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[id] => 282
[catid] => 196
[title] => clinical guidelines for perioperative hemodynamic management of non cardiac surgical adult patients
[thumb] =>
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[author] => 系统管理员
[status] => 9
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[zjfj] =>
[tjqd] =>
[nianfen] => 2019
[guojia] => Italy
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest to continuously monitor aP (inva-sive and not invasive) as a more reliable method to identify even short periods of hemodynamic instability and hypotension. (2C)
[laiyuan] => 我们建议持续监测动脉(侵袭性和非侵入性)，作为一种更可靠的方法来识别即使是短期的血流动力学不稳定和低血压。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704956982
[_updatetime] => 1704956982
[_nrjc] =>
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)
推荐意见
我们建议持续监测动脉(侵袭性和非侵入性)，作为一种更可靠的方法来识别即使是短期的血流动力学不稳定和低血压。（证据等级：低；推荐强度：弱推荐）
We suggest to continuously monitor aP (inva-sive and not invasive) as a more reliable method to identify even short periods of hemodynamic instability and hypotension. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2019
国家：Italy
Array
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[title] => clinical guidelines for perioperative hemodynamic management of non cardiac surgical adult patients
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[tjyjyw] =>
[lyyw] => We suggest adoption of invasive aP monitoring in high risk patients with the aim of obtaining oxymetric (arterial oxygen pressure and saturation, and hemoglobin) and metabolic (lactacidemia) parameters. (2C)
[laiyuan] => 我们建议在高危患者中采用有创性动脉监测，目的是获得氧分压(动脉血氧分压和饱和度，以及血红蛋白)和代谢(乳酸血症)参数。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704956982
[_updatetime] => 1704956982
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在高危患者中采用有创性动脉监测，目的是获得氧分压(动脉血氧分压和饱和度，以及血红蛋白)和代谢(乳酸血症)参数。（证据等级：低；推荐强度：弱推荐）
We suggest adoption of invasive aP monitoring in high risk patients with the aim of obtaining oxymetric (arterial oxygen pressure and saturation, and hemoglobin) and metabolic (lactacidemia) parameters. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2019
国家：Italy
Array
(
[id] => 229
[catid] => 245
[title] => Guidelines for treatment of acute pain in children –the consensus statement of the Section of PaediatricAnaesthesiology and Intensive Therapy of the PolishSociety of Anaesthesiology and Intensive Therapy
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[tjqd] =>
[nianfen] => 2022
[guojia] => the Section of PaediatricAnaesthesiology and Inten
[pdf] =>
[tjyjyw] =>
[lyyw] => In paediatric patients, analgesics are administered at equal intervals according to age-related pharmacokinetics of drugs, or in continuous infusions, which allows a constant blood concentration of analgesics to be maintained and effective analgesia to be provided. (1C)
[laiyuan] => 在儿科患者中，根据与年龄相关的药物药代动力学，或以连续输液的方式等间隔地给予镇痛剂，以维持镇痛剂的稳定血药浓度并提供有效的止痛。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在儿科患者中，根据与年龄相关的药物药代动力学，或以连续输液的方式等间隔地给予镇痛剂，以维持镇痛剂的稳定血药浓度并提供有效的止痛。（证据等级：低；推荐强度：强推荐）
In paediatric patients, analgesics are administered at equal intervals according to age-related pharmacokinetics of drugs, or in continuous infusions, which allows a constant blood concentration of analgesics to be maintained and effective analgesia to be provided. (1C)
证据评价方法：GRADE
指南质量等级：B
年份：2022
国家：the Section of PaediatricAnaesthesiology and Inten
Array
(
[id] => 230
[catid] => 245
[title] => Guidelines for treatment of acute pain in children –the consensus statement of the Section of PaediatricAnaesthesiology and Intensive Therapy of the PolishSociety of Anaesthesiology and Intensive Therapy
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/230.html
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[inputip] => 14.105.95.222
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[zjpjff] => GRADE
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[tjqd] =>
