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Array ( [id] => 1901 [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/1901.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 synthetic colloids. (Strong recommendation, high-quality evidence) [laiyuan] => 在危重症患者中,不建议使用人工胶体液。(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,不建议使用人工胶体液。(强烈推荐;高质量证据)

We recommend against use of synthetic colloids. (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
Array ( [id] => 1902 [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/1902.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 routine use of albumin. (Strong recommendation, high-quality evidence) [laiyuan] => 在危重症患者中,不建议常规使用白蛋白。(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,不建议常规使用白蛋白。(强烈推荐;高质量证据)

We recommend against routine use of albumin. (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
Array ( [id] => 1903 [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/1903.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 strategies that minimise the risk of fluid accumulation and promote maintenance of intra- vascular normovolaemia. (Weak recommendation, mod- erate quality evidence) [laiyuan] => 在危重症患者中,建议使用最小化液体蓄积风险和维持血管内正常血容量的策略。(弱推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973807 [_updatetime] => 1733973807 [_nrjc] => [_nrsh] => )
推荐意见
在危重症患者中,建议使用最小化液体蓄积风险和维持血管内正常血容量的策略。(弱推荐;中等质量证据)

We recommend use of strategies that minimise the risk of fluid accumulation and promote maintenance of intra- vascular normovolaemia. (Weak 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] => 1904 [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/1904.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 hypervolaemia in patients with subarachnoid haemorrhage. (Weak recommendation, moderate quality evidence) [laiyuan] => 在危重症患者中,建议在蛛网膜下腔出血患者中避免高血容量。(弱推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973807 [_updatetime] => 1733973807 [_nrjc] => [_nrsh] => )
推荐意见
在危重症患者中,建议在蛛网膜下腔出血患者中避免高血容量。(弱推荐;中等质量证据)

We recommend against hypervolaemia in patients with subarachnoid haemorrhage. (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] => 1866 [catid] => 303 [title] => Airway management in patients with suspected or confirmed cervical spine injury [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1866.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38699880/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Guidelines from the Difficult Airway Society (DAS) [pdf] => [tjyjyw] => [lyyw] => Attempts should be made to minimise cervical spine movement during pre-oxygenation and facemask ventilation (Grade D; weak recommendation). [laiyuan] => 在预充氧和面罩吸氧过程中,应尽量减少颈椎活动度(D级;弱推荐) [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
在预充氧和面罩吸氧过程中,应尽量减少颈椎活动度(D级;弱推荐)

Attempts should be made to minimise cervical spine movement during pre-oxygenation and facemask ventilation (Grade D; weak recommendation).

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:Guidelines from the Difficult Airway Society (DAS)

阅读
Array ( [id] => 1867 [catid] => 303 [title] => Airway management in patients with suspected or confirmed cervical spine injury [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1867.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38699880/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Guidelines from the Difficult Airway Society (DAS) [pdf] => [tjyjyw] => [lyyw] => When a simple manoeuvre is required to maintain an airway, jaw thrust should be used rather than head tilt plus chin lift (Grade D; weak recommendation). [laiyuan] => 当需要进行简单的操作来维持气道时,应使用下颌前推法,而不是头部后仰加下颌抬起法(D级;弱推荐)。 [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
当需要进行简单的操作来维持气道时,应使用下颌前推法,而不是头部后仰加下颌抬起法(D级;弱推荐)。

When a simple manoeuvre is required to maintain an airway, jaw thrust should be used rather than head tilt plus chin lift (Grade D; weak recommendation).

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:Guidelines from the Difficult Airway Society (DAS)

阅读
Array ( [id] => 1868 [catid] => 303 [title] => Airway management in patients with suspected or confirmed cervical spine injury [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1868.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38699880/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Guidelines from the Difficult Airway Society (DAS) [pdf] => [tjyjyw] => [lyyw] => The use of HFNO may be considered for peroxygenation in patients with cervical spine injuries but should be used with caution in patients with suspected or confirmed base of skull fractures (Grade D; weak recommendation). [laiyuan] => 对于颈椎损伤的患者,可以考虑使用经鼻高流量氧疗,但对于怀疑或确诊为颅底骨折的患者应谨慎使用(D级;弱推荐)。 [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
对于颈椎损伤的患者,可以考虑使用经鼻高流量氧疗,但对于怀疑或确诊为颅底骨折的患者应谨慎使用(D级;弱推荐)。

The use of HFNO may be considered for peroxygenation in patients with cervical spine injuries but should be used with caution in patients with suspected or confirmed base of skull fractures (Grade D; weak recommendation).

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:Guidelines from the Difficult Airway Society (DAS)

阅读
Array ( [id] => 1869 [catid] => 303 [title] => Airway management in patients with suspected or confirmed cervical spine injury [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1869.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38699880/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Guidelines from the Difficult Airway Society (DAS) [pdf] => [tjyjyw] => [lyyw] => Supraglottic airway devices should be used according to airway management needs and not as an airway device for the purpose of reducing head and neck movement in patients with suspected or confirmed cervical spine injury (Grade C; weak recommendation). [laiyuan] => 应根据气道管理需求使用声门上气道装置,而不是将其作为减少疑似或确诊颈椎损伤患者头部和颈部运动的气道装置(C级;弱推荐)。 [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
应根据气道管理需求使用声门上气道装置,而不是将其作为减少疑似或确诊颈椎损伤患者头部和颈部运动的气道装置(C级;弱推荐)。

Supraglottic airway devices should be used according to airway management needs and not as an airway device for the purpose of reducing head and neck movement in patients with suspected or confirmed cervical spine injury (Grade C; weak recommendation).

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:Guidelines from the Difficult Airway Society (DAS)

阅读
Array ( [id] => 1870 [catid] => 303 [title] => Airway management in patients with suspected or confirmed cervical spine injury [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1870.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38699880/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Guidelines from the Difficult Airway Society (DAS) [pdf] => [tjyjyw] => [lyyw] => If tracheal intubation through a supraglottic airway device is indicated, there is no specific device that is clearly superior in reducing cervical spine movement or successful tracheal intubation. Clinicians should use supraglottic airway devices that are familiar and available to them (Grade D; strong recommendation). [laiyuan] => 如果需要通过声门上气道装置进行气管插管,没有特定设备在减少颈椎运动或成功气管插管方面明显优越。临床医生应使用他们熟悉且可用的声门上气道装置(D级;强推荐)。 [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
如果需要通过声门上气道装置进行气管插管,没有特定设备在减少颈椎运动或成功气管插管方面明显优越。临床医生应使用他们熟悉且可用的声门上气道装置(D级;强推荐)。

If tracheal intubation through a supraglottic airway device is indicated, there is no specific device that is clearly superior in reducing cervical spine movement or successful tracheal intubation. Clinicians should use supraglottic airway devices that are familiar and available to them (Grade D; strong recommendation).

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:Guidelines from the Difficult Airway Society (DAS)

阅读
Array ( [id] => 1871 [catid] => 303 [title] => Airway management in patients with suspected or confirmed cervical spine injury [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1871.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38699880/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Guidelines from the Difficult Airway Society (DAS) [pdf] => [tjyjyw] => [lyyw] => Second-generation SADs should be considered in preference to first-generation SADs (Grade D; strong recommendation). [laiyuan] => 在疑似或确诊颈椎损伤情况下,应优先考虑第二代声门上气道装置,而不是第一代声门上气道装置(D级;强推荐)。 [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
在疑似或确诊颈椎损伤情况下,应优先考虑第二代声门上气道装置,而不是第一代声门上气道装置(D级;强推荐)。

Second-generation SADs should be considered in preference to first-generation SADs (Grade D; strong recommendation).

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:Guidelines from the Difficult Airway Society (DAS)

阅读