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Array ( [id] => 2099 [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/2099.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 patients with a family history of genetic cardiomyopathy, it is recommended to perform an ECG and TTE before NCS, regardless of age and symptoms.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 推荐有遗传心肌病家族史的患者,无论年龄和症状,在NCS术前均应检查心电图(ECG)和超声心动图( UCG)。(证据级别:C;推荐强度:I) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
推荐有遗传心肌病家族史的患者,无论年龄和症状,在NCS术前均应检查心电图(ECG)和超声心动图( UCG)。(证据级别:C;推荐强度:I)

In patients with a family history of genetic cardiomyopathy, it is recommended to perform an ECG and TTE before NCS, regardless of age and symptoms.(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] => 2100 [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/2100.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 patients aged 45–65 years without signs,symptoms, or history of CVD, ECG and biomarkers should be considered before high-risk NCS.(Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 45~65岁没有CVD症状、体征或病史的患者,在高风险NCS 术前应检查 ECG 和生物标志物。(证据级别:C;推荐强度:IIa) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
45~65岁没有CVD症状、体征或病史的患者,在高风险NCS 术前应检查 ECG 和生物标志物。(证据级别:C;推荐强度:IIa)

In patients aged 45–65 years without signs,symptoms, or history of CVD, ECG and biomarkers should be considered before high-risk 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] => 2101 [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/2101.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 patients with a newly detected murmur and symptoms or signs of CVD, TTE is recommended before NCS.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 新发现CVD的心脏杂音、症状或体征的患者推荐NCS 术前检查 UCG。(证据级别:C;推荐强度:I) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
新发现CVD的心脏杂音、症状或体征的患者推荐NCS 术前检查 UCG。(证据级别:C;推荐强度:I)

In patients with a newly detected murmur and symptoms or signs of CVD, TTE is recommended 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
Array ( [id] => 2102 [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/2102.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 patients with a newly detected murmur suggesting clinically significant pathology, TTE is recommended before high-risk NCS.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 新发现有临床显著病理性杂音的患者,推荐在高风险NCS术前检查UCG。(证据级别:C;推荐强度:I) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
新发现有临床显著病理性杂音的患者,推荐在高风险NCS术前检查UCG。(证据级别:C;推荐强度:I)

In patients with a newly detected murmur suggesting clinically significant pathology, TTE is recommended before high-risk 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
Array ( [id] => 2103 [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/2103.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 patients with a newly detected murmur, but without other signs or symptoms of CVD, TTE should be considered before moderate-risk NCS.(Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 新发现杂音、但没有其他CVD症状或体征的患者,推荐在中高风险NCS术前检查UCG。(证据级别:C;推荐强度:IIa) [znzldj] => A [_inputtime] => 1734572560 [_updatetime] => 1734572560 [_nrjc] => [_nrsh] => )
推荐意见
新发现杂音、但没有其他CVD症状或体征的患者,推荐在中高风险NCS术前检查UCG。(证据级别:C;推荐强度:IIa)

In patients with a newly detected murmur, but without other signs or symptoms of CVD, TTE should be considered before moderate-risk 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] => 1896 [catid] => 92 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1896.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:27 [updatetime] => 2024-12-12 11:23:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend against use of hypotonic solutions in neurosurgical patients. (Strong recommendation, mod- erate quality evidence) [laiyuan] => 在神经外科手术中,不建议使用低渗溶液。(强烈推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973807 [_updatetime] => 1733973807 [_nrjc] => [_nrsh] => )
推荐意见
在神经外科手术中,不建议使用低渗溶液。(强烈推荐;中等质量证据)

We recommend against use of hypotonic solutions in neurosurgical patients. (Strong recommendation, mod- erate quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1897 [catid] => 92 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1897.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:27 [updatetime] => 2024-12-12 11:23:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend use of 0.9% saline as a first-line fluid therapy in patients with traumatic brain injury. (Weak recommendation, moderate quality evidence) [laiyuan] => 在神经外科手术中,建议将0.9%生理盐水作为创伤性脑损伤患者的一线液体治疗。(弱推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973807 [_updatetime] => 1733973807 [_nrjc] => [_nrsh] => )
推荐意见
在神经外科手术中,建议将0.9%生理盐水作为创伤性脑损伤患者的一线液体治疗。(弱推荐;中等质量证据)

We recommend use of 0.9% saline as a first-line fluid therapy in patients with traumatic brain injury. (Weak recommendation, moderate quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1898 [catid] => 92 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1898.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:27 [updatetime] => 2024-12-12 11:23:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend against use of albumin in patients with traumatic brain injury. (Strong recommendation, moder- ate quality evidence) [laiyuan] => 在神经外科手术中,不建议对创伤性脑损伤患者使用白蛋白。(强烈推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973807 [_updatetime] => 1733973807 [_nrjc] => [_nrsh] => )
推荐意见
在神经外科手术中,不建议对创伤性脑损伤患者使用白蛋白。(强烈推荐;中等质量证据)

We recommend against use of albumin in patients with traumatic brain injury. (Strong recommendation, moder- ate quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1899 [catid] => 197 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1899.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:27 [updatetime] => 2024-12-12 11:23:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend a mildly positive fluid balance to reduce the incidence of postoperative nausea and vomiting in minor noncardiac surgery. (Weak recommendation, low- quality evidence) [laiyuan] => 建议在非心脏小型手术中液体轻度正平衡,以减少术后恶心和呕吐的发生率。(弱推荐;低质量证据) [znzldj] => B级 [_inputtime] => 1733973807 [_updatetime] => 1733973807 [_nrjc] => [_nrsh] => )
推荐意见
建议在非心脏小型手术中液体轻度正平衡,以减少术后恶心和呕吐的发生率。(弱推荐;低质量证据)

We recommend a mildly positive fluid balance to reduce the incidence of postoperative nausea and vomiting in minor noncardiac surgery. (Weak recommendation, low- quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1900 [catid] => 296 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1900.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:27 [updatetime] => 2024-12-12 11:23:27 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend use of buffered crystalloid solutions in the absence of hypochloraemia. (Strong recommendation, high-quality evidence) [laiyuan] => 在危重症患者中,建议在没有低氯血症的情况下使用缓冲晶体溶液。(强烈推荐;高质量证据) [znzldj] => B级 [_inputtime] => 1733973807 [_updatetime] => 1733973807 [_nrjc] => [_nrsh] => )
推荐意见
在危重症患者中,建议在没有低氯血症的情况下使用缓冲晶体溶液。(强烈推荐;高质量证据)

We recommend use of buffered crystalloid solutions in the absence of hypochloraemia. (Strong recommendation, high-quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读