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Array ( [id] => 1517 [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/1517.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 recommend administering an NMBA when a sedativehypnotic induction agent is used for intubation. (Quality of Evidence:Low,Strength of Recommendation:Strong) [laiyuan] => 我们建议在使用镇静麻醉诱导剂进行插管时使用神经肌肉阻断剂(NMBA)。(证据等级:低,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在使用镇静麻醉诱导剂进行插管时使用神经肌肉阻断剂(NMBA)。(证据等级:低,推荐强度:强推荐)

We recommend administering an NMBA when a sedativehypnotic induction agent is used for intubation. (Quality of Evidence:Low,Strength of Recommendation:Strong)

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

阅读
Array ( [id] => 1518 [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/1518.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 administering either rocuronium or succinylcholine for RSI when there are no known contraindications to succinylcholine.(Quality of Evidence:Low,Strength of Recommendation:Conditional) [laiyuan] => 我们建议在不存在琥珀胆碱禁忌症的情况下,使用罗库溴铵或琥珀胆碱进行快速诱导插管。(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
我们建议在不存在琥珀胆碱禁忌症的情况下,使用罗库溴铵或琥珀胆碱进行快速诱导插管。(证据等级:低,推荐强度:弱推荐)

We suggest administering either rocuronium or succinylcholine for RSI when there are no known contraindications to succinylcholine.(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

阅读
Array ( [id] => 1519 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1519.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We recommend evaluating the following preoperative risk factors for POD: (1) older age, (2) American Society of Anesthesiology Physical status score > 2, (3) Charlson Comorbidity Index >2 and (4) Mini Mental State Examination score lower than 25 points.(Quality of Evidence:Moderate,Strength of Recommendation:Strong) [laiyuan] => 我们建议评估术后谵妄的术前风险因素:(1)高龄,(2)美国麻醉学会身体状况评分 > 2,(3)查尔森(Charlson)合并症指数 > 2 和(4)简易精神状态检查评分低于 25 分。(证据等级:中,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们建议评估术后谵妄的术前风险因素:(1)高龄,(2)美国麻醉学会身体状况评分 > 2,(3)查尔森(Charlson)合并症指数 > 2 和(4)简易精神状态检查评分低于 25 分。(证据等级:中,推荐强度:强推荐)

We recommend evaluating the following preoperative risk factors for POD: (1) older age, (2) American Society of Anesthesiology Physical status score > 2, (3) Charlson Comorbidity Index >2 and (4) Mini Mental State Examination score lower than 25 points.(Quality of Evidence:Moderate,Strength of Recommendation:Strong)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1520 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1520.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => In patients undergoing surgery, we do not suggest the use of any drug as a prophylactic measure to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 对于接受手术的患者,我们不建议使用任何药物作为预防措施来降低术后谵妄的发病率。(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
对于接受手术的患者,我们不建议使用任何药物作为预防措施来降低术后谵妄的发病率。(证据等级:低,推荐强度:弱推荐)

In patients undergoing surgery, we do not suggest the use of any drug as a prophylactic measure to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1521 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1521.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => When dexmedetomidine is used intra-operatively or postoperatively with the aim to prevent POD, we recommend balancing the expected benefits against the most important side effects (bradycardia and hypotension).(Quality of Evidence:Moderate,Strength of Recommendation:Strong) [laiyuan] => 当在术中或术后使用右美托咪啶来预防术后谵妄时,我们建议权衡预期益处与最重要的副作用(心动过缓和低血压)。(证据等级:中,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
当在术中或术后使用右美托咪啶来预防术后谵妄时,我们建议权衡预期益处与最重要的副作用(心动过缓和低血压)。(证据等级:中,推荐强度:强推荐)

When dexmedetomidine is used intra-operatively or postoperatively with the aim to prevent POD, we recommend balancing the expected benefits against the most important side effects (bradycardia and hypotension).(Quality of Evidence:Moderate,Strength of Recommendation:Strong)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1522 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1522.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => In patients undergoing surgery, we do not suggest any specific type of surgery or type of anaesthesia to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 对于接受手术的患者,我们不建议任何特定类型的手术或麻醉来降低术后谵妄的发病率。(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
对于接受手术的患者,我们不建议任何特定类型的手术或麻醉来降低术后谵妄的发病率。(证据等级:低,推荐强度:弱推荐)

In patients undergoing surgery, we do not suggest any specific type of surgery or type of anaesthesia to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1523 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1523.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We do not suggest using biomarkers to identify patients at risk of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 我们不建议使用生物标志物来识别有术后谵妄风险的患者。(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
我们不建议使用生物标志物来识别有术后谵妄风险的患者。(证据等级:低,推荐强度:弱推荐)

We do not suggest using biomarkers to identify patients at risk of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1524 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1524.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We recommend that preoperative anaesthesia consultation in older adults includes the screening for risk factors for POD and addresses patients’ needs to optimise their preoperative status.(Quality of Evidence:Low,Strength of Recommendation:Strong) [laiyuan] => 我们建议老年人术前麻醉访视应包括筛查术后谵妄风险因素,并满足患者的需求,以优化其术前状态。(证据等级:低,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们建议老年人术前麻醉访视应包括筛查术后谵妄风险因素,并满足患者的需求,以优化其术前状态。(证据等级:低,推荐强度:强推荐)

We recommend that preoperative anaesthesia consultation in older adults includes the screening for risk factors for POD and addresses patients’ needs to optimise their preoperative status.(Quality of Evidence:Low,Strength of Recommendation:Strong)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1525 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1525.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We recommend that the results of the screening for POD risk factors are shared among the care team and the preventive strategies discussed and registered in the medical records.(Quality of Evidence:Low,Strength of Recommendation:Strong) [laiyuan] => 我们建议护理团队共享术后谵妄风险因素筛查结果,并讨论和记录预防策略。(证据等级:低,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们建议护理团队共享术后谵妄风险因素筛查结果,并讨论和记录预防策略。(证据等级:低,推荐强度:强推荐)

We recommend that the results of the screening for POD risk factors are shared among the care team and the preventive strategies discussed and registered in the medical records.(Quality of Evidence:Low,Strength of Recommendation:Strong)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1526 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1526.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/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We recommend multicomponent nonpharmacological interventions in all patients at risk of POD.(Quality of Evidence:Moderate,Strength of Recommendation:Strong) [laiyuan] => 我们建议对所有有术后谵妄风险的患者采取多成分非药物干预措施。(证据等级:中,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们建议对所有有术后谵妄风险的患者采取多成分非药物干预措施。(证据等级:中,推荐强度:强推荐)

We recommend multicomponent nonpharmacological interventions in all patients at risk of POD.(Quality of Evidence:Moderate,Strength of Recommendation:Strong)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读