[nianfen] => 2022
[guojia] => the Section of PaediatricAnaesthesiology and Inten
[pdf] =>
[tjyjyw] =>
[lyyw] => When choosing a method of analgesia, the child’s age, previous pain experiences, type of surgery, expected pain intensity and duration should be considered. (1C)
[laiyuan] => 在选择镇痛方法时，应考虑儿童的年龄、既往疼痛经历、手术类型、预期疼痛强度和持续时间。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在选择镇痛方法时，应考虑儿童的年龄、既往疼痛经历、手术类型、预期疼痛强度和持续时间。（证据等级：低；推荐强度：强推荐）
When choosing a method of analgesia, the child’s age, previous pain experiences, type of surgery, expected pain intensity and duration should be considered. (1C)
证据评价方法：GRADE
指南质量等级：B
年份：2022
国家：the Section of PaediatricAnaesthesiology and Inten
Array
(
[id] => 231
[catid] => 115
[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] =>
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[status] => 9
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[inputtime] => 2024-01-11 15:09:41
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[wailian] => https://journals.lww.com/jnsa/fulltext/2022/07000/perioperative_care_of_patients_undergoing_major.3.aspx
[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] => Information related to baseline blood pressure, the presence of neurological deficits, and preexisting endorgan injury may influence intraoperative mean arterial blood pressure targets which must be individualized to the patient. (C-EO, Class I)
[laiyuan] => 与基线血压、是否存在神经功能缺损以及是否存在内脏损伤相关的信息可能会影响术中平均动脉血压目标，必须根据患者的具体情况而定。（证据等级：C-EO；推荐强度：Class I)
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
与基线血压、是否存在神经功能缺损以及是否存在内脏损伤相关的信息可能会影响术中平均动脉血压目标，必须根据患者的具体情况而定。（证据等级：C-EO；推荐强度：Class I)
Information related to baseline blood pressure, the presence of neurological deficits, and preexisting endorgan injury may influence intraoperative mean arterial blood pressure targets which must be individualized to the patient. (C-EO, Class I)
证据评价方法：American College of Cardiology/American Heart Asso
指南质量等级：B
年份：2022
国家：the Society for Neuroscience in Anesthesiology and
Array
(
[id] => 232
[catid] => 116
[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] =>
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[xzl] => 0
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[zjfj] =>
[tjqd] =>
[nianfen] => 2022
[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => Preparation and allocation of resources for transfusion should be considered for the following high-risk groups: age over 50 years, preoperative anemia, multilevel/revision/tumor/deformity/trauma surgeries, and surgeries involving transpedicular osteotomy. (B-NR, Class I)
[laiyuan] => 对于年龄> 50岁、术前贫血、多节段/翻修/肿瘤/畸形/创伤手术和涉及经椎弓根截骨的手术的高危人群，应考虑输血的准备和资源配置。( 证据等级：B-NR；推荐强度：Class I )
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于年龄> 50岁、术前贫血、多节段/翻修/肿瘤/畸形/创伤手术和涉及经椎弓根截骨的手术的高危人群，应考虑输血的准备和资源配置。( 证据等级：B-NR；推荐强度：Class I )
Preparation and allocation of resources for transfusion should be considered for the following high-risk groups: age over 50 years, preoperative anemia, multilevel/revision/tumor/deformity/trauma surgeries, and surgeries involving transpedicular osteotomy. (B-NR, Class I)
证据评价方法：American College of Cardiology/American Heart Asso
指南质量等级：B
年份：2022
国家：the Society for Neuroscience in Anesthesiology and
Array
(
[id] => 233
[catid] => 116
[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/233.html
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[inputtime] => 2024-01-11 15:09:41
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(
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[nrsh] => Array
(
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[xzl] => 0
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[zjpjff] => American College of Cardiology/American Heart Asso
[zjfj] =>
[tjqd] =>
[nianfen] => 2022
[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => Whenever possible, a comprehensive preadmission/ preoperative assessment should be performed in patients undergoing complex surgeries. (C-EO, Class I)
