Array
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[id] => 1103
[catid] => 31
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Consider using depth of anesthesia monitoring in patients over 60 years of age at risk of postoperative delirium and anesthesia-induced hypotension. Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 对于60岁以上有术后谵妄和麻醉性低血压风险的患者，考虑使用麻醉深度监测。（证据等级：中；推荐等级：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于60岁以上有术后谵妄和麻醉性低血压风险的患者，考虑使用麻醉深度监测。（证据等级：中；推荐等级：强推荐）
Consider using depth of anesthesia monitoring in patients over 60 years of age at risk of postoperative delirium and anesthesia-induced hypotension. Level of evidence: Moderate；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1104
[catid] => 37
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => A multimodal approach to reducing PONV should be utilized, minimizing triggers and opioids.Level of evidence: High；Recommendation grade: Strong.
[laiyuan] => 采用多模式方法减少PONV，尽量减少诱因和阿片类药物。（证据级别：高；推荐强度：强推荐。
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
采用多模式方法减少PONV，尽量减少诱因和阿片类药物。（证据级别：高；推荐强度：强推荐。
A multimodal approach to reducing PONV should be utilized, minimizing triggers and opioids.Level of evidence: High；Recommendation grade: Strong.
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1105
[catid] => 34
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Measurement of core temperature,using a reliable method to monitor the efficacy of warming measures, should be routine.Level of evidence: High；Recommendation grade: Strong
[laiyuan] => 核心温度的测量应成为常规，使用可靠的方法来监测增温措施的效果（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
核心温度的测量应成为常规，使用可靠的方法来监测增温措施的效果（证据级别：高；推荐强度：强推荐）
Measurement of core temperature,using a reliable method to monitor the efficacy of warming measures, should be routine.Level of evidence: High；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1106
[catid] => 34
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Active warming devices and warming of intravenous fluids should be used to maintain normothermia.Level of evidence: High；Recommendation grade: Strong
[laiyuan] => 应使用主动加温装置和静脉输液加温以维持体温正常（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应使用主动加温装置和静脉输液加温以维持体温正常（证据级别：高；推荐强度：强推荐）
Active warming devices and warming of intravenous fluids should be used to maintain normothermia.Level of evidence: High；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1107
[catid] => 39
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Routine use of low tidal volume (6–8 ml/kg predicted body weight) and positive end-expiratory PEEP ≥ 5 cm H2O with titration according to flow-volume loops and clinical evaluation is recommended.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 建议常规使用低潮气量(6-8ml/kg理想体重)和PEEP≥5cm H2O，并根据流量-容量环进行调整和临床评估。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议常规使用低潮气量(6-8ml/kg理想体重)和PEEP≥5cm H2O，并根据流量-容量环进行调整和临床评估。（证据等级：中；推荐强度：强推荐）
Routine use of low tidal volume (6–8 ml/kg predicted body weight) and positive end-expiratory PEEP ≥ 5 cm H2O with titration according to flow-volume loops and clinical evaluation is recommended.Level of evidence: Moderate；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1108
[catid] => 31
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Neuromuscular blockade should be monitored using a quantitative peripheral nerve monitor to ensure adequate reversal before endotracheal extubation,with the most reliable site of monitoring being the abductor pollicis muscle.Level of evidence: High；Recommendation: Strong
[laiyuan] => 气管拔管前应使用定量外周神经监测仪监测神经肌肉阻滞，以确保充分逆转，最可靠的监测部位为拇外展肌（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
气管拔管前应使用定量外周神经监测仪监测神经肌肉阻滞，以确保充分逆转，最可靠的监测部位为拇外展肌（证据级别：高；推荐强度：强推荐）
Neuromuscular blockade should be monitored using a quantitative peripheral nerve monitor to ensure adequate reversal before endotracheal extubation,with the most reliable site of monitoring being the abductor pollicis muscle.Level of evidence: High；Recommendation: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1109
[catid] => 31
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
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[status] => 9
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Reversal of NMB using a selective relaxant binding agent as compared with neostigmine is recommended.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 与新斯的明相比，推荐使用选择性松弛剂结合剂，通过定量外周神经逆转来监测神经肌肉阻滞。（证据等级：中等推荐等级：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
与新斯的明相比，推荐使用选择性松弛剂结合剂，通过定量外周神经逆转来监测神经肌肉阻滞。（证据等级：中等推荐等级：强推荐）
Reversal of NMB using a selective relaxant binding agent as compared with neostigmine is recommended.Level of evidence: Moderate；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1110
[catid] => 31
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients should have ongoing treatment to correct electrolyte disturbances throughout the perioperative period.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 患者应在整个围手术期持续接受纠正电解质紊乱的治疗。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
患者应在整个围手术期持续接受纠正电解质紊乱的治疗。（证据等级：中；推荐强度：强推荐）
Patients should have ongoing treatment to correct electrolyte disturbances throughout the perioperative period.Level of evidence: Moderate；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1111
[catid] => 32
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
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[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Balanced crystalloids should be used in preference to 0.9% normal saline for resuscitation and to maintain intravascular volume.Level of evidence: Low；Recommendation grade: Weak
[laiyuan] => 应优先使用平衡晶体液进行复苏和维持血管内容量，而不是0.9%生理盐水。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应优先使用平衡晶体液进行复苏和维持血管内容量，而不是0.9%生理盐水。（证据级别：低；推荐强度：弱推荐）
Balanced crystalloids should be used in preference to 0.9% normal saline for resuscitation and to maintain intravascular volume.Level of evidence: Low；Recommendation grade: Weak
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1112
[catid] => 31
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
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[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Use of arterial lines and/or central venous pressure catheters should be considered at an early stage to aid in physiological assessment and to deliver and titrate vasopressors and fluid therapy.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 早期应考虑使用动脉导管和/或中心静脉压导管，以帮助进行生理评估，并提供和滴定血管加压药和液体治疗。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
早期应考虑使用动脉导管和/或中心静脉压导管，以帮助进行生理评估，并提供和滴定血管加压药和液体治疗。（证据等级：中；推荐强度：强推荐）
Use of arterial lines and/or central venous pressure catheters should be considered at an early stage to aid in physiological assessment and to deliver and titrate vasopressors and fluid therapy.Level of evidence: Moderate；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
