Array
(
[id] => 1549
[catid] => 249
[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] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1549.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://pubmed.ncbi.nlm.nih.gov/38065762/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend use of HFNO, contin_x005fuous positive airway pressure (CPAP), or nasal intermittent positive pressure ventilation (NIPPV) for postextubation respiratory support when clinically appropriate (1B).
[laiyuan] => 建议在临床上适当的情况下使用经鼻高流量氧疗（HFNC）、持续气道正压通气（CPAP）或鼻间歇正压通气（NIPPV）进行拔管后呼吸支持（1B）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在临床上适当的情况下使用经鼻高流量氧疗（HFNC）、持续气道正压通气（CPAP）或鼻间歇正压通气（NIPPV）进行拔管后呼吸支持（1B）。
We recommend use of HFNO, contin_x005fuous positive airway pressure (CPAP), or nasal intermittent positive pressure ventilation (NIPPV) for postextubation respiratory support when clinically appropriate (1B).
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1508
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1508.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest use of the head and torso inclined (semi-Fowler) position during RSI.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
[laiyuan] => 我们建议在快速诱导插管期间使用头部和躯干倾斜（半卧位）位置。（证据等级：极低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在快速诱导插管期间使用头部和躯干倾斜（半卧位）位置。（证据等级：极低，推荐强度：弱推荐）
We suggest use of the head and torso inclined (semi-Fowler) position during RSI.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1509
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1509.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest preoxygenation with HFNO when laryngoscopy is expected to be challenging.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
[laiyuan] => 我们建议在喉镜插入之前使用高流量给氧（HFNO）。（证据等级：低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在喉镜插入之前使用高流量给氧（HFNO）。（证据等级：低，推荐强度：弱推荐）
We suggest preoxygenation with HFNO when laryngoscopy is expected to be challenging.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1510
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1510.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest preoxygenation with NIPPV in patients with severe hypoxemia Pao2/Fio2 < 150.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
[laiyuan] => 我们建议对严重低氧血症 Pao2/Fio2 < 150 的患者进行无创正压通气（NIPPV）进行预氧合。（证据等级：低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议对严重低氧血症 Pao2/Fio2 < 150 的患者进行无创正压通气（NIPPV）进行预氧合。（证据等级：低，推荐强度：弱推荐）
We suggest preoxygenation with NIPPV in patients with severe hypoxemia Pao2/Fio2 < 150.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1511
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1511.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest using medication-assisted preoxygenation to improve preoxygenation in patients undergoing RSI who are not able to tolerate a face mask, NIPPV, or HFNO because of agitation, delirium, or combative behavior.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
[laiyuan] => 对于因躁动、谵妄或挣扎行为而无法耐受面罩、无创正压通气（NIPPV）或高流量给氧（HFNO）的快速诱导插管患者，我们建议使用药物辅助预吸氧来改善预吸氧情况。（证据等级：极低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于因躁动、谵妄或挣扎行为而无法耐受面罩、无创正压通气（NIPPV）或高流量给氧（HFNO）的快速诱导插管患者，我们建议使用药物辅助预吸氧来改善预吸氧情况。（证据等级：极低，推荐强度：弱推荐）
We suggest using medication-assisted preoxygenation to improve preoxygenation in patients undergoing RSI who are not able to tolerate a face mask, NIPPV, or HFNO because of agitation, delirium, or combative behavior.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1512
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1512.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We advise nasogastric tube decompression when the benefit outweighs the risk in patients who are undergoing RSI and are at high risk of regurgitation of gastric contents.（Quality of Evidence：Ungraded，Strength of Recommendation：Best practice statement Ungraded）
[laiyuan] => 当患者有胃内容物反流的高风险时，我们建议进行鼻胃管减压，降低快速诱导插管期间患者的误吸风险。（证据等级：未分级，推荐强度：最佳实践声明）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当患者有胃内容物反流的高风险时，我们建议进行鼻胃管减压，降低快速诱导插管期间患者的误吸风险。（证据等级：未分级，推荐强度：最佳实践声明）
We advise nasogastric tube decompression when the benefit outweighs the risk in patients who are undergoing RSI and are at high risk of regurgitation of gastric contents.（Quality of Evidence：Ungraded，Strength of Recommendation：Best practice statement Ungraded）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1513
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1513.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => There is insufficient evidence to make a recommendation that there is a difference in the incidence of further hypotension or cardiac arrest between the administration of peri-intubation vasopressors or IV fluids for hypotensive critically ill patients undergoing RSI Insufficient evidence Not applicable.（Quality of Evidence：Not applicable，Strength of Recommendation：Insufficient evidence）
[laiyuan] => 没有足够的证据表明，对于接受快速诱导插管的低血压危重患者，插管期间使用血管升压药或静脉输液，后续出现低血压或心脏骤停的发生率存在差异。（证据等级：不适用，推荐强度：证据不足）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
没有足够的证据表明，对于接受快速诱导插管的低血压危重患者，插管期间使用血管升压药或静脉输液，后续出现低血压或心脏骤停的发生率存在差异。（证据等级：不适用，推荐强度：证据不足）
There is insufficient evidence to make a recommendation that there is a difference in the incidence of further hypotension or cardiac arrest between the administration of peri-intubation vasopressors or IV fluids for hypotensive critically ill patients undergoing RSI Insufficient evidence Not applicable.（Quality of Evidence：Not applicable，Strength of Recommendation：Insufficient evidence）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1514
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1514.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We advise administering a sedative-hypnotic induction agent when an NMBA is used for intubation.(Quality of Evidence：Ungraded，Strength of Recommendation：Best practice statement)
[laiyuan] => 我们建议插管时使用镇静麻醉诱导剂同时使用神经肌肉阻断剂（NMBA）。（证据等级：未分级，推荐强度：最佳实践声明）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议插管时使用镇静麻醉诱导剂同时使用神经肌肉阻断剂（NMBA）。（证据等级：未分级，推荐强度：最佳实践声明）
We advise administering a sedative-hypnotic induction agent when an NMBA is used for intubation.(Quality of Evidence：Ungraded，Strength of Recommendation：Best practice statement)
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1515
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1515.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest there is no difference between etomidate and other induction agents administered for RSI with respect to mortality or the incidence of hypotension or vasopressor use in the peri-intubation period and through hospital discharge.（Quality of Evidence：Moderate，Strength of Recommendation：Conditional）
[laiyuan] => 我们认为依托咪酯和其他诱导剂在死亡率、插管前后和出院期间的低血压发生率或血管升压药使用率方面没有差异。（证据等级：中，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们认为依托咪酯和其他诱导剂在死亡率、插管前后和出院期间的低血压发生率或血管升压药使用率方面没有差异。（证据等级：中，推荐强度：弱推荐）
We suggest there is no difference between etomidate and other induction agents administered for RSI with respect to mortality or the incidence of hypotension or vasopressor use in the peri-intubation period and through hospital discharge.（Quality of Evidence：Moderate，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1516
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1516.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest against administering corticosteroids following RSI with etomidate for the purpose of counteracting etomidateinduced adrenal suppression.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
[laiyuan] => 我们建议不要在使用依托咪酯进行快速诱导后使用皮质类固醇来对抗依托咪酯引起的肾上腺抑制。（证据等级：低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议不要在使用依托咪酯进行快速诱导后使用皮质类固醇来对抗依托咪酯引起的肾上腺抑制。（证据等级：低，推荐强度：弱推荐）
We suggest against administering corticosteroids following RSI with etomidate for the purpose of counteracting etomidateinduced adrenal suppression.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
