文链接
阅读
Array ( [id] => 982 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/982.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:41 [updatetime] => 2024-01-11 15:22:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐术前对患者进行体检和高血压相关实验室检查，了 解高血压类型， 必要时结合临床排查继发性高血压原因，并 对高血压患者进行靶器官功能评估（I，C） [znzldj] => B [_inputtime] => 1704957761 [_updatetime] => 1704957761 [_nrjc] => [_nrsh] => )
推荐意见
推荐术前对患者进行体检和高血压相关实验室检查，了 解高血压类型， 必要时结合临床排查继发性高血压原因，并 对高血压患者进行靶器官功能评估（I，C）

证据评价方法：

指南质量等级：B

年份：2023

国家：中国老年医学学会医疗照护分会

来源 成人非心脏手术围术期血压评估与管理指南
原文链接
阅读
Array ( [id] => 976 [catid] => 239 [title] => Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/976.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:56 [updatetime] => 2024-01-11 15:21:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10720842/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We suggest use of a rigid bronchoscope as an advanced technique when the laryngeal inlet is obstructed by swelling and in cases of upper airway stenosis or compression or in congenital or postsurgical tracheal con_x005f_x005f_x005f_x005f_x005f_x005f_x005fstriction or tortuosity (2C).If necessary,a multidisciplinary team (including an otolaryngologist) should be involved. [laiyuan] => 我们建议在喉入口因肿胀阻塞、上气道狭窄或受压、先天性或术后气管狭窄或扭曲时使用硬质支气管镜作为一种先进技术(证据等级：低；推荐强度：弱推荐)。如有必要，应由一个多学科小组(包括耳鼻喉科医生)参与。 [znzldj] => B [_inputtime] => 1704957716 [_updatetime] => 1704957716 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在喉入口因肿胀阻塞、上气道狭窄或受压、先天性或术后气管狭窄或扭曲时使用硬质支气管镜作为一种先进技术(证据等级：低；推荐强度：弱推荐)。如有必要，应由一个多学科小组(包括耳鼻喉科医生)参与。

We suggest use of a rigid bronchoscope as an advanced technique when the laryngeal inlet is obstructed by swelling and in cases of upper airway stenosis or compression or in congenital or postsurgical tracheal con_x005f_x005f_x005f_x005f_x005f_x005f_x005fstriction or tortuosity (2C).If necessary,a multidisciplinary team (including an otolaryngologist) should be involved.

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：European Society of Anaesthesiology and Intensive

来源 Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines
原文链接
阅读
Array ( [id] => 977 [catid] => 241 [title] => Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/977.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:56 [updatetime] => 2024-01-11 15:21:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10720842/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We recommend immediate verification of successful intubation with both clinical assessment (bilateral and symmetrical breath sounds) and end-tidal carbon dioxide (EtCO2) with sustained EtCO2 waveforms. In cases of difficult intubation or complex patients, use of videolaryngoscopy for a second look, in combination with EtCO2 waveforms and ultrasonography, should be considered to confirm successful tracheal intubation (1C). [laiyuan] => 我们建议立即通过临床评估（双侧对称的呼吸音）和持续的 EtCO2 波形检测呼气末二氧化碳（EtCO2）来验证插管是否成功。在插管困难或患者情况复杂的情况下，应考虑使用视频喉镜进行二次检查，并结合 EtCO2 波形和超声波检查，以确认气管插管成功 (证据等级：低；推荐强度：强推荐)。 [znzldj] => B [_inputtime] => 1704957716 [_updatetime] => 1704957716 [_nrjc] => [_nrsh] => )
推荐意见
我们建议立即通过临床评估（双侧对称的呼吸音）和持续的 EtCO2 波形检测呼气末二氧化碳（EtCO2）来验证插管是否成功。在插管困难或患者情况复杂的情况下，应考虑使用视频喉镜进行二次检查，并结合 EtCO2 波形和超声波检查，以确认气管插管成功 (证据等级：低；推荐强度：强推荐)。

We recommend immediate verification of successful intubation with both clinical assessment (bilateral and symmetrical breath sounds) and end-tidal carbon dioxide (EtCO2) with sustained EtCO2 waveforms. In cases of difficult intubation or complex patients, use of videolaryngoscopy for a second look, in combination with EtCO2 waveforms and ultrasonography, should be considered to confirm successful tracheal intubation (1C).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：European Society of Anaesthesiology and Intensive

来源 Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines
原文链接
阅读
Array ( [id] => 978 [catid] => 248 [title] => Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/978.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:56 [updatetime] => 2024-01-11 15:21:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10720842/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We suggest assessing clinical signs like conjugate gaze, facial grimace, eye-opening and purposeful movements to predict successful awake extubation.If measurable, a tidal volume >5 ml kg-1 can support readiness to extubate (2C). [laiyuan] => 建议评估患者的共轭注视、面部扭曲、睁眼和目的性动作等临床体征，以预测清醒拔管成功。如果可测量，潮气量>5 ml kg-1可支持拔管准备(2C)。(证据等级：低；推荐强度：弱推荐)。 [znzldj] => B [_inputtime] => 1704957716 [_updatetime] => 1704957716 [_nrjc] => [_nrsh] => )
推荐意见
建议评估患者的共轭注视、面部扭曲、睁眼和目的性动作等临床体征，以预测清醒拔管成功。如果可测量，潮气量>5 ml kg-1可支持拔管准备(2C)。(证据等级：低；推荐强度：弱推荐)。

We suggest assessing clinical signs like conjugate gaze, facial grimace, eye-opening and purposeful movements to predict successful awake extubation.If measurable, a tidal volume >5 ml kg-1 can support readiness to extubate (2C).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：European Society of Anaesthesiology and Intensive

来源 Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines
原文链接
阅读
Array ( [id] => 979 [catid] => 240 [title] => Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/979.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:56 [updatetime] => 2024-01-11 15:21:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10720842/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We suggest use of intraoperative corticosteroids, nebulised epinephrine, or both to prevent and treat postextubation stridor when significant airway manipulation has occurred (1C). [laiyuan] => 我们建议术中使用糖皮质激素、雾化肾上腺素或这两种药物，以预防和治疗拔管后气道痉挛(证据等级：低；推荐强度：强推荐)。 [znzldj] => B [_inputtime] => 1704957716 [_updatetime] => 1704957716 [_nrjc] => [_nrsh] => )
推荐意见
我们建议术中使用糖皮质激素、雾化肾上腺素或这两种药物，以预防和治疗拔管后气道痉挛(证据等级：低；推荐强度：强推荐)。

We suggest use of intraoperative corticosteroids, nebulised epinephrine, or both to prevent and treat postextubation stridor when significant airway manipulation has occurred (1C).

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：European Society of Anaesthesiology and Intensive

来源 Airway management in neonates and infants European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines
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