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Array ( [id] => 1378 [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/1378.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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] => Dynamic platelet count decrease or a level less than150×10^9 /l at the onset of labour, particularly if combined with plasma fibrinogen level less than 2.0 g/l, may indicate an increased risk of postpartum haemorrhage.(Evidence level: low) [laiyuan] => 分娩开始时动态血小板计数减少或水平低于150×10^9/l,特别是如果伴有血浆纤维蛋白原水平低于2.0g/l,可能表明产后出血的风险增加。(证据级别:低) [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
分娩开始时动态血小板计数减少或水平低于150×10^9/l,特别是如果伴有血浆纤维蛋白原水平低于2.0g/l,可能表明产后出血的风险增加。(证据级别:低)

Dynamic platelet count decrease or a level less than150×10^9 /l at the onset of labour, particularly if combined with plasma fibrinogen level less than 2.0 g/l, may indicate an increased risk of postpartum haemorrhage.(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

阅读
Array ( [id] => 1379 [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/1379.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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] => At the beginning of labour, aPTT and PT are of little predictive value for postpartum haemorrhage. (Evidence level: low) [laiyuan] => 在分娩初期,aPTT和PT对产后出血的预测价值不大。(证据级别:低) [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
在分娩初期,aPTT和PT对产后出血的预测价值不大。(证据级别:低)

At the beginning of labour, aPTT and PT are of little predictive value for postpartum haemorrhage. (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

阅读
Array ( [id] => 1380 [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/1380.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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 can identify obstetric coagulopathy including hypo-fibrinogenaemia and reduced platelet level. (Evidence level: moderate) [laiyuan] => VHA可以识别产科凝血病,包括低纤维蛋白原血症和血小板水平降低。(证据级别:中) [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
VHA可以识别产科凝血病,包括低纤维蛋白原血症和血小板水平降低。(证据级别:中)

VHA can identify obstetric coagulopathy including hypo-fibrinogenaemia and reduced platelet level. (Evidence level: moderate)

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

阅读
Array ( [id] => 1324 [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/1324.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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, in cases of ongoing bleeding as part of a goaldirected coagulation therapy algorithm ,monitoring FXIII and correction of deficiency. (Evidence level: low;Recommendation grade: weak) [laiyuan] => 我们建议,在持续出血的情况下,作为目标导向凝血治疗策略的一部分,监测因子XIII和纠正不足。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
我们建议,在持续出血的情况下,作为目标导向凝血治疗策略的一部分,监测因子XIII和纠正不足。(证据级别:低;推荐强度:弱推荐)

We suggest, in cases of ongoing bleeding as part of a goaldirected coagulation therapy algorithm ,monitoring FXIII and correction of deficiency. (Evidence level: low;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

阅读
Array ( [id] => 1325 [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/1325.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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 the intra-operative and postoperative use of cell salvage in major orthopaedic procedures with high risk of bleeding. (Evidence level: moderate;Recommendation grade: weak) [laiyuan] => 我们建议在出血高风险骨科大手术,术中和术后使用红细胞回收技术。(证据级别:中;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在出血高风险骨科大手术,术中和术后使用红细胞回收技术。(证据级别:中;推荐强度:弱推荐)

We suggest the intra-operative and postoperative use of cell salvage in major orthopaedic procedures with high risk of bleeding. (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

阅读
Array ( [id] => 1326 [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/1326.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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 low central venous pressure (CVP) and restrictive fluid administration during liver surgery to reduce bleeding. (Evidence level:high;Recommendation grade: strong) [laiyuan] => 我们建议在肝脏手术中采用低中心静脉压(血红蛋白)和限制性液体管理以减少出血。(证据级别:高;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在肝脏手术中采用低中心静脉压(血红蛋白)和限制性液体管理以减少出血。(证据级别:高;推荐强度:强推荐)

We recommend a low central venous pressure (CVP) and restrictive fluid administration during liver surgery to reduce bleeding. (Evidence level:high;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

阅读
Array ( [id] => 1327 [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/1327.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => Intra-operative hypovolaemic phlebotomy or infrahepatic inferior vena cava clamping used together with low CVP strategy are suggested for decreasing intra-operative blood loss and transfusion requirements in selected patients undergoing major liver resections.(Evidence level: low;Recommendation grade:weak) [laiyuan] => 建议术中静脉切开或肝下腔静脉阻断与低中心静脉压策略一起使用,以减少手术中出血量和输血需求。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
建议术中静脉切开或肝下腔静脉阻断与低中心静脉压策略一起使用,以减少手术中出血量和输血需求。(证据级别:低;推荐强度:弱推荐)

Intra-operative hypovolaemic phlebotomy or infrahepatic inferior vena cava clamping used together with low CVP strategy are suggested for decreasing intra-operative blood loss and transfusion requirements in selected patients undergoing major liver resections.(Evidence level: low;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

阅读
Array ( [id] => 1328 [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/1328.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => Maintenance of high-stroke volume variation (10 to 20%) could be considered in liver resection surgery to reduce bleeding. (Evidence level: moderate;Recommendation grade: weak) [laiyuan] => 在肝切除手术中可以考虑维持高SVV(10 - 20%)以减少出血。(证据级别:中;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
在肝切除手术中可以考虑维持高SVV(10 - 20%)以减少出血。(证据级别:中;推荐强度:弱推荐)

Maintenance of high-stroke volume variation (10 to 20%) could be considered in liver resection surgery to reduce bleeding. (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

阅读
Array ( [id] => 1329 [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/1329.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => During the liver resection phase, ventilation with low airway pressures achieved by low tidal volumes, and without positive end-expiratory pressure is suggested along with a low CVP strategy to decrease intra operative bleeding.(Evidence level: moderate;Recommendation grade: weak) [laiyuan] => 在肝切除阶段,建议采用低潮气量、无呼气末正压的低气道压通气,同时采用低中心静脉压策略,以减少术中出血。(证据级别:中;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
在肝切除阶段,建议采用低潮气量、无呼气末正压的低气道压通气,同时采用低中心静脉压策略,以减少术中出血。(证据级别:中;推荐强度:弱推荐)

During the liver resection phase, ventilation with low airway pressures achieved by low tidal volumes, and without positive end-expiratory pressure is suggested along with a low CVP strategy to decrease intra operative bleeding.(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

阅读
Array ( [id] => 1330 [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/1330.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => Together with other measures, terlipressin infusion may be considered during hepato-pancreatico-biliary (HPB) surgery to reduce bleeding.(Evidence level: moderate;Recommendation grade: weak) [laiyuan] => 在肝胰胆(肝胰胆道)手术中,可以考虑联合其他措施输液特利加压素以减少出血。(证据级别:中;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
在肝胰胆(肝胰胆道)手术中,可以考虑联合其他措施输液特利加压素以减少出血。(证据级别:中;推荐强度:弱推荐)

Together with other measures, terlipressin infusion may be considered during hepato-pancreatico-biliary (HPB) surgery to reduce bleeding.(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

阅读