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Array ( [id] => 802 [catid] => 27 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/802.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Avoid routine use of premedication. Consider a short-acting anxiolytic in patients with severe anxiety. (1C) [laiyuan] => 避免常规使用预处理药物。对于严重焦虑的患者,可考虑使用短效抗焦虑药。(证据级别:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
避免常规使用预处理药物。对于严重焦虑的患者,可考虑使用短效抗焦虑药。(证据级别:低;推荐强度:强推荐)

Avoid routine use of premedication. Consider a short-acting anxiolytic in patients with severe anxiety. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 803 [catid] => 27 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/803.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => A first-generation cephalosporin is recommended. Antibiotics should be administered within 1 h of incision. Antibiotic prophylaxis is not recommended in the postoperative period. (1A) [laiyuan] => 建议使用第一代头孢菌素,抗生素应在切皮后1小时内使用,术后不建议使用抗生素预防。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
建议使用第一代头孢菌素,抗生素应在切皮后1小时内使用,术后不建议使用抗生素预防。(证据级别:高;推荐强度:强推荐)

A first-generation cephalosporin is recommended. Antibiotics should be administered within 1 h of incision. Antibiotic prophylaxis is not recommended in the postoperative period. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 804 [catid] => 37 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/804.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => All patients should have a risk assessment for PONV. A-risk patients should receive 2–3 antiemetics. Continue postoperatively as required. (1A) [laiyuan] => 所有患者都应接受术后恶心呕吐风险评估。高风险患者应接受2-3次止吐药治疗。术后根据需要继续服用。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
所有患者都应接受术后恶心呕吐风险评估。高风险患者应接受2-3次止吐药治疗。术后根据需要继续服用。(证据级别:高;推荐强度:强推荐)

All patients should have a risk assessment for PONV. A-risk patients should receive 2–3 antiemetics. Continue postoperatively as required. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 805 [catid] => 38 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/805.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => A combination of a compression stocking and/or intermittent pneumatic compression together with either a LMWH or unfractionated heparin should be used and continued in hospital. (1A) [laiyuan] => 在住院期间,应结合使用弹力袜和/或间歇性气压疗法以及低分子肝素或普通肝素预防下肢静脉血栓。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
在住院期间,应结合使用弹力袜和/或间歇性气压疗法以及低分子肝素或普通肝素预防下肢静脉血栓。(证据级别:高;推荐强度:强推荐)

A combination of a compression stocking and/or intermittent pneumatic compression together with either a LMWH or unfractionated heparin should be used and continued in hospital. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 806 [catid] => 29 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/806.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Short-acting anesthetic agents, lung-protective ventilation, and complete reversal of neuromuscular blockade. (1A) [laiyuan] => 推荐应用短效麻醉剂、肺保护通气策略和完全逆转神经肌肉阻滞剂。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
推荐应用短效麻醉剂、肺保护通气策略和完全逆转神经肌肉阻滞剂。(证据级别:高;推荐强度:强推荐)

Short-acting anesthetic agents, lung-protective ventilation, and complete reversal of neuromuscular blockade. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 807 [catid] => 34 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/807.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Core temperature should be maintained at>36 °C. Active warming should be carried out in all patients in operations lasting longer than 30 min. (1A) [laiyuan] => 核心温度应保持>36°C。在持续时间超过30分钟的手术中,应对所有患者进行主动加温。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
核心温度应保持>36°C。在持续时间超过30分钟的手术中,应对所有患者进行主动加温。(证据级别:高;推荐强度:强推荐)

Core temperature should be maintained at>36 °C. Active warming should be carried out in all patients in operations lasting longer than 30 min. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 808 [catid] => 29 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/808.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Short-acting opioid sparing analgesia combined with local and regional blocks. In open abdominal surgery a mid-thoracic epidural analgesia should be used. Spinal analgesia and local blocks can be used in minimally invasive surgery. (1A) [laiyuan] => 短效阿片类镇痛与局部和区域阻滞相结合。在开腹手术中,应使用低位硬膜外镇痛。椎管内麻醉和区域阻滞可用于微创手术。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
短效阿片类镇痛与局部和区域阻滞相结合。在开腹手术中,应使用低位硬膜外镇痛。椎管内麻醉和区域阻滞可用于微创手术。(证据级别:高;推荐强度:强推荐)

Short-acting opioid sparing analgesia combined with local and regional blocks. In open abdominal surgery a mid-thoracic epidural analgesia should be used. Spinal analgesia and local blocks can be used in minimally invasive surgery. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 809 [catid] => 32 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/809.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Near- zero fluid balance. Intravenous treatment should be discontinued day1. Patients should be encouraged to drink when fully recovered and offered an oral diet within 4 h after surgery. (1A) [laiyuan] => 体液平衡接近零。术后第1天应停止静脉治疗。应鼓励患者在完全恢复后饮水,并在术后4小时内进食。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
体液平衡接近零。术后第1天应停止静脉治疗。应鼓励患者在完全恢复后饮水,并在术后4小时内进食。(证据级别:高;推荐强度:强推荐)

Near- zero fluid balance. Intravenous treatment should be discontinued day1. Patients should be encouraged to drink when fully recovered and offered an oral diet within 4 h after surgery. (1A)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 810 [catid] => 38 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/810.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => Oral fluids as soon as the patient is lucid after surgery and solids after 4 h. (1B) [laiyuan] => 术后患者清醒后立即口服液体,4 小时后口服固体食物。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
术后患者清醒后立即口服液体,4 小时后口服固体食物。(证据级别:中;推荐强度:强推荐)

Oral fluids as soon as the patient is lucid after surgery and solids after 4 h. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读
Array ( [id] => 811 [catid] => 38 [title] => Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low– Middle-Income Countries (LMIC’s): Enhanced Recovery After Surgery (ERAS) Society Recommendation [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/811.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:13 [updatetime] => 2024-01-11 15:14:13 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => Enhanced Recovery After Surgery (ERAS) Society [pdf] => [tjyjyw] => [lyyw] => 30 min on the day of surgery and 6 h/day thereafter. (1B) [laiyuan] => 早期活动:手术当天30分钟,之后每天6小时进行活动。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957253 [_updatetime] => 1704957253 [_nrjc] => [_nrsh] => )
推荐意见
早期活动:手术当天30分钟,之后每天6小时进行活动。(证据级别:中;推荐强度:强推荐)

30 min on the day of surgery and 6 h/day thereafter. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2022

国家:Enhanced Recovery After Surgery (ERAS) Society

阅读