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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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
    							 
    							
								
    						 
                                                
                    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:/
    							 
    							
								
    						 
                                                
                    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:/
    							 
    							
								
    						 
                                                
                    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:/
    							 
    							
								
    						 
                                                
                    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:/
    							 
    							
								
    						 
                                                
                    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:/