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Array ( [id] => 861 [catid] => 251 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/861.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135479/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => Known or suspected OSA should be considered an independent risk factor for difficult intubation, difficult mask ventilation, or a combination of both. Adequate difficult airway management precautions should be taken. (1B) [laiyuan] => 已知或疑似阻塞性呼吸睡眠暂停综合征应被视为插管困难、面罩通气困难或两者结合的独立风险因素。应采取适当的困难气道管理预防措施。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
已知或疑似阻塞性呼吸睡眠暂停综合征应被视为插管困难、面罩通气困难或两者结合的独立风险因素。应采取适当的困难气道管理预防措施。(证据级别:中;推荐强度:强推荐)

Known or suspected OSA should be considered an independent risk factor for difficult intubation, difficult mask ventilation, or a combination of both. Adequate difficult airway management precautions should be taken. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 862 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/862.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => Patients with OSA who received neuromuscular blocking agents may be at increased risk of effects of postoperative residual neuromuscular blockade, hypoxemia, or respiratory failure. (2C) [laiyuan] => 接受神经肌肉阻滞剂治疗的阻塞性呼吸睡眠暂停综合征患者可能会增加术后残余神经肌肉阻滞剂、低氧血症或呼吸衰竭的风险。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
接受神经肌肉阻滞剂治疗的阻塞性呼吸睡眠暂停综合征患者可能会增加术后残余神经肌肉阻滞剂、低氧血症或呼吸衰竭的风险。(证据级别:低;推荐强度:弱推荐)

Patients with OSA who received neuromuscular blocking agents may be at increased risk of effects of postoperative residual neuromuscular blockade, hypoxemia, or respiratory failure. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 863 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/863.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => there is insufficient evidence to suggest the preference of any neuromuscular blocking reversal agent to reduce the risks of postoperative respiratory complications in patients with OSA(Evidence level:C;Recommendation grade:NA). [laiyuan] => 没有足够的证据表明,任何神经肌肉阻断拮抗剂都可以降低阻塞性呼吸睡眠暂停综合征患者术后呼吸道并发症的风险。(证据级别:低;推荐强度:不推荐) [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
没有足够的证据表明,任何神经肌肉阻断拮抗剂都可以降低阻塞性呼吸睡眠暂停综合征患者术后呼吸道并发症的风险。(证据级别:低;推荐强度:不推荐)

there is insufficient evidence to suggest the preference of any neuromuscular blocking reversal agent to reduce the risks of postoperative respiratory complications in patients with OSA(Evidence level:C;Recommendation grade:NA).

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 864 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/864.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => Patients with OSA may be at increased risk for adverse respiratory events from the use of opioid medication. (2C) [laiyuan] => 阻塞性呼吸睡眠暂停综合征患者可能因使用阿片类药物而增加不良呼吸事件的风险(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
阻塞性呼吸睡眠暂停综合征患者可能因使用阿片类药物而增加不良呼吸事件的风险(证据级别:低;推荐强度:弱推荐)

Patients with OSA may be at increased risk for adverse respiratory events from the use of opioid medication. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 865 [catid] => 264 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/865.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => The possibility of altered pain perception in patients with OSA should be considered. (2C) [laiyuan] => 应考虑阻塞性呼吸睡眠暂停综合征患者疼痛感知改变的可能性(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
应考虑阻塞性呼吸睡眠暂停综合征患者疼痛感知改变的可能性(证据级别:低;推荐强度:弱推荐)

The possibility of altered pain perception in patients with OSA should be considered. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 866 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/866.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => Patients with OSA may be at increased risk for adverse respiratory events from the use of propofol for procedural sedation. (1B) [laiyuan] => 阻塞性呼吸睡眠暂停综合征患者因使用丙泊酚进行手术镇静而使不良呼吸事件的风险发生可能增加(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
阻塞性呼吸睡眠暂停综合征患者因使用丙泊酚进行手术镇静而使不良呼吸事件的风险发生可能增加(证据级别:中;推荐强度:强推荐)

Patients with OSA may be at increased risk for adverse respiratory events from the use of propofol for procedural sedation. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 867 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/867.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:15 [updatetime] => 2024-01-11 15:14:15 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => There is a lack of evidence to assess residual effects of inhalational anesthetic agents in the population with OSA(Evidence level:B;Recommendation grade:No Recommendation). [laiyuan] => 缺乏证据来评估吸入麻醉药在阻塞性呼吸睡眠暂停综合征患者中的残留效果(证据级别:B;推荐强度:不推荐) [znzldj] => B [_inputtime] => 1704957255 [_updatetime] => 1704957255 [_nrjc] => [_nrsh] => )
推荐意见
缺乏证据来评估吸入麻醉药在阻塞性呼吸睡眠暂停综合征患者中的残留效果(证据级别:B;推荐强度:不推荐)

There is a lack of evidence to assess residual effects of inhalational anesthetic agents in the population with OSA(Evidence level:B;Recommendation grade:No Recommendation).

