Array ( [id] => 1416 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1416.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:33 [updatetime] => 2024-01-11 15:24:33 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Intravenous iron formulations allowing higher maximal single doses (such as isomaltoside ,carboxymaltose) may be more effective than those with low licensed maximum single doses (such as sucrose). （Evidence level: moderate） [laiyuan] => 单次最大剂量较高的静脉注射铁制剂（如异麦芽糖苷、羧甲基麦芽糖）可能比单次最大剂量较低的制剂（如蔗糖）更有效。（证据级别：中） [znzldj] => B [_inputtime] => 1704957873 [_updatetime] => 1704957873 [_nrjc] => [_nrsh] => )

Array ( [id] => 1417 [catid] => 105 [title] => 中国甲状腺及甲状旁腺手术中神经监测指南（2023版） [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1417.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:33 [updatetime] => 2024-01-11 15:24:33 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国医师协会 中国研究型医院学会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 肌松剂应选用中短效非去极化类型，麻醉诱导时通常给予1倍ED95剂量或可适量增加，术中不宜或仅可少量追加，必要时可使用拮抗剂减弱肌松作用，以免影响神经监测效果。（推荐等级A；证据等级：A） [znzldj] => B [_inputtime] => 1704957873 [_updatetime] => 1704957873 [_nrjc] => [_nrsh] => )

Array ( [id] => 1418 [catid] => 105 [title] => 中国甲状腺及甲状旁腺手术中神经监测指南（2023版） [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1418.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:33 [updatetime] => 2024-01-11 15:24:33 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国医师协会 中国研究型医院学会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 麻醉管理中可使用抗胆碱药物减少腺体分泌，有助于保持表面电极与声带的良好接触。（推荐等级：B；证据等级：C） [znzldj] => B [_inputtime] => 1704957873 [_updatetime] => 1704957873 [_nrjc] => [_nrsh] => )

Array ( [id] => 1419 [catid] => 14 [title] => 中国甲状腺及甲状旁腺手术中神经监测指南（2023版） [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1419.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:33 [updatetime] => 2024-01-11 15:24:33 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国医师协会 中国研究型医院学会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 宜在可视喉镜下留置监测导管，避免使用导管表面润滑油和喉腔喷雾，注意置管角度与深度，确保表面电极与声带接触良好。（推荐等级：A；证据等级：C） [znzldj] => B [_inputtime] => 1704957873 [_updatetime] => 1704957873 [_nrjc] => [_nrsh] => )

Array ( [id] => 1420 [catid] => 14 [title] => 中国甲状腺及甲状旁腺手术中神经监测指南（2023版） [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1420.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:33 [updatetime] => 2024-01-11 15:24:33 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国医师协会 中国研究型医院学会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前宜进行喉镜检查或其他检查评估声带功能，术后可视情况选择性应用。（推荐等级：A；证据等级：B） [znzldj] => B [_inputtime] => 1704957873 [_updatetime] => 1704957873 [_nrjc] => [_nrsh] => )

Array ( [id] => 1421 [catid] => 105 [title] => 中国甲状腺及甲状旁腺手术中神经监测指南（2023版） [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1421.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:33 [updatetime] => 2024-01-11 15:24:33 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国医师协会 中国研究型医院学会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 肌松剂过量时，可暂停涉及神经区域的手术操作或应用拮抗剂，待肌松效果减弱后再行手术操作。（推荐等级：A；证据等级：A） [znzldj] => B [_inputtime] => 1704957873 [_updatetime] => 1704957873 [_nrjc] => [_nrsh] => )

Array ( [id] => 1381 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1381.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => VHA-guided haemostatic treatment reduces the need for blood products. （Evidence level: moderate） [laiyuan] => VHA指导下的止血治疗减少了对血液制品的需求。（证据级别：中） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )

Array ( [id] => 1382 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1382.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend against pre-emptive fibrinogen replacement; however, in ongoing postpartum haemorrhage with hypofibrinogenaemia, we recommend fibrinogen replacement. （Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 我们不建议预先进行纤维蛋白原替代;然而，对于持续的产后出血合并低纤维蛋白原血症，我们建议进行纤维蛋白原替代治疗。（证据级别：中；推荐等级：强） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )

Array ( [id] => 1383 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1383.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Fibrinogen substitution in women with ongoing postpartum haemorrhage and a fibrinogen level above 2 g l 1 or FIBTEM A5 greater than 12 mm is not indicated. （Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 对于持续的产后出血且纤维蛋白原水平高于2g或FIBTEM A5>12mm的妇女，不建议使用纤维蛋白原替代。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )

Array ( [id] => 1384 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1384.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:32 [updatetime] => 2024-01-11 15:24:32 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In severe postpartum haemorrhage, we suggest a VHAguided intervention protocol.（Evidence level: low；Recommendation grade:weak） [laiyuan] => 对于严重的产后出血，我们建议采用介入治疗方案。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )