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Array ( [id] => 1527 [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/1527.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 suggest Index-based EEG monitoring depth of anaesthesia guidance to decrease the risk of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 建议采用脑电监测指数进行麻醉深度指导,以降低术后谵妄的发生风险。(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
建议采用脑电监测指数进行麻醉深度指导,以降低术后谵妄的发生风险。(证据等级:低,推荐强度:弱推荐)

We suggest Index-based EEG monitoring depth of anaesthesia guidance to decrease the 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] => 1528 [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/1528.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 suggest multiparameter,intraoperative EEG monitoring (burst suppression, density spectral array, DSA) during anaesthesia to decrease the risk of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 建议术中进行多参数脑电图监测(爆发抑制、密度谱阵列、DSA),以减少术后谵妄的发生。(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
建议术中进行多参数脑电图监测(爆发抑制、密度谱阵列、DSA),以减少术后谵妄的发生。(证据等级:低,推荐强度:弱推荐)

We suggest multiparameter,intraoperative EEG monitoring (burst suppression, density spectral array, DSA) during anaesthesia to decrease the 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] => 1529 [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/1529.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 suggest using low-dose haloperidol for the treatment of POD if nonpharmacological measures fail.We advise a short-term, symptom-oriented therapy. The application should be boluswise and with the lowest dose possible. Use antipsychotic drugs with caution or not at all for people with preexisting neurologic conditions, such as Parkinson’s disease or Lewy bodies dementia.(Quality of Evidence:Very low,Strength of Recommendation:Weak) [laiyuan] => 对于非药物治疗无效的术后谵妄,建议采用低剂量氟哌啶醇治疗。我们建议采用以症状为导向的短期疗法,用药时应尽可能使用最低剂量。对于已有神经系统疾病的患者,如帕金森病或路易体痴呆症患者,应慎用或完全不用抗精神病药物。(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
对于非药物治疗无效的术后谵妄,建议采用低剂量氟哌啶醇治疗。我们建议采用以症状为导向的短期疗法,用药时应尽可能使用最低剂量。对于已有神经系统疾病的患者,如帕金森病或路易体痴呆症患者,应慎用或完全不用抗精神病药物。(证据等级:极低,推荐强度:弱推荐)

We suggest using low-dose haloperidol for the treatment of POD if nonpharmacological measures fail.We advise a short-term, symptom-oriented therapy. The application should be boluswise and with the lowest dose possible. Use antipsychotic drugs with caution or not at all for people with preexisting neurologic conditions, such as Parkinson’s disease or Lewy bodies dementia.(Quality of Evidence:Very 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] => 1530 [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/1530.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] => The use of benzodiazepines for the treatment of delirium in postoperative patients is not suggested. The evidence for the benefits of benzodiazepine therapy for treating POD symptoms or the underlying causes is very low to nonexistent. This recommendation is not to be confused with delirium in the context of alcohol withdrawal,where benzodiazepines are recommended symptom orientated as the first-line medication (in a bolus-titrated dosage, lowest as possible).(Quality of Evidence:Very low,Strength of Recommendation:Weak) [laiyuan] => 不建议使用苯二氮卓类药物治疗术后患者的谵妄。关于苯二氮卓类药物治疗术后谵妄症状或其潜在原因的益处的证据非常低,甚至不存在。不要将这一建议与酒精戒断情况下的谵妄混淆,在酒精戒断情况下,苯二氮䓬类药物被推荐作为以症状为导向的一线用药(推注滴定剂量,尽可能低)。(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
不建议使用苯二氮卓类药物治疗术后患者的谵妄。关于苯二氮卓类药物治疗术后谵妄症状或其潜在原因的益处的证据非常低,甚至不存在。不要将这一建议与酒精戒断情况下的谵妄混淆,在酒精戒断情况下,苯二氮䓬类药物被推荐作为以症状为导向的一线用药(推注滴定剂量,尽可能低)。(证据等级:极低,推荐强度:弱推荐)

