Array ( [id] => 308 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南（2035）：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/308.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] => 采用多种围术期策略有助于改善肠道功能。（证据级别：低； 推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 309 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南（2036）：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/309.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] => 对于无潜在并发症的病人术后第1天进食清流质，逐渐过渡至正常饮食。（证据级别：中； 推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 310 [catid] => 38 [title] => 加速康复外科中国专家共识暨路径管理指南（2037）：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/310.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] => 设定每日目标，术后 24ｈ内开始主动活动。（证据级别：低； 推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 311 [catid] => 39 [title] => 加速康复外科中国专家共识暨路径管理指南（2038）：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/311.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] => 正常情况下，病人术后7ｄ左右出院，但需接受出院监测随访。（证据级别：低； 推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704956983 [_updatetime] => 1704956983 [_nrjc] => [_nrsh] => )

Array ( [id] => 256 [catid] => 121 [title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/256.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:42 [updatetime] => 2024-01-11 15:09:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => American College of Cardiology/American Heart Asso [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the Society for Neuroscience in Anesthesiology and [pdf] => [tjyjyw] => [lyyw] => Informed consent must be obtained from the patient/ legal next of kin regarding potential adverse events related to IONM. (C-EO, Class I) [laiyuan] => 对于与术中神经电生理监测相关的潜在不良事件，必须获得患者/法定近亲的知情同意。（证据等级：C-EO；推荐强度：I） [znzldj] => B [_inputtime] => 1704956982 [_updatetime] => 1704956982 [_nrjc] => [_nrsh] => )

Array ( [id] => 257 [catid] => 121 [title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/257.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:42 [updatetime] => 2024-01-11 15:09:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => American College of Cardiology/American Heart Asso [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the Society for Neuroscience in Anesthesiology and [pdf] => [tjyjyw] => [lyyw] => Closed-loop communication should always be maintained between anesthesiology, neuromonitoring, and surgical teams. Changes in anesthetic dose or IONM signal intensity, and significant changes in IONM data, should be promptly communicated between team members to ensure monitoring quality and patient safety. (C-EO, Class I) [laiyuan] => 麻醉科、神经监测和手术团队之间应始终保持闭环沟通。麻醉剂剂量或术中神经电生理监测信号强度的变化以及术中神经电生理监测数据的重大变化应在团队成员之间及时沟通，以确保监测质量和患者安全。（证据等级：C-EO；推荐强度：I） [znzldj] => B [_inputtime] => 1704956982 [_updatetime] => 1704956982 [_nrjc] => [_nrsh] => )

Array ( [id] => 258 [catid] => 122 [title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/258.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:42 [updatetime] => 2024-01-11 15:09:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => American College of Cardiology/American Heart Asso [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the Society for Neuroscience in Anesthesiology and [pdf] => [tjyjyw] => [lyyw] => To maintain euvolemia, it is reasonable to include colloids and crystalloids in patients with substantial blood loss. (C-EO, Class IIa) [laiyuan] => 为了维持新陈代谢，在大量失血的患者中加入胶体和晶体液是合理的。（证据等级：C-EO；推荐强度： IIa） [znzldj] => B [_inputtime] => 1704956982 [_updatetime] => 1704956982 [_nrjc] => [_nrsh] => )

Array ( [id] => 259 [catid] => 122 [title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/259.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:42 [updatetime] => 2024-01-11 15:09:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => American College of Cardiology/American Heart Asso [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the Society for Neuroscience in Anesthesiology and [pdf] => [tjyjyw] => [lyyw] => It is reasonable to use a balanced salt solution, especially in procedures with anticipated significant blood loss and fluid resuscitation. (B-NR,Class IIa) [laiyuan] => 使用平衡盐溶液是合理的，尤其是在预计会有大量失血和液体复苏的手术中。（证据等级：B-NR；推荐强度： IIa） [znzldj] => B [_inputtime] => 1704956982 [_updatetime] => 1704956982 [_nrjc] => [_nrsh] => )

Array ( [id] => 260 [catid] => 122 [title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/260.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:42 [updatetime] => 2024-01-11 15:09:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => American College of Cardiology/American Heart Asso [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the Society for Neuroscience in Anesthesiology and [pdf] => [tjyjyw] => [lyyw] => It is reasonable to use a balanced salt solution, especially in procedures with anticipated significant blood loss and fluid resuscitation. (B-NR, Class IIa) [laiyuan] => 对复杂脊柱手术病例使用目标导向液体疗法是合理的。（证据等级：B-NR；推荐强度： IIa） [znzldj] => B [_inputtime] => 1704956982 [_updatetime] => 1704956982 [_nrjc] => [_nrsh] => )

Array ( [id] => 261 [catid] => 123 [title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/261.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:42 [updatetime] => 2024-01-11 15:09:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => American College of Cardiology/American Heart Asso [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the Society for Neuroscience in Anesthesiology and [pdf] => [tjyjyw] => [lyyw] => To reduce the incidence of perioperative venous thromboembolic complications, nonchemical prophylaxis in the form of sequential compression devices may be applied before induction of general anesthesia and continued until chemical prophylaxis is promptly initiated in the postoperative period. (C-EO, Class I) [laiyuan] => 为降低围术期静脉血栓栓塞并发症的发生率，可在全身麻醉诱导前使用非化学预防措施，即连续加压装置，并持续到术后及时启动化学预防措施。（证据等级：C-EO；推荐强度：I） [znzldj] => B [_inputtime] => 1704956982 [_updatetime] => 1704956982 [_nrjc] => [_nrsh] => )