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Array ( [id] => 2142 [catid] => 311 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2142.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => After elective PCI, it is recommended to delay time-sensitive NCS until a minimum of 1 month of DAPT treatment has been given.(Evidence: Level B,Recommendation: Class I) [laiyuan] => 时间敏感的NCS手术应延期至择期PCI术后至少双抗1个月。(证据级别:B;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
时间敏感的NCS手术应延期至择期PCI术后至少双抗1个月。(证据级别:B;推荐强度:Ⅰ)

After elective PCI, it is recommended to delay time-sensitive NCS until a minimum of 1 month of DAPT treatment has been given.(Evidence: Level B,Recommendation: Class I)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2143 [catid] => 311 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2143.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients with a recent PCI scheduled for NCS, it is recommended that management of antiplatelet therapy is discussed between the surgeon, anaesthesiologist, and cardiologist.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 对于最近计划接受非心脏手术经皮冠状动脉介入治疗的患者,建议外科医生、麻醉医师和心脏病专家讨论抗血小板治疗的管理。(证据级别:C;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于最近计划接受非心脏手术经皮冠状动脉介入治疗的患者,建议外科医生、麻醉医师和心脏病专家讨论抗血小板治疗的管理。(证据级别:C;推荐强度:Ⅰ)

In patients with a recent PCI scheduled for NCS, it is recommended that management of antiplatelet therapy is discussed between the surgeon, anaesthesiologist, and cardiologist.(Evidence: Level C,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2144 [catid] => 311 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2144.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In high-risk patients with a recent PCI (e.g. STEMI patients or high-risk NSTE-ACS patients), a DAPT duration of at least 3 months should be considered before time-sensitive NCS.(Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 对于近期接受经皮冠状动脉介入治疗的高危患者(例如ST 段抬高型心肌梗死患者或高危非 ST 段抬高型急性冠状动脉综合征患者),应考虑在时间敏感的非心脏手术之前进行至少 3 个月的双重抗血小板治疗。(证据级别:C;推荐强度:Ⅱa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于近期接受经皮冠状动脉介入治疗的高危患者(例如ST 段抬高型心肌梗死患者或高危非 ST 段抬高型急性冠状动脉综合征患者),应考虑在时间敏感的非心脏手术之前进行至少 3 个月的双重抗血小板治疗。(证据级别:C;推荐强度:Ⅱa)

In high-risk patients with a recent PCI (e.g. STEMI patients or high-risk NSTE-ACS patients), a DAPT duration of at least 3 months should be considered before time-sensitive NCS.(Evidence: Level C,Recommendation: Class IIa)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2145 [catid] => 311 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2145.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients with a previous PCI, it is recommended to continue aspirin peri-operatively if the bleeding risk allows.(Evidence: Level B,Recommendation: Class I) [laiyuan] => 对于既往接受过经皮冠状动脉介入治疗治疗的患者,如果出血风险允许,建议在围手术期继续服用阿司匹林。(证据级别:B;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于既往接受过经皮冠状动脉介入治疗治疗的患者,如果出血风险允许,建议在围手术期继续服用阿司匹林。(证据级别:B;推荐强度:Ⅰ)

In patients with a previous PCI, it is recommended to continue aspirin peri-operatively if the bleeding risk allows.(Evidence: Level B,Recommendation: Class I)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2146 [catid] => 311 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2146.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => If interruption of P2Y12 inhibitor is indicated, it is recommended to withhold ticagrelor for 3–5 days, clopidogrel for 5 days, and prasugrel for 7 days prior to NCS.(Evidence: Level B,Recommendation: Class I) [laiyuan] => 如果需要中断P2Y12受体 抑制剂治疗,建议在 非心脏手术前 3-5 天停用替格瑞洛,5 天停用氯吡格雷,7 天停用普拉格雷。(证据级别:B;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
如果需要中断P2Y12受体 抑制剂治疗,建议在 非心脏手术前 3-5 天停用替格瑞洛,5 天停用氯吡格雷,7 天停用普拉格雷。(证据级别:B;推荐强度:Ⅰ)

