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[id] => 1315
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend the oral, i.v. and/or topical route to administer TXA. Combination of systemic and topical administration of TXA further reduces blood loss.（Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 我们建议口服、静脉注射和/或局部注射氨甲环酸。结合全身和局部给药氨甲环酸进一步减少失血。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议口服、静脉注射和/或局部注射氨甲环酸。结合全身和局部给药氨甲环酸进一步减少失血。（证据级别：中；推荐强度：强推荐）
We recommend the oral, i.v. and/or topical route to administer TXA. Combination of systemic and topical administration of TXA further reduces blood loss.（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
Array
(
[id] => 1316
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
[keywords] =>
[description] =>
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[uid] => 1
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest EACA as an antifibrinolytic agent to reduce blood loss if TXA not available. （Evidence level: moderate；Recommendation grade: weak）
[laiyuan] => 我们建议如果氨甲环酸没有时，氨基己酸作为抗纤溶剂减少失血量。（证据级别：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议如果氨甲环酸没有时，氨基己酸作为抗纤溶剂减少失血量。（证据级别：中；推荐强度：弱推荐）
We suggest EACA as an antifibrinolytic agent to reduce blood loss if TXA not available. （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
Array
(
[id] => 1317
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
[keywords] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => The use of intra-operative tourniquet in primary knee arthroplasty may not reduce global peri-operative bleeding and transfusion rate. （Evidence level: low）
[laiyuan] => 在首次膝关节置换术中使用术中止血带可能不会减少术中出血和输血的总体发生率。（证据级别：低）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在首次膝关节置换术中使用术中止血带可能不会减少术中出血和输血的总体发生率。（证据级别：低）
The use of intra-operative tourniquet in primary knee arthroplasty may not reduce global peri-operative bleeding and transfusion rate. （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
Array
(
[id] => 1318
[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
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => The use of drainage may not decrease blood loss in knee arthroplasty, total hip arthroplasty or spine surgery.（Evidence level: low）
[laiyuan] => 在膝关节置换术、全髋关节置换术或脊柱手术中，引流术的使用可能不会减少出血量。（证据级别：低）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在膝关节置换术、全髋关节置换术或脊柱手术中，引流术的使用可能不会减少出血量。（证据级别：低）
The use of drainage may not decrease blood loss in knee arthroplasty, total hip arthroplasty or spine surgery.（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
Array
(
[id] => 1319
[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
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => The type of surgical approach in total hip arthroplasty may not reduce peri-operative blood loss. （Evidence level: low）
[laiyuan] => 全髋关节置换术的手术入路类型不会减少围手术期失血。（证据级别：低）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
全髋关节置换术的手术入路类型不会减少围手术期失血。（证据级别：低）
The type of surgical approach in total hip arthroplasty may not reduce peri-operative blood loss. （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
Array
(
[id] => 1320
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[url] => https://www.anes-guide.com/show/1320.html
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend hip fracture treatment within 48 h to avoid global peri-operative complications. （Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 我们建议在48小时内治疗髋部骨折，以避免围手术期并发症。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在48小时内治疗髋部骨折，以避免围手术期并发症。（证据级别：中；推荐强度：强推荐）
We recommend hip fracture treatment within 48 h to avoid global peri-operative complications. （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
Array
(
[id] => 1321
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[description] =>
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[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => Allogeneic blood transfusion is associated with an increased incidence of surgical site infections.（Evidence level: moderate）
[laiyuan] => 异体输血与手术部位感染的发生率增加有关。（证据级别：中）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
异体输血与手术部位感染的发生率增加有关。（证据级别：中）
Allogeneic blood transfusion is associated with an increased incidence of surgical site infections.（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
Array
(
[id] => 1322
[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/1322.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => The osteosynthesis technique of proximal endomedullary nailing may reduce blood loss in trochanteric femur fracture. （Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 近端髓内钉技术可减少股骨粗隆骨折的失血量。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
近端髓内钉技术可减少股骨粗隆骨折的失血量。（证据级别：中；推荐强度：强推荐）
The osteosynthesis technique of proximal endomedullary nailing may reduce blood loss in trochanteric femur fracture. （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
Array
(
[id] => 1323
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest the maintenance of restrictive transfusion thresholds in the management of hip fracture. （Evidence level: low；Recommendation grade: weak）
[laiyuan] => 我们建议在髋部骨折的治疗中维持限制性输血阈值。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957869
[_updatetime] => 1704957869
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在髋部骨折的治疗中维持限制性输血阈值。（证据级别：低；推荐强度：弱推荐）
We suggest the maintenance of restrictive transfusion thresholds in the management of hip fracture. （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
Array
(
[id] => 1280
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend replacement/substitution therapy with factor concentrates, either plasma-derived or recombinant products, for major bleeding/surgery in patients with von Willebrand disease (VWD) or haemophilia A and B. （Evidence level: low；Recommendation grade: strong）
[laiyuan] => 对于冯-威廉氏病（VWD）或 A 型和 B 型血友病患者的大出血/手术，我们建议使用血浆浓缩因子或重组产品进行替代/替换治疗。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于冯-威廉氏病（VWD）或 A 型和 B 型血友病患者的大出血/手术，我们建议使用血浆浓缩因子或重组产品进行替代/替换治疗。（证据级别：低；推荐强度：强推荐）
We recommend replacement/substitution therapy with factor concentrates, either plasma-derived or recombinant products, for major bleeding/surgery in patients with von Willebrand disease (VWD) or haemophilia A and B. （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
