Array
(
[id] => 635
[catid] => 37
[title] => Guidelines for Perioperative Care for Liver Surgery Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/635.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:05
[updatetime] => 2024-01-11 15:13:05
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Enhanced Recovery After Surgery (ERAS) Society
[pdf] =>
[tjyjyw] =>
[lyyw] => A multimodal approach to postoperative nausea and vomiting should be used. Patients should receive postoperative nausea and vomiting prophylaxis with at least 2 antiemetic drugs such as dexamethasone and ondansetron. (1A)
[laiyuan] => 肝脏手术术后恶心呕吐应采用多模式治疗。患者术后应使用至少2种止吐药物(如地塞米松和昂丹司琼)来预防恶心和呕吐。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957185
[_updatetime] => 1704957185
[_nrjc] =>
[_nrsh] =>
)
推荐意见
肝脏手术术后恶心呕吐应采用多模式治疗。患者术后应使用至少2种止吐药物(如地塞米松和昂丹司琼)来预防恶心和呕吐。（证据级别：高；推荐强度：强推荐）
A multimodal approach to postoperative nausea and vomiting should be used. Patients should receive postoperative nausea and vomiting prophylaxis with at least 2 antiemetic drugs such as dexamethasone and ondansetron. (1A)
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Enhanced Recovery After Surgery (ERAS) Society
Array
(
[id] => 636
[catid] => 32
[title] => Guidelines for Perioperative Care for Liver Surgery Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/636.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:05
[updatetime] => 2024-01-11 15:13:05
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Enhanced Recovery After Surgery (ERAS) Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Low central venous pressure (below 5 cm H2O) with close monitoring is recommended during hepatic transection. As maintenance fluid balanced crystalloid should be preferred over 0.9% saline or colloids. Goal-directed fluid therapy optimizes cardiac output and end-organ perfusion. This may be particularly beneficial after the intraoperative liver resection during a low central venous pressure state to restore tissue perfusion. Patients who have comorbidities and reduced cardiac function may benefit most. (1A)
[laiyuan] => 建议在进行肝横断期间密切监测低中心静脉压(＜5cm H2O)。晶体液体应优于0.9%的生理盐水或胶体作为维持平衡的液体。目标导向液体治疗可优化心输出量和终末器官灌注。在术中肝切除期间维持低中心静脉压，可对术后恢复组织灌注有益，其中对于有合并症和心功能降低的患者可能受益最多。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957185
[_updatetime] => 1704957185
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在进行肝横断期间密切监测低中心静脉压(＜5cm H2O)。晶体液体应优于0.9%的生理盐水或胶体作为维持平衡的液体。目标导向液体治疗可优化心输出量和终末器官灌注。在术中肝切除期间维持低中心静脉压，可对术后恢复组织灌注有益，其中对于有合并症和心功能降低的患者可能受益最多。（证据级别：高；推荐强度：强推荐）
Low central venous pressure (below 5 cm H2O) with close monitoring is recommended during hepatic transection. As maintenance fluid balanced crystalloid should be preferred over 0.9% saline or colloids. Goal-directed fluid therapy optimizes cardiac output and end-organ perfusion. This may be particularly beneficial after the intraoperative liver resection during a low central venous pressure state to restore tissue perfusion. Patients who have comorbidities and reduced cardiac function may benefit most. (1A)
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Enhanced Recovery After Surgery (ERAS) Society
Array
(
[id] => 637
[catid] => 39
[title] => Guidelines for Perioperative Care for Liver Surgery Enhanced Recovery After Surgery (ERAS) Society Recommendations 2022
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/637.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:05
[updatetime] => 2024-01-11 15:13:05
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Enhanced Recovery After Surgery (ERAS) Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Substantial literature exists supporting that audit and feedback improve outcomes in health care and surgery. Regular audit and feedback should be implemented and performed in liver surgery to monitor and improve postoperative outcomes and compliance to the ERAS program. (1B)
[laiyuan] => 大量文献支持临床审计和反馈可以改善医疗保健和外科手术的结果。定期临床审计和反馈应在肝脏手术中实施和执行，以监测和改善术后结果和ERAS计划的依从性。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957185
[_updatetime] => 1704957185
[_nrjc] =>
[_nrsh] =>
)
推荐意见
大量文献支持临床审计和反馈可以改善医疗保健和外科手术的结果。定期临床审计和反馈应在肝脏手术中实施和执行，以监测和改善术后结果和ERAS计划的依从性。（证据级别：中；推荐强度：强推荐）