The use of benzodiazepines for the treatment of delirium in postoperative patients is not suggested. The evidence for the benefits of benzodiazepine therapy for treating POD symptoms or the underlying causes is very low to nonexistent. This recommendation is not to be confused with delirium in the context of alcohol withdrawal,where benzodiazepines are recommended symptom orientated as the first-line medication (in a bolus-titrated dosage, lowest as possible).(Quality of Evidence:Very 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] => 1531 [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/1531.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 suggest using dexmedetomidine for the treatment of postoperative delirium in cardiac surgery.(Quality of Evidence:Very low,Strength of Recommendation:Weak) [laiyuan] => 我们建议使用右美托咪啶治疗心脏手术后谵妄。(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
我们建议使用右美托咪啶治疗心脏手术后谵妄。(证据等级:极低,推荐强度:弱推荐)

We suggest using dexmedetomidine for the treatment of postoperative delirium in cardiac surgery.(Quality of Evidence:Very 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] => 1532 [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/1532.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 medical history and physical examination to predict difficult airway management in neonates and infants (1C). [laiyuan] => 建议通过病史和体格检查来预测新生儿和婴儿气道管理难度 (1C)。 [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
建议通过病史和体格检查来预测新生儿和婴儿气道管理难度 (1C)。

We recommend use of medical history and physical examination to predict difficult airway management in neonates and infants (1C).

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

阅读
Array ( [id] => 1533 [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/1533.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 an adequate level of sedation or general anaesthesia in neonates and infants during airway management to ensure patient comfort and safety (1B). [laiyuan] => 建议在气道管理期间对新生儿和婴儿进行足够的镇静或全身麻醉,以确保患者的舒适和安全(1B)。 [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
建议在气道管理期间对新生儿和婴儿进行足够的镇静或全身麻醉,以确保患者的舒适和安全(1B)。

We recommend use of an adequate level of sedation or general anaesthesia in neonates and infants during airway management to ensure patient comfort and safety (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

阅读
Array ( [id] => 1534 [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/1534.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 neuromuscular block before tracheal intubation when maintaining sponta_x005fneous breathing is not necessary (1C). [laiyuan] => 当不需要维持自主呼吸时,建议在气管插管前使用神经肌肉阻滞剂 (1C)。 [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
当不需要维持自主呼吸时,建议在气管插管前使用神经肌肉阻滞剂 (1C)。

We recommend use of neuromuscular block before tracheal intubation when maintaining sponta_x005fneous breathing is not necessary (1C).

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

阅读
Array ( [id] => 1535 [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/1535.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 the use of a video_x005flaryngoscope with an age-adapted standard blade (Macintosh or Miller) as first choice for tracheal intubation of neonates and infants (1B), including for tracheal intubation in the lateral position (1C). [laiyuan] => 推荐使用视频喉镜配合适合年龄的标准喉镜片(Macintosh或Miller)作为新生儿和婴儿气管插管的首选(1B),包括侧卧位气管插管(1C)。 [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用视频喉镜配合适合年龄的标准喉镜片(Macintosh或Miller)作为新生儿和婴儿气管插管的首选(1B),包括侧卧位气管插管(1C)。

We recommend the use of a video_x005flaryngoscope with an age-adapted standard blade (Macintosh or Miller) as first choice for tracheal intubation of neonates and infants (1B), including for tracheal intubation in the lateral position (1C).

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

阅读
Array ( [id] => 1440 [catid] => 303 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus based guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => 13 [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1440.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:48 [updatetime] => 2024-01-11 15:24:48 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 1 [wailian] => https://guide.medlive.cn/guideline/29567 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [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;Recommendation grade:Strong) [laiyuan] => 我们建议对所有有术后谵妄风险的患者进行多组非药物干预。(证据等级:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957888 [_updatetime] => 1704957888 [_nrjc] => [_nrsh] => )
推荐意见
我们建议对所有有术后谵妄风险的患者进行多组非药物干预。(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;Recommendation grade:Strong)

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

阅读13