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Array ( [id] => 956 [catid] => 158 [title] => 日间手术麻醉指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/956.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37981773/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐制订并掌握日间手术患者出院标准。（证据级别：低；推荐强度：强推荐）。 [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
推荐制订并掌握日间手术患者出院标准。（证据级别：低；推荐强度：强推荐）。

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：中华医学会麻醉学分会

来源 日间手术麻醉指南
原文链接
阅读
Array ( [id] => 957 [catid] => 158 [title] => 日间手术麻醉指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/957.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37981773/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐对日间手术患者出院后24 h内进行随访，及时发现并指导处理麻醉和手术后相关并发症。（证据级别：中；推荐强度：强推荐）。 [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
推荐对日间手术患者出院后24 h内进行随访，及时发现并指导处理麻醉和手术后相关并发症。（证据级别：中；推荐强度：强推荐）。

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：中华医学会麻醉学分会

来源 日间手术麻醉指南
原文链接
阅读
Array ( [id] => 958 [catid] => 292 [title] => 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting* [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/958.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27743 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => American Society of Anesthesiologists [pdf] => [tjyjyw] => [lyyw] => We recommend healthy adults drink carbohydrate-containing clear liquids until 2h before elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation. The carbohydrates may be simple or complex.（Evidence level:Moderate；Recommendation grade:Strong Recommendation）. [laiyuan] => 我们建议健康成人在全身麻醉、区域麻醉或需要镇静的手术前2小时饮用含碳水化合物的透明液体。碳水化合物可以是简单的，也可以是复杂的。(证据等级:中;推荐等级:强烈推荐) [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
我们建议健康成人在全身麻醉、区域麻醉或需要镇静的手术前2小时饮用含碳水化合物的透明液体。碳水化合物可以是简单的，也可以是复杂的。(证据等级:中;推荐等级:强烈推荐)

We recommend healthy adults drink carbohydrate-containing clear liquids until 2h before elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation. The carbohydrates may be simple or complex.（Evidence level:Moderate；Recommendation grade:Strong Recommendation）.

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：American Society of Anesthesiologists

来源 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting*
原文链接
阅读
Array ( [id] => 959 [catid] => 292 [title] => 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting* [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/959.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27743 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => American Society of Anesthesiologists [pdf] => [tjyjyw] => [lyyw] => There is insufficient evidence to recommend protein-containing clear liquids preferentially over other clear liquids before elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation (no recommendation).(Evidence level:Very low；Recommendation grade:Not applicable）. [laiyuan] => 在全身麻醉、区域麻醉或需要镇静的手术前，没有足够的证据推荐口服含蛋白质的透明液体优先于其他透明液体 (不推荐)。(证据水平:非常低;建议等级:不推荐)。 [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
在全身麻醉、区域麻醉或需要镇静的手术前，没有足够的证据推荐口服含蛋白质的透明液体优先于其他透明液体 (不推荐)。(证据水平:非常低;建议等级:不推荐)。

There is insufficient evidence to recommend protein-containing clear liquids preferentially over other clear liquids before elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation (no recommendation).(Evidence level:Very low；Recommendation grade:Not applicable）.

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：American Society of Anesthesiologists

来源 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting*
原文链接
阅读
Array ( [id] => 960 [catid] => 292 [title] => 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting* [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/960.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27743 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => American Society of Anesthesiologists [pdf] => [tjyjyw] => [lyyw] => We suggest not delaying elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation in healthy adults who are chewing gum（Evidence level:Very low；Recommendation grade:Conditional）. [laiyuan] => 建议术前咀嚼口香糖的健康成人不需要推迟全身麻醉、区域麻醉或需镇静的手术(证据水平:非常低;推荐等级:有条件推荐)。 [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
建议术前咀嚼口香糖的健康成人不需要推迟全身麻醉、区域麻醉或需镇静的手术(证据水平:非常低;推荐等级:有条件推荐)。

We suggest not delaying elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation in healthy adults who are chewing gum（Evidence level:Very low；Recommendation grade:Conditional）.

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：American Society of Anesthesiologists

来源 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting*
原文链接
阅读
Array ( [id] => 961 [catid] => 292 [title] => 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2018 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting* [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/961.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27743 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => American Society of Anesthesiologists [pdf] => [tjyjyw] => [lyyw] => There is insufficient evidence concerning benefits and harms to recommend pediatric patients drink clear liquids until 1 h versus 2 h before procedures with general anesthesia, regional anesthesia, or procedural sedation (no recommendation).(Evidence level:Very low；Recommendation grade:Not applicable） [laiyuan] => 针对儿科患者在全麻、区域麻醉或需镇静的手术前1小时或2小时饮用透明液体的利弊目前证据不足(不建议)。(证据水平:极低;推荐等级:不适用) [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
针对儿科患者在全麻、区域麻醉或需镇静的手术前1小时或2小时饮用透明液体的利弊目前证据不足(不建议)。(证据水平:极低;推荐等级:不适用)

There is insufficient evidence concerning benefits and harms to recommend pediatric patients drink clear liquids until 1 h versus 2 h before procedures with general anesthesia, regional anesthesia, or procedural sedation (no recommendation).(Evidence level:Very low；Recommendation grade:Not applicable）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：American Society of Anesthesiologists

