Array ( [id] => 288 [catid] => 197 [title] => clinical guidelines for perioperative hemodynamic management of non cardiac surgical adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/288.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Italy [pdf] => [tjyjyw] => [lyyw] => We recommend the adoption of a gDt protocol to optimize fluid therapy to reduce postoperative morbidity in adult non cardiac surgical patients undergoing major abdominal surgery. (1A) [laiyuan] => 我们建议采用目标靶向液体治疗方案来优化液体治疗，以减少接受腹部大手术的成人非心脏手术患者的术后并发症。（证据等级：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 289 [catid] => 197 [title] => clinical guidelines for perioperative hemodynamic management of non cardiac surgical adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/289.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Italy [pdf] => [tjyjyw] => [lyyw] => We suggest that in the perioperative period fluid strategy should aim to a near zero balance in patients considered normovolemic at the beginning of surgery. A slight positive fluid balance may be allowed in the first postoperative 24 hours in order to protect renal function. (2B) [laiyuan] => 我们建议，在围手术期，在手术开始时被认为是血容量正常的患者中，液体策略应该以接近零的平衡为目标。为了保护肾功能，在术后第一个24小时内可能允许轻微的正液体平衡。（证据等级：中；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 290 [catid] => 197 [title] => clinical guidelines for perioperative hemodynamic management of non cardiac surgical adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/290.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => Italy [pdf] => [tjyjyw] => [lyyw] => We suggest using drugs such as inotropes, vasocostrictors, and vasodilatator only when fluids alone are not sufficient to optimize hemodynamics and increase sV/co/Do2. (2C) [laiyuan] => 我们建议仅当液体本身不足以优化血流动力学和增加每分搏出量/心排血量/氧合率时，才使用肌松药、血管收缩剂和血管扩张剂。（证据等级：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 291 [catid] => 25 [title] => 加速康复外科中国专家共识暨路径管理指南（2018）：胃手术部分 [thumb] => [keywords] => [description] => [hits] => 1 [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/291.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => http://120.26.162.1:5002/Paper/Search?type=&q=%E5%8A%A0%E9%80%9F%E5%BA%B7%E5%A4%8D%E5%A4%96%E7%A7%91%E4%B8%AD%E5%9B%BD%E4%B8%93%E5%AE%B6%E5%85%B1%E8%AF%86%E6%9A%A8%E8%B7%AF%E5%BE%84%E7%AE%A1%E7%90%86%E6%8C%87%E5%8D%97%EF%BC%882018%EF%BC%89%EF%BC%9A%20%E8%82%9D%E8%83%86%E6%89%8B%E6%9C%AF%E9%83%A8%E5%88%86&searchType=pt [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会、中华医学会麻醉学分 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 病人应接受专门术前宣教和咨询解答。 （证据级别：低； 推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 292 [catid] => 28 [title] => 加速康复外科中国专家共识暨路径管理指南（2019）：胃手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/292.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会、中华医学会麻醉学分 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 营养状态与胃手术后并发症具有相关性。病人应于术前行营养风险筛查，对于有严重营养风 险病人，应首选经口或肠内营养治疗。（证据级别：低； 推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 293 [catid] => 26 [title] => 加速康复外科中国专家共识暨路径管理指南（2020）：胃手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/293.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会、中华医学会麻醉学分 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前肺功能评估和肺功能训练有助于减少术后呼吸系统并发症。（证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 294 [catid] => 28 [title] => 加速康复外科中国专家共识暨路径管理指南（2021）：胃手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/294.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会、中华医学会麻醉学分 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 术前机械性肠道准备无益，对于拟行联合横结肠等脏器切除特殊病人可选择使用基于等渗缓 冲液的机械性肠道准备。 （证据级别：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 295 [catid] => 28 [title] => 加速康复外科中国专家共识暨路径管理指南（2022）：胃手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/295.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会、中华医学会麻醉学分 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 无胃肠动力障碍病人术前禁食6ｈ，禁饮2ｈ；术前 2～3ｈ 可服用碳水化合物饮品（不超过400ｍl，糖尿病病人除外）。 （证据级别：清流质：高；固体食物：低；碳水化合物饮品：低 ；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 296 [catid] => 29 [title] => 加速康复外科中国专家共识暨路径管理指南（2023）：胃手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/296.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会、中华医学会麻醉学分 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 麻醉方案的选择和实施应遵循个体化、精细化的原则。 推荐使用中短效类麻醉药物以及麻醉 深度监测。（证据级别：低； 推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 297 [catid] => 31 [title] => 加速康复外科中国专家共识暨路径管理指南（2024）：胃手术部分 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/297.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:43 [updatetime] => 2024-01-11 15:09:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => 中华医学会外科学分会、中华医学会麻醉学分 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 腹腔镜手术建议采用深度肌松；术中推荐肌松监测，避免长效肌松药物的使用；重视术后肌松 残余，必要时予以拮抗。 （证据级别：中； 推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )