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Array ( [id] => 470 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/470.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend conventional ultrafiltration or ≥ 10 min of modified ultrafiltration for neonates and infants undergoing cardiac surgery with CPB. (1B) [laiyuan] => 建议对接受体外循环心脏手术的新生儿和婴儿进行常规超滤或≥10min的改良超滤 (证据等级:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议对接受体外循环心脏手术的新生儿和婴儿进行常规超滤或≥10min的改良超滤 (证据等级:中;推荐强度:强推荐)

We recommend conventional ultrafiltration or ≥ 10 min of modified ultrafiltration for neonates and infants undergoing cardiac surgery with CPB. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 471 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/471.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend colloids (e.g. albumin) should be preferred over crystalloids for clear priming in children undergoing cardiac surgery. (1C) [laiyuan] => 推荐对于接受心脏手术的儿童,预冲液胶体(如白蛋白)应优于晶体液。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
推荐对于接受心脏手术的儿童,预冲液胶体(如白蛋白)应优于晶体液。(证据等级:低;推荐强度:强推荐)

We recommend colloids (e.g. albumin) should be preferred over crystalloids for clear priming in children undergoing cardiac surgery. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 472 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/472.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest the addition of red blood cells to maintain a hematocrit > 24% during CPB based on the estimation of the degree of hemodilution related to CPB prime and cardioplegia. (2C) [laiyuan] => 根据体外循环预冲液和停跳液对血液稀释程度的评估,我们建议在体外循环期间补充红细胞,以保持血细胞比容大于24%。(证据等级:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
根据体外循环预冲液和停跳液对血液稀释程度的评估,我们建议在体外循环期间补充红细胞,以保持血细胞比容大于24%。(证据等级:低;推荐强度:弱推荐)

We suggest the addition of red blood cells to maintain a hematocrit > 24% during CPB based on the estimation of the degree of hemodilution related to CPB prime and cardioplegia. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 473 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/473.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest the addition of fresh frozen plasma to the CPB prime in neonates (< 30 days) undergoing cardiac surgery with cardiopulmonary bypass. (2C) [laiyuan] => 建议对接受心肺旁路手术的新生儿(小于30天)在体外循环预冲液中加新鲜冰冻血浆(FFP)。(证据等级:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议对接受心肺旁路手术的新生儿(小于30天)在体外循环预冲液中加新鲜冰冻血浆(FFP)。(证据等级:低;推荐强度:弱推荐)

We suggest the addition of fresh frozen plasma to the CPB prime in neonates (< 30 days) undergoing cardiac surgery with cardiopulmonary bypass. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 474 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/474.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend the implementation of miniaturized CPB for neonates and infants in order to reduce the effects of hemodilution and likelihood of transfusion. (1C) [laiyuan] => 建议对新生儿和婴儿实现体外循环小型化,以减少血液稀释的影响和输血的可能性。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议对新生儿和婴儿实现体外循环小型化,以减少血液稀释的影响和输血的可能性。(证据等级:低;推荐强度:强推荐)

We recommend the implementation of miniaturized CPB for neonates and infants in order to reduce the effects of hemodilution and likelihood of transfusion. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 475 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/475.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => Lysine analogs (either TXA or EACA) should be preferred over aprotinin in neonates and children undergoing cardiac surgery with CPB. (2C) [laiyuan] => 对于接受体外循环心脏手术的新生儿和儿童,应首选赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA)),而不是阿普罗宁。(证据等级:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
对于接受体外循环心脏手术的新生儿和儿童,应首选赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA)),而不是阿普罗宁。(证据等级:低;推荐强度:弱推荐)

Lysine analogs (either TXA or EACA) should be preferred over aprotinin in neonates and children undergoing cardiac surgery with CPB. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 476 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/476.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend against the administration of high doses of lysine analogs (either TXA or EACA) due to the risk of clinical seizures. (1C) [laiyuan] => 由于存在临床癫痫发作的风险,建议不要使用大剂量赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA))。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
由于存在临床癫痫发作的风险,建议不要使用大剂量赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA))。(证据等级:低;推荐强度:强推荐)

We recommend against the administration of high doses of lysine analogs (either TXA or EACA) due to the risk of clinical seizures. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 477 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/477.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend prophylactic administration of lysine analogs (either TXA or EACA) for all neonates and children undergoing surgery with CPB in order to reduce perioperative bleeding and transfusion. (1B) [laiyuan] => 推荐所有接受体外循环(CPB)手术的新生儿和儿童预防性使用赖氨酸类似物(氨甲环酸或氨基己酸),以减少围手术期出血和输血。(证据等级:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
推荐所有接受体外循环(CPB)手术的新生儿和儿童预防性使用赖氨酸类似物(氨甲环酸或氨基己酸),以减少围手术期出血和输血。(证据等级:中;推荐强度:强推荐)

We recommend prophylactic administration of lysine analogs (either TXA or EACA) for all neonates and children undergoing surgery with CPB in order to reduce perioperative bleeding and transfusion. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 478 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/478.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend against routine preoperative assessment of coagulation tests (e.g. aPTT, PTT, fibrinogen level) and platelet count in infants and children without a bleeding history prior to cardiac surgery. (1C) [laiyuan] => 不推荐在心脏手术前对无出血史的婴幼儿进行常规术前凝血检测(如 aPTT、PTT、纤维蛋白原水平)和血小板计数评估 。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
不推荐在心脏手术前对无出血史的婴幼儿进行常规术前凝血检测(如 aPTT、PTT、纤维蛋白原水平)和血小板计数评估 。(证据等级:低;推荐强度:强推荐)

We recommend against routine preoperative assessment of coagulation tests (e.g. aPTT, PTT, fibrinogen level) and platelet count in infants and children without a bleeding history prior to cardiac surgery. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 479 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/479.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest considering preoperative EPO only in specific needy situations (e.g. Jehovah Witnesses). (2C) [laiyuan] => 建议只有在特殊情况下才考虑术前促红细胞生成素(EPO)。(证据等级:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议只有在特殊情况下才考虑术前促红细胞生成素(EPO)。(证据等级:低;推荐强度:弱推荐)

We suggest considering preoperative EPO only in specific needy situations (e.g. Jehovah Witnesses). (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读