If interruption of P2Y12 inhibitor is indicated, it is recommended to withhold ticagrelor for 3–5 days, clopidogrel for 5 days, and prasugrel for 7 days prior to NCS.(Evidence: Level B,Recommendation: Class I)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2147 [catid] => 311 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2147.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => For patients undergoing high bleeding risk surgery (e.g. intracranial, spinal neurosurgery, or vitreoretinal eye surgery), it is recommended to interrupt aspirin for at least 7 days pre-operatively.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 对于接受高出血风险手术(例如颅内、脊髓神经外科手术或玻璃体视网膜眼科手术)的患者,建议在术前至少 7 天停止服用阿司匹林。(证据级别:C;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于接受高出血风险手术(例如颅内、脊髓神经外科手术或玻璃体视网膜眼科手术)的患者,建议在术前至少 7 天停止服用阿司匹林。(证据级别:C;推荐强度:Ⅰ)

For patients undergoing high bleeding risk surgery (e.g. intracranial, spinal neurosurgery, or vitreoretinal eye surgery), it is recommended to interrupt aspirin for at least 7 days pre-operatively.(Evidence: Level C,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2148 [catid] => 311 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2148.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients without a history of PCI, interruption of aspirin at least 3 days before NCS may be considered if the bleeding risk outweighs the ischaemic risk, to reduce the risk of bleeding.(Evidence: Level B,Recommendation: Class IIb) [laiyuan] => 在无经皮冠状动脉介入治疗史的患者中,如果出血风险超过缺血风险,可考虑在非心脏手术前至少3天停用阿司匹林,以降低出血风险。(证据级别:B;推荐强度:Ⅱb) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
在无经皮冠状动脉介入治疗史的患者中,如果出血风险超过缺血风险,可考虑在非心脏手术前至少3天停用阿司匹林,以降低出血风险。(证据级别:B;推荐强度:Ⅱb)

In patients without a history of PCI, interruption of aspirin at least 3 days before NCS may be considered if the bleeding risk outweighs the ischaemic risk, to reduce the risk of bleeding.(Evidence: Level B,Recommendation: Class IIb)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2096 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2096.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:40 [updatetime] => 2024-12-19 09:42:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In all patients scheduled for NCS, an accurate history and clinical examination are recommended.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 所有择期 NCS 患者应提供准确的病史和临床检查。(证据级别:C;推荐强度:I) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
所有择期 NCS 患者应提供准确的病史和临床检查。(证据级别:C;推荐强度:I)

In all patients scheduled for NCS, an accurate history and clinical examination are recommended.(Evidence: Level C,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2097 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2097.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:40 [updatetime] => 2024-12-19 09:42:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => It is recommended to perform a pre-operative risk assessment, ideally at the same time as the NCS is proposed.(Evidence: Level B,Recommendation: Class I) [laiyuan] => 推荐在准备 NCS 的同时进行术前风险评估。(证据级别:B;推荐强度:I) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
推荐在准备 NCS 的同时进行术前风险评估。(证据级别:B;推荐强度:I)

It is recommended to perform a pre-operative risk assessment, ideally at the same time as the NCS is proposed.(Evidence: Level B,Recommendation: Class I)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 2098 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2098.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:40 [updatetime] => 2024-12-19 09:42:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => If time allows, it is recommended to optimize guideline-recommended treatment of CVD and CV risk factors before NCS.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 如果时间允许,推荐在NCS术前根据指南建议对CVD和心血管危险因素的治疗进行优化。(证据级别:C;推荐强度:I) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
如果时间允许,推荐在NCS术前根据指南建议对CVD和心血管危险因素的治疗进行优化。(证据级别:C;推荐强度:I)

If time allows, it is recommended to optimize guideline-recommended treatment of CVD and CV risk factors before NCS.(Evidence: Level C,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:the European Society of Anaesthesiology and Intens

阅读