Substantial literature exists supporting that audit and feedback improve outcomes in health care and surgery. Regular audit and feedback should be implemented and performed in liver surgery to monitor and improve postoperative outcomes and compliance to the ERAS program. (1B)
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Enhanced Recovery After Surgery (ERAS) Society
Array
(
[id] => 598
[catid] => 298
[title] => Guidelines of the Polish Society of Anaesthesiology and Intensive Therapy regarding prevention of inadvertent intraoperative hypothermia
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/598.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:04
[updatetime] => 2024-01-11 15:13:04
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => Oxford Centre of Evidence – Based Medicine (OCEBM)
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => Polish Society of Anaesthesiology and Intensive Th
[pdf] =>
[tjyjyw] =>
[lyyw] => The operating theatre temperature should not be lower than 21°C until the systems of active cooling prevention have been activated. (1B)
[laiyuan] => 在主动冷却预防系统启动之前，手术室温度不应低于21°C。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957184
[_updatetime] => 1704957184
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在主动冷却预防系统启动之前，手术室温度不应低于21°C。（证据级别：中；推荐强度：强推荐）
The operating theatre temperature should not be lower than 21°C until the systems of active cooling prevention have been activated. (1B)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
(
[id] => 599
[catid] => 298
[title] => Guidelines of the Polish Society of Anaesthesiology and Intensive Therapy regarding prevention of inadvertent intraoperative hypothermia
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/599.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:04
[updatetime] => 2024-01-11 15:13:04
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => Oxford Centre of Evidence – Based Medicine (OCEBM)
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => Polish Society of Anaesthesiology and Intensive Th
[pdf] =>
[tjyjyw] =>
[lyyw] => If it is planned to transfuse more than 1000 mL of infusion fluids, they should be warmed to 37°C using the devices designed for this purpose. (1B)
[laiyuan] => 如果计划输注1000ml以上液体，应使用输液加温装置加热至37°C。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957184
[_updatetime] => 1704957184
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果计划输注1000ml以上液体，应使用输液加温装置加热至37°C。（证据级别：中；推荐强度：强推荐）
If it is planned to transfuse more than 1000 mL of infusion fluids, they should be warmed to 37°C using the devices designed for this purpose. (1B)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
(
[id] => 600
[catid] => 298
[title] => Guidelines of the Polish Society of Anaesthesiology and Intensive Therapy regarding prevention of inadvertent intraoperative hypothermia
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/600.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:04
[updatetime] => 2024-01-11 15:13:04
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => Oxford Centre of Evidence – Based Medicine (OCEBM)
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => Polish Society of Anaesthesiology and Intensive Th
[pdf] =>
[tjyjyw] =>
[lyyw] => Warming of whole blood, red blood cell concentrate, and other blood preparations to 37° C is indicated in transfusions with a rate above 50 mL min –1 and only with the devices designed for this purpose. (2B)
[laiyuan] => 当加热流速大于50 mL/min的全血、浓缩红细胞和其他血液制剂加热至37°C时，应使用专业加热装置。（证据级别：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957184
[_updatetime] => 1704957184
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当加热流速大于50 mL/min的全血、浓缩红细胞和其他血液制剂加热至37°C时，应使用专业加热装置。（证据级别：中；推荐强度：弱推荐）
Warming of whole blood, red blood cell concentrate, and other blood preparations to 37° C is indicated in transfusions with a rate above 50 mL min –1 and only with the devices designed for this purpose. (2B)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
(
[id] => 601
[catid] => 298
[title] => Guidelines of the Polish Society of Anaesthesiology and Intensive Therapy regarding prevention of inadvertent intraoperative hypothermia
