Array ( [id] => 1461 [catid] => 122 [title] => 中国创伤骨科围手术期血液管理临床指南(2023) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1461.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] => 0 [wailian] => https://rs.yiigle.com/cmaid/1450941 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中华医学会骨科学分会创伤骨科学组 中华医学会骨科学分会外固定与肢体重建学组中华医学会创伤学分会 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐对低血压的出血性创伤患者使用等渗性晶体液进行液体治疗（1A）。 [znzldj] => B [_inputtime] => 1704957888 [_updatetime] => 1704957888 [_nrjc] => [_nrsh] => )

Array ( [id] => 1462 [catid] => 122 [title] => 中国创伤骨科围手术期血液管理临床指南(2023) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1462.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] => 0 [wailian] => https://rs.yiigle.com/cmaid/1450941 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中华医学会骨科学分会创伤骨科学组 中华医学会骨科学分会外固定与肢体重建学组中华医学会创伤学分会 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐使用平衡电解质溶液 ，避免使用盐水溶液（1B）。 [znzldj] => B [_inputtime] => 1704957888 [_updatetime] => 1704957888 [_nrjc] => [_nrsh] => )

Array ( [id] => 1463 [catid] => 122 [title] => 中国创伤骨科围手术期血液管理临床指南(2023) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1463.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] => 0 [wailian] => https://rs.yiigle.com/cmaid/1450941 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中华医学会骨科学分会创伤骨科学组 中华医学会骨科学分会外固定与肢体重建学组中华医学会创伤学分会 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐伴有严重头部创伤患者避免使用低渗溶液，如林格氏乳酸 盐（1B）。 [znzldj] => B [_inputtime] => 1704957888 [_updatetime] => 1704957888 [_nrjc] => [_nrsh] => )

Array ( [id] => 1464 [catid] => 122 [title] => 中国创伤骨科围手术期血液管理临床指南(2023) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1464.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] => 0 [wailian] => https://rs.yiigle.com/cmaid/1450941 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中华医学会骨科学分会创伤骨科学组 中华医学会骨科学分会外固定与肢体重建学组中华医学会创伤学分会 中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐限制使用胶体，因为它对止血有不利影响（1C）。 [znzldj] => B [_inputtime] => 1704957888 [_updatetime] => 1704957888 [_nrjc] => [_nrsh] => )

Array ( [id] => 1465 [catid] => 121 [title] => 中国创伤骨科围手术期血液管理临床指南(2023) [thumb] => [keywords] => [description] => [hits] => 1 [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1465.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:48 [updatetime] => 2024-01-11 15:38:39 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1450941 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中华医学会骨科学分会创伤骨科学组中华医学会骨科学分会外固定与肢体重建学组中华医学会创伤学分会中国 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐目标血红蛋白为70~90g/Ｌ（1C）。 [znzldj] => B [_inputtime] => 1704957888 [_updatetime] => 1704958719 [_nrjc] => [_nrsh] => )

Array ( [id] => 1422 [catid] => 293 [title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1422.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:47 [updatetime] => 2024-01-11 15:24:47 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37707378/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Society of Critical Care Medicine [pdf] => [tjyjyw] => [lyyw] => We suggest use of the head and torso inclined (semi-Fowler) position during rapid sequence intubation.（Quality of evidence: Very low；Recommendation grade:Conditional） [laiyuan] => 我们建议在快速序列诱导期间使用头部和躯干倾斜（半躺）姿势。（证据等级：极低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957887 [_updatetime] => 1704957887 [_nrjc] => [_nrsh] => )

Array ( [id] => 1423 [catid] => 293 [title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1423.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:47 [updatetime] => 2024-01-11 15:24:47 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37707378/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Society of Critical Care Medicine [pdf] => [tjyjyw] => [lyyw] => We suggest preoxygenation with high-flow nasal oxygen when laryngoscopy is expected to be challenging.（Quality of evidence: low；Recommendation grade:Conditional） [laiyuan] => 当喉镜检查具有挑战性时，我们建议使用高流量鼻导管预充氧。（证据等级：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957887 [_updatetime] => 1704957887 [_nrjc] => [_nrsh] => )

Array ( [id] => 1424 [catid] => 293 [title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1424.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:47 [updatetime] => 2024-01-11 15:24:47 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37707378/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Society of Critical Care Medicine [pdf] => [tjyjyw] => [lyyw] => We suggest preoxygenation with noninvasive positive pressure ventilation in patients with s evere hypoxemia Pao2/Fio2 < 150.（Quality of evidence: low；Recommendation grade:Conditional） [laiyuan] => 重度低氧血症Pao2/Fio2<150的患者应用无创正压通气预充氧。（证据等级：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957887 [_updatetime] => 1704957887 [_nrjc] => [_nrsh] => )

Array ( [id] => 1425 [catid] => 293 [title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1425.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:47 [updatetime] => 2024-01-11 15:24:47 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37707378/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Society of Critical Care Medicine [pdf] => [tjyjyw] => [lyyw] => We suggest using medication-assisted preoxygenation to improve preoxygenation in patients undergoing rapid sequence intubation who are not able to tolerate a face mask, noninvasive positive pressure ventilation, or high-flow nasal oxygen because of agitation, delirium, or combative behavior.（Quality of evidence: Very low；Recommendation grade:Conditional） [laiyuan] => 对于因激动、谵妄或好斗行为而无法耐受口罩、无创正压通气或高流量鼻导管的快速序列诱导患者，使用药物辅助预氧来改善预充氧。（证据等级：极低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957887 [_updatetime] => 1704957887 [_nrjc] => [_nrsh] => )

Array ( [id] => 1426 [catid] => 293 [title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1426.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:47 [updatetime] => 2024-01-11 15:24:47 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37707378/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => Society of Critical Care Medicine [pdf] => [tjyjyw] => [lyyw] => We advise nasogastric tube decompression when the benefit outweighs the risk in patients who are undergoing rapid sequence intubation and are at high risk of regurgitation of gastric contents.（Quality of evidence: Ungraded；Recommendation grade:Best practice statement） [laiyuan] => 当接受快速序列诱导且胃内容物返流风险较高的患者获益大于风险时，我们建议进行鼻胃管减压。（证据等级：极低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957887 [_updatetime] => 1704957887 [_nrjc] => [_nrsh] => )