[laiyuan] => 在可能的情况下，应对接受复杂手术的患者进行全面的入院前/术前评估。( 证据等级：C-EO；推荐强度：Class I )
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在可能的情况下，应对接受复杂手术的患者进行全面的入院前/术前评估。( 证据等级：C-EO；推荐强度：Class I )
Whenever possible, a comprehensive preadmission/ preoperative assessment should be performed in patients undergoing complex surgeries. (C-EO, Class I)
证据评价方法：American College of Cardiology/American Heart Asso
指南质量等级：B
年份：2022
国家：the Society for Neuroscience in Anesthesiology and
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[title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care
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[zjfj] =>
[tjqd] =>
[nianfen] => 2022
[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => Nil per os should follow American Society of Anesthesiologists (ASA) guidelines, and patients should consume a commercially available carbohydrate drink at least 2 hours before the planned procedure start time. (C-EO, Class I)
[laiyuan] => 每盎司碳水化合物的摄入量应遵循美国麻醉医师协会（ASA）的指导原则，患者应在计划手术开始前至少 2 小时摄入市售的碳水化合物饮料。( 证据等级：C-EO；推荐强度：Class I )
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
每盎司碳水化合物的摄入量应遵循美国麻醉医师协会（ASA）的指导原则，患者应在计划手术开始前至少 2 小时摄入市售的碳水化合物饮料。( 证据等级：C-EO；推荐强度：Class I )
Nil per os should follow American Society of Anesthesiologists (ASA) guidelines, and patients should consume a commercially available carbohydrate drink at least 2 hours before the planned procedure start time. (C-EO, Class I)
证据评价方法：American College of Cardiology/American Heart Asso
指南质量等级：B
年份：2022
国家：the Society for Neuroscience in Anesthesiology and
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[catid] => 119
[title] => Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care
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[nrjc] => Array
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[xzl] => 0
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[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 postoperative opioid use and improve patient satisfaction, and with careful patient selection and appropriate postoperative neurological and respiratory monitoring, neuraxial techniques (epidural/ spinal), or use of intrathecal opioids may be considered an adjunct. (C-EO, Class I)
[laiyuan] => 为了减少术后阿片类药物的使用并提高患者满意度，在谨慎选择患者并进行适当的术后神经和呼吸监测的情况下，神经轴技术（硬膜外/脊髓）或鞘内阿片类药物的使用可被视为一种辅助手段。（证据等级：B-R；推荐强度：Class IIb）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
为了减少术后阿片类药物的使用并提高患者满意度，在谨慎选择患者并进行适当的术后神经和呼吸监测的情况下，神经轴技术（硬膜外/脊髓）或鞘内阿片类药物的使用可被视为一种辅助手段。（证据等级：B-R；推荐强度：Class IIb）
To reduce postoperative opioid use and improve patient satisfaction, and with careful patient selection and appropriate postoperative neurological and respiratory monitoring, neuraxial techniques (epidural/ spinal), or use of intrathecal opioids may be considered an adjunct. (C-EO, Class I)
证据评价方法：American College of Cardiology/American Heart Asso
指南质量等级：B
年份：2022
国家：the Society for Neuroscience in Anesthesiology and
Array
(
[id] => 236
[catid] => 119
[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] =>
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[author] => 系统管理员
[status] => 9
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[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:09:41
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[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
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[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] => The usefulness of non-neuraxial regional anesthesia is not well-established. (C-LD, Class IIb)
[laiyuan] => 非神经轴区域麻醉的效用尚未得到充分证实。 （证据等级：C-LD；推荐强度：Class IIb）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
非神经轴区域麻醉的效用尚未得到充分证实。 （证据等级：C-LD；推荐强度：Class IIb）
The usefulness of non-neuraxial regional anesthesia is not well-established. (C-LD, Class IIb)
证据评价方法：American College of Cardiology/American Heart Asso
指南质量等级：B
年份：2022
国家：the Society for Neuroscience in Anesthesiology and