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/601.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:04
[updatetime] => 2024-01-11 15:13:04
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => Oxford Centre of Evidence – Based Medicine (OCEBM)
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => Polish Society of Anaesthesiology and Intensive Th
[pdf] =>
[tjyjyw] =>
[lyyw] => It is advisable to warm the fluids used for intraoperative rinsing of body cavities (irrigation) to 37–40°C. (2B)
[laiyuan] => 建议将术中用于冲洗的液体加热至37-40°C。（证据级别：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957184
[_updatetime] => 1704957184
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议将术中用于冲洗的液体加热至37-40°C。（证据级别：中；推荐强度：弱推荐）
It is advisable to warm the fluids used for intraoperative rinsing of body cavities (irrigation) to 37–40°C. (2B)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
(
[id] => 602
[catid] => 123
[title] => European guidelines on perioperative venoust hromboembolism prophylaxis Aspirin
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/602.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:04
[updatetime] => 2024-01-11 15:13:04
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ejanaesthesiology/fulltext/2018/02000/european_guidelines_on_perioperative_venous.9.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => European Society of Anaesthesiologists
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend the use of aspirin as an option for venous thromboembolism (VTE) prevention after total hip arthroplasty, total knee arthroplasty and hip fracture surgery . (1B)
[laiyuan] => 推荐在全髋关节置换术、全膝关节置换术和髋部骨折手术后，选择使用阿司匹林预防静脉血栓栓塞症(VTE)。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957184
[_updatetime] => 1704957184
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐在全髋关节置换术、全膝关节置换术和髋部骨折手术后，选择使用阿司匹林预防静脉血栓栓塞症(VTE)。（证据级别：中；推荐强度：强推荐）
We recommend the use of aspirin as an option for venous thromboembolism (VTE) prevention after total hip arthroplasty, total knee arthroplasty and hip fracture surgery . (1B)
证据评价方法：GRADE
指南质量等级：B
年份：2018
国家：European Society of Anaesthesiologists
Array
(
[id] => 603
[catid] => 123
[title] => European guidelines on perioperative venoust hromboembolism prophylaxis Aspirin
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/603.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:04
[updatetime] => 2024-01-11 15:13:04
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => European Society of Anaesthesiologists
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest the use of aspirin for VTE prevention after low-risk orthopaedic procedures in patients with a high VTE risk or other high-risk orthopaedic procedures inpatients without a high VTE risk. (2C)
[laiyuan] => 建议在具有高静脉血栓栓塞症（VTE）风险的低风险骨科手术或其它高风险骨科手术但无高VTE风险的住院患者中，使用阿司匹林预防VTE。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957184
[_updatetime] => 1704957184
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在具有高静脉血栓栓塞症（VTE）风险的低风险骨科手术或其它高风险骨科手术但无高VTE风险的住院患者中，使用阿司匹林预防VTE。（证据级别：低；推荐强度：弱推荐）
We suggest the use of aspirin for VTE prevention after low-risk orthopaedic procedures in patients with a high VTE risk or other high-risk orthopaedic procedures inpatients without a high VTE risk. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2018
国家：European Society of Anaesthesiologists
Array
(
[id] => 604
[catid] => 123
[title] => European guidelines on perioperative venoust hromboembolism prophylaxis Aspirin
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/604.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:13:04
[updatetime] => 2024-01-11 15:13:04
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2018
[guojia] => European Society of Anaesthesiologists
[pdf] =>
[tjyjyw] =>
[lyyw] => We do not recommend aspirin for thromboprophylaxis in general surgery. (1C)
[laiyuan] => 不推荐在普通外科手术中使用阿司匹林用预防血栓。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957184
[_updatetime] => 1704957184
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐在普通外科手术中使用阿司匹林用预防血栓。（证据级别：低；推荐强度：强推荐）
We do not recommend aspirin for thromboprophylaxis in general surgery. (1C)
证据评价方法：GRADE
指南质量等级：B
年份：2018
国家：European Society of Anaesthesiologists