来源 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2018 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting*
原文链接
阅读
Array ( [id] => 962 [catid] => 292 [title] => 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2019 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting* [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/962.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27743 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => American Society of Anesthesiologists [pdf] => [tjyjyw] => [lyyw] => To avoid prolonged fasting in children, efforts should be made to allow clear liquids in children at low risk of aspiration as close to 2 h before procedures as possible. In children with shorter clear liquid fasting duration, exercise clinical judgment.(Evidence level:Best practice statement；Recommendation grade:Not applicable） [laiyuan] => 为避免儿童术前长时间禁食，应尽可能在手术前2小时让低风险儿童饮用透明液体。对透明液体禁饮食时间较短的患儿，结合临床具体判断。(证据等级:最佳实践声明;推荐等级:不适用) [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
为避免儿童术前长时间禁食，应尽可能在手术前2小时让低风险儿童饮用透明液体。对透明液体禁饮食时间较短的患儿，结合临床具体判断。(证据等级:最佳实践声明;推荐等级:不适用)

To avoid prolonged fasting in children, efforts should be made to allow clear liquids in children at low risk of aspiration as close to 2 h before procedures as possible. In children with shorter clear liquid fasting duration, exercise clinical judgment.(Evidence level:Best practice statement；Recommendation grade:Not applicable）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：American Society of Anesthesiologists

来源 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2019 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting*
原文链接
阅读
Array ( [id] => 963 [catid] => 59 [title] => Anesthetic management of carotid endarterectomy: an update from Italian guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/963.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/29188 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => SICVE、ISA-AII、GISE、SIAARTI、SIAPAV、SIICP、SIRM、SNAMI [pdf] => [tjyjyw] => [lyyw] => In patient undergoing carotid endarterectomy,free choice of regional anesthesia,general anesthesia,or cooperative patient general anesthesia is recommended,depending on the experience of the center,patient’s preference,and clinical status (strong for, level of evidence 1++). [laiyuan] => 对于接受颈动脉内膜剥脱术的患者，建议根据机构经验、患者的偏好和临床状况，自由选择区域麻醉、全身麻醉或患者协作的全身镇静麻醉（证据等级：1++；推荐强度：强推荐）。 [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
对于接受颈动脉内膜剥脱术的患者，建议根据机构经验、患者的偏好和临床状况，自由选择区域麻醉、全身麻醉或患者协作的全身镇静麻醉（证据等级：1++；推荐强度：强推荐）。

In patient undergoing carotid endarterectomy,free choice of regional anesthesia,general anesthesia,or cooperative patient general anesthesia is recommended,depending on the experience of the center,patient’s preference,and clinical status (strong for, level of evidence 1++).

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：SICVE、ISA-AII、GISE、SIAARTI、SIAPAV、SIICP、SIRM、SNAMI

来源 Anesthetic management of carotid endarterectomy: an update from Italian guidelines
原文链接
阅读
Array ( [id] => 964 [catid] => 61 [title] => Anesthetic management of carotid endarterectomy: an update from Italian guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/964.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/29188 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => SICVE、ISA-AII、GISE、SIAARTI、SIAPAV、SIICP、SIRM、SNAMI [pdf] => [tjyjyw] => [lyyw] => In patient undergoing carotid endarterectomy,clinical or instrumental cerebral intraoperative monitoring,chosen accordingly to the type of anesthesia and the temporary shunt strategy,is recommended. Nevertheless,clinical monitoring is more sensitive (strong for, level of evidence 2+). [laiyuan] => 对于行颈动脉内膜剥脱术的患者，建议根据麻醉方式和临时转流策略选择临床或仪器性脑监测。然而，临床监测更为敏感（证据等级：2+；推荐强度：强推荐）。 [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
对于行颈动脉内膜剥脱术的患者，建议根据麻醉方式和临时转流策略选择临床或仪器性脑监测。然而，临床监测更为敏感（证据等级：2+；推荐强度：强推荐）。

In patient undergoing carotid endarterectomy,clinical or instrumental cerebral intraoperative monitoring,chosen accordingly to the type of anesthesia and the temporary shunt strategy,is recommended. Nevertheless,clinical monitoring is more sensitive (strong for, level of evidence 2+).

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：SICVE、ISA-AII、GISE、SIAARTI、SIAPAV、SIICP、SIRM、SNAMI

来源 Anesthetic management of carotid endarterectomy: an update from Italian guidelines
原文链接
阅读
Array ( [id] => 965 [catid] => 68 [title] => Anesthetic management of carotid endarterectomy: an update from Italian guidelines [thumb] => [keywords] => [description] => [hits] => 2 [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/965.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:21:55 [updatetime] => 2024-01-11 15:21:55 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/29188 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => SICVE、ISA-AII、GISE、SIAARTI、SIAPAV、SIICP、SIRM、SNAMI [pdf] => [tjyjyw] => [lyyw] => In patient undergoing carotid endarterectomy,postoperative blood pressure monitoring and the subsequent management of arterial hypertension is indicated,as it improves the outcome if compared with no blood pressure monitoring (weak for, level of evidence 2-). [laiyuan] => 对于行颈动脉内膜剥脱术的患者，术后应监测血压并及时处理动脉性高血压，与不监测血压相比，监测血压可改善患者预后。（证据等级：2-；推荐强度：弱推荐）。 [znzldj] => B [_inputtime] => 1704957715 [_updatetime] => 1704957715 [_nrjc] => [_nrsh] => )
推荐意见
对于行颈动脉内膜剥脱术的患者，术后应监测血压并及时处理动脉性高血压，与不监测血压相比，监测血压可改善患者预后。（证据等级：2-；推荐强度：弱推荐）。

In patient undergoing carotid endarterectomy,postoperative blood pressure monitoring and the subsequent management of arterial hypertension is indicated,as it improves the outcome if compared with no blood pressure monitoring (weak for, level of evidence 2-).

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：SICVE、ISA-AII、GISE、SIAARTI、SIAPAV、SIICP、SIRM、SNAMI

来源 Anesthetic management of carotid endarterectomy: an update from Italian guidelines
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