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 813 [catid] => 252 [title] => Consensus guidelines on perioperative management of malignant hyperthermia suspected or susceptible patients from the European Malignant Hyperthermia Group [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/813.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:14 [updatetime] => 2024-01-11 15:14:14 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [guojia] => the European Malignant Hyperthermia Group [pdf] => [tjyjyw] => [lyyw] => The indications for pharmacological premedication are the same for MH-susceptible patients as those not predisposed to MH. (1C) [laiyuan] => 对于有恶性高热易感性的患者和无恶性高热易感性的患者,药物预处理的适应症是相同的。(证据级别:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957254 [_updatetime] => 1704957254 [_nrjc] => [_nrsh] => )
推荐意见
对于有恶性高热易感性的患者和无恶性高热易感性的患者,药物预处理的适应症是相同的。(证据级别:低;推荐强度:强推荐)

The indications for pharmacological premedication are the same for MH-susceptible patients as those not predisposed to MH. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2021

国家:the European Malignant Hyperthermia Group

阅读
Array ( [id] => 814 [catid] => 256 [title] => Consensus guidelines on perioperative management of malignant hyperthermia suspected or susceptible patients from the European Malignant Hyperthermia Group [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/814.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:14 [updatetime] => 2024-01-11 15:14:14 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [guojia] => the European Malignant Hyperthermia Group [pdf] => [tjyjyw] => [lyyw] => Minimum monitoring for general anaesthesia for an MHsusceptible patient is electrocardiography, pulse oximetry, noninvasive blood pressure, inspired oxygen concentration, inspired/expired CO2 with capnography, airway pressure, ventilatory frequency, minute ventilation, peripheral nerve stimulator when neuromuscular blocking agents are used, and continuous core body temperature measurement for procedures of any duration and (where available) depth of anaesthesia monitoring. (1C) [laiyuan] => 对全身麻醉患者进行的基础监测包括心电图、脉搏血氧饱和度、无创血压、吸入氧浓度、吸入/呼出二氧化碳(带气管造影)、气道压力、通气频率、分钟通气量、使用神经肌肉阻滞剂时的外周神经刺激器、任何持续时间的连续核心体温测量以及麻醉深度监测(如有)。(证据级别:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957254 [_updatetime] => 1704957254 [_nrjc] => [_nrsh] => )
推荐意见
对全身麻醉患者进行的基础监测包括心电图、脉搏血氧饱和度、无创血压、吸入氧浓度、吸入/呼出二氧化碳(带气管造影)、气道压力、通气频率、分钟通气量、使用神经肌肉阻滞剂时的外周神经刺激器、任何持续时间的连续核心体温测量以及麻醉深度监测(如有)。(证据级别:低;推荐强度:强推荐)

Minimum monitoring for general anaesthesia for an MHsusceptible patient is electrocardiography, pulse oximetry, noninvasive blood pressure, inspired oxygen concentration, inspired/expired CO2 with capnography, airway pressure, ventilatory frequency, minute ventilation, peripheral nerve stimulator when neuromuscular blocking agents are used, and continuous core body temperature measurement for procedures of any duration and (where available) depth of anaesthesia monitoring. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2021

国家:the European Malignant Hyperthermia Group

阅读
Array ( [id] => 815 [catid] => 256 [title] => Consensus guidelines on perioperative management of malignant hyperthermia suspected or susceptible patients from the European Malignant Hyperthermia Group [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/815.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:14 [updatetime] => 2024-01-11 15:14:14 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2021 [guojia] => the European Malignant Hyperthermia Group [pdf] => [tjyjyw] => [lyyw] => If trigger-free anaesthesia is provided, an MH-susceptible patient will not need any extra monitoring during anaesthesia compared with a patient with the same condition and preoperative status, but not predisposed to MH. (1C) [laiyuan] => 如果采用无触发麻醉,与病情和术前状态相同但无恶性高热易感性的患者相比,有恶性高热易感性的患者在麻醉期间不需要额外的监测。(证据级别:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957254 [_updatetime] => 1704957254 [_nrjc] => [_nrsh] => )
推荐意见
如果采用无触发麻醉,与病情和术前状态相同但无恶性高热易感性的患者相比,有恶性高热易感性的患者在麻醉期间不需要额外的监测。(证据级别:低;推荐强度:强推荐)

If trigger-free anaesthesia is provided, an MH-susceptible patient will not need any extra monitoring during anaesthesia compared with a patient with the same condition and preoperative status, but not predisposed to MH. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2021

国家:the European Malignant Hyperthermia Group

阅读