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Array ( [id] => 1395 [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/1395.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 basing the decision for transfusion of RBCs not only on laboratory values but also on the clinical status of the child and the risks and benefits of the transfusion. （Evidence level: low；Recommendation grade:strong） [laiyuan] => 我们建议在决定输注红细胞时，不仅要考虑实验室检查结果，还要考虑患儿的临床状况以及输注红细胞的风险和获益。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在决定输注红细胞时，不仅要考虑实验室检查结果，还要考虑患儿的临床状况以及输注红细胞的风险和获益。（证据级别：低；推荐强度：强推荐）

We recommend basing the decision for transfusion of RBCs not only on laboratory values but also on the clinical status of the child and the risks and benefits of the transfusion. （Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1396 [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/1396.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 a transfusion if the child is haemodynamically stable and has a Hb concentration of at least 7 g/dl.（Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 如果患儿血流动力学稳定且Hb浓度不少于7g/dl，我们不建议输血。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
如果患儿血流动力学稳定且Hb浓度不少于7g/dl，我们不建议输血。（证据级别：中；推荐强度：强推荐）

We recommend against a transfusion if the child is haemodynamically stable and has a Hb concentration of at least 7 g/dl.（Evidence level: moderate；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1397 [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/1397.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 suggest administering fibrinogen concentrate to a child suffering from peri-operative bleeding and who was diagnosed with hypofibrinogenaemia. （Evidence level: moderate；Recommendation grade:weak） [laiyuan] => 我们建议对1例围手术期出血并被诊断为低纤维蛋白原血症的儿童施用纤维蛋白原浓缩物（证据级别：中；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议对1例围手术期出血并被诊断为低纤维蛋白原血症的儿童施用纤维蛋白原浓缩物（证据级别：中；推荐强度：弱推荐）

We suggest administering fibrinogen concentrate to a child suffering from peri-operative bleeding and who was diagnosed with hypofibrinogenaemia. （Evidence level: moderate；Recommendation grade:weak）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1398 [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/1398.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 the prophylactic administration of anti-fibrinolytics in neonates and children undergoing noncardiac surgery associated with a high bleeding risk to decrease blood loss and the need for transfusions. （Evidence level: low；Recommendation grade:strong） [laiyuan] => 我们建议对接受非心脏手术且出血风险高的新生儿和儿童预防性使用抗纤溶药物，以减少失血和输血需求。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议对接受非心脏手术且出血风险高的新生儿和儿童预防性使用抗纤溶药物，以减少失血和输血需求。（证据级别：低；推荐强度：强推荐）

We recommend the prophylactic administration of anti-fibrinolytics in neonates and children undergoing noncardiac surgery associated with a high bleeding risk to decrease blood loss and the need for transfusions. （Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1399 [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/1399.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 a target Hb concentration of 7 to 9 g/dl during active bleeding.（Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 我们建议活动性出血时的目标血红蛋白浓度为7-9g/dl。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议活动性出血时的目标血红蛋白浓度为7-9g/dl。（证据级别：中；推荐强度：强推荐）

We recommend a target Hb concentration of 7 to 9 g/dl during active bleeding.（Evidence level: moderate；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1400 [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/1400.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 patients with a superior vena cava catheter in place, we recommend central venous oxygen saturation or arterial–venous oxygen difference surrogates for the oxygen delivery to consumption ratio to provide a personalised approach to identify patients who may benefit from transfusion. （Evidence level: low；Recommendation grade:strong） [laiyuan] => 对于放置上腔静脉导管的患者，我们建议用中心静脉血氧饱和度或动静脉血氧差替代氧供耗比，从而提供个性化方法，确定哪些患者可能从输血中获益。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
对于放置上腔静脉导管的患者，我们建议用中心静脉血氧饱和度或动静脉血氧差替代氧供耗比，从而提供个性化方法，确定哪些患者可能从输血中获益。（证据级别：低；推荐强度：强推荐）

In patients with a superior vena cava catheter in place, we recommend central venous oxygen saturation or arterial–venous oxygen difference surrogates for the oxygen delivery to consumption ratio to provide a personalised approach to identify patients who may benefit from transfusion. （Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1401 [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/1401.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 repeated measurements of a combination of Hct/Hb, serum lactate and base deficit to monitor tissue perfusion, tissue oxygenation and the dynamics of blood loss during acute bleeding. （Evidence level: low；Recommendation grade:strong） [laiyuan] => 建议结合Hct/Hb、血乳酸和碱缺陷率反复监测组织灌注、组织氧合和急性出血时的失血动力学。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
建议结合Hct/Hb、血乳酸和碱缺陷率反复监测组织灌注、组织氧合和急性出血时的失血动力学。（证据级别：低；推荐强度：强推荐）

We recommend repeated measurements of a combination of Hct/Hb, serum lactate and base deficit to monitor tissue perfusion, tissue oxygenation and the dynamics of blood loss during acute bleeding. （Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1402 [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/1402.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 that these tests should be extended by measurement of cardiac output, dynamic variables of volume status (stroke volume variation, pulse pressure variation), CO2 gap and central venous oxygen saturation or the combination of these. （Evidence level: low；Recommendation grade:strong） [laiyuan] => 我们建议通过测量心输出量、容量状态的动态变量(每搏量变异度、脉压变异度)、CO2间隙和中心静脉血氧饱和度或这些的组合来扩展这些检查。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议通过测量心输出量、容量状态的动态变量(每搏量变异度、脉压变异度)、CO2间隙和中心静脉血氧饱和度或这些的组合来扩展这些检查。（证据级别：低；推荐强度：强推荐）

We recommend that these tests should be extended by measurement of cardiac output, dynamic variables of volume status (stroke volume variation, pulse pressure variation), CO2 gap and central venous oxygen saturation or the combination of these. （Evidence level: low；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1403 [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/1403.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 the replacement of extracellular fluid losses with isotonic crystalloids in a timely and protocolbased manner. （Evidence level: moderate；Recommendation grade:strong） [laiyuan] => 我们建议及时用等渗晶体液补充细胞外液损失。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
我们建议及时用等渗晶体液补充细胞外液损失。（证据级别：中；推荐强度：强推荐）

We recommend the replacement of extracellular fluid losses with isotonic crystalloids in a timely and protocolbased manner. （Evidence level: moderate；Recommendation grade:strong）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1404 [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/1404.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] => Compared with crystalloids, macro-haemodynamic and micro-haemodynamic stabilisation can be achieved with less volume of iso-oncotic colloids, and less tissue oedema. （Evidence level: low） [laiyuan] => 与晶体液相比，用更少的等嗜酸胶体可以达到宏观和微观血流动力学的稳定及更少的组织水肿（证据级别：低） [znzldj] => B [_inputtime] => 1704957872 [_updatetime] => 1704957872 [_nrjc] => [_nrsh] => )
推荐意见
与晶体液相比，用更少的等嗜酸胶体可以达到宏观和微观血流动力学的稳定及更少的组织水肿（证据级别：低）

Compared with crystalloids, macro-haemodynamic and micro-haemodynamic stabilisation can be achieved with less volume of iso-oncotic colloids, and less tissue oedema. （Evidence level: low）

证据评价方法：GRADE

指南质量等级：B

年份：2023

国家：the European Society of Anaesthesiology and Intens

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读

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