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Array ( [id] => 237 [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] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/237.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Volatile anesthesia or TIVA, or a combination, may be utilized based on patient considerations when not utilizing IONM. (B-NR, Class IIb) [laiyuan] => 在不使用术中神经电生理监测的情况下,可根据患者的考虑使用挥发性麻醉或全凭静脉麻醉或组合使用。(证据等级:B-NR;推荐强度:Class IIb) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
在不使用术中神经电生理监测的情况下,可根据患者的考虑使用挥发性麻醉或全凭静脉麻醉或组合使用。(证据等级:B-NR;推荐强度:Class IIb)

Volatile anesthesia or TIVA, or a combination, may be utilized based on patient considerations when not utilizing IONM. (B-NR, 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

阅读
Array ( [id] => 238 [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/238.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Serial intraoperative and postoperative glucose monitoring using an intravenous insulin algorithm may be useful to maintain blood glucose <180 mg/dL in diabetic patients. (C-EO, Class I) [laiyuan] => 术中和术后使用静脉胰岛素算法进行连续血糖监测可能有助于维持糖尿病患者的血糖<180 mg/dL。(证据等级:C-EO;推荐强度:Class I) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
术中和术后使用静脉胰岛素算法进行连续血糖监测可能有助于维持糖尿病患者的血糖<180 mg/dL。(证据等级:C-EO;推荐强度:Class I)

Serial intraoperative and postoperative glucose monitoring using an intravenous insulin algorithm may be useful to maintain blood glucose <180 mg/dL in diabetic patients. (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

阅读
Array ( [id] => 239 [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/239.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Whenever possible, periodic position checks must be performed in patients undergoing major complex spine surgery. (C-EO, Class I) [laiyuan] => 在可能的情况下,必须对接受大型复杂脊柱手术的患者进行定期体位检查。(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,必须对接受大型复杂脊柱手术的患者进行定期体位检查。(证据等级:C-EO;推荐强度:Class I)

Whenever possible, periodic position checks must be performed in patients undergoing major complex spine surgery. (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

阅读
Array ( [id] => 240 [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/240.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Intraoperative invasive/minimally invasive hemodynamic monitoring techniques consistent with institutional standards may be used in patients undergoing complex spine surgeries. (C-EO, Class I) [laiyuan] => 对于接受复杂脊柱手术的患者,可使用符合机构标准的术中有创/微创血液动力学监测技术。(证据等级:C-EO;推荐强度:Class I) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
对于接受复杂脊柱手术的患者,可使用符合机构标准的术中有创/微创血液动力学监测技术。(证据等级:C-EO;推荐强度:Class I)

Intraoperative invasive/minimally invasive hemodynamic monitoring techniques consistent with institutional standards may be used in patients undergoing complex spine 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

阅读
Array ( [id] => 241 [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/241.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Arterial waveform-based monitoring may be useful to guide intraoperative fluid responsiveness.(B-NR, Class IIb) [laiyuan] => 基于动脉波形的监测可能有助于指导术中输液反应。(证据等级:B-NR;推荐强度:Class IIb) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
基于动脉波形的监测可能有助于指导术中输液反应。(证据等级:B-NR;推荐强度:Class IIb)

Arterial waveform-based monitoring may be useful to guide intraoperative fluid responsiveness.(B-NR, 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

阅读
Array ( [id] => 242 [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/242.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Invasive arterial blood pressure monitoring is reasonable for complex spine surgery. (C-EO, Class IIa) [laiyuan] => 对于复杂的脊柱手术,有创动脉血压监测是合理的。(证据等级:C-EO;推荐强度:Class IIa) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
对于复杂的脊柱手术,有创动脉血压监测是合理的。(证据等级:C-EO;推荐强度:Class IIa)

Invasive arterial blood pressure monitoring is reasonable for complex spine surgery. (C-EO, Class IIa)

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

阅读
Array ( [id] => 243 [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/243.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Lung-protective ventilation (6 to 8 mL/kg ideal body weight) has not been shown to confer benefit when in a prone position but is not harmful. (B-R, Class III) [laiyuan] => 在俯卧位时,肺保护性通气(理想体重6 - 8 ml/kg)未被证明对患者有益,但无害。(证据等级:B-R;推荐强度:Class III) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
在俯卧位时,肺保护性通气(理想体重6 - 8 ml/kg)未被证明对患者有益,但无害。(证据等级:B-R;推荐强度:Class III)

Lung-protective ventilation (6 to 8 mL/kg ideal body weight) has not been shown to confer benefit when in a prone position but is not harmful. (B-R, Class III)

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

阅读
Array ( [id] => 244 [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/244.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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 lower peak airway pressure, improve oxygenation and reduce the risk of surgical bleeding, pressurecontrolled ventilation may be considered rather than volume-controlled ventilation. No evidence was foundregarding the impact of the mode of ventilation on length of stay, or quality of recovery after spine surgery. (B-R, Class IIa) [laiyuan] => 为降低气道峰压、改善氧合和降低手术出血风险,可考虑使用压力控制通气而非容量控制通气。关于通气模式对住院时间或脊柱手术后恢复质量的影响,目前尚未发现证据。(证据等级:B-R;推荐强度:Class IIa) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
为降低气道峰压、改善氧合和降低手术出血风险,可考虑使用压力控制通气而非容量控制通气。关于通气模式对住院时间或脊柱手术后恢复质量的影响,目前尚未发现证据。(证据等级:B-R;推荐强度:Class IIa)

To lower peak airway pressure, improve oxygenation and reduce the risk of surgical bleeding, pressurecontrolled ventilation may be considered rather than volume-controlled ventilation. No evidence was foundregarding the impact of the mode of ventilation on length of stay, or quality of recovery after spine surgery. (B-R, Class IIa)

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

阅读
Array ( [id] => 245 [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/245.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => Higher levels of positive end-expiratory pressure (9 to 12 cmH2O) may be required to maintain compliance and regional ventilation in the prone position. (B-R, Class IIa) [laiyuan] => 俯卧位时可能需要较高水平的呼气末正压(9 - 12 cmH2O)来维持顺应性和区域通气。(证据等级:B-R;推荐强度:Class IIa) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
俯卧位时可能需要较高水平的呼气末正压(9 - 12 cmH2O)来维持顺应性和区域通气。(证据等级:B-R;推荐强度:Class IIa)

Higher levels of positive end-expiratory pressure (9 to 12 cmH2O) may be required to maintain compliance and regional ventilation in the prone position. (B-R, Class IIa)

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

阅读
Array ( [id] => 246 [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/246.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:09:41 [updatetime] => 2024-01-11 15:09:41 [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] => The Jackson surgical table should be used whenever possible to reduce intra-abdominal pressure and improve intraoperative oxygenation in the prone position. (B-R, Class I) [laiyuan] => 应尽可能使用Jackson 手术台,以降低腹内压,改善俯卧位的术中氧合。(证据等级:B-R;推荐强度:Class I) [znzldj] => B [_inputtime] => 1704956981 [_updatetime] => 1704956981 [_nrjc] => [_nrsh] => )
推荐意见
应尽可能使用Jackson 手术台,以降低腹内压,改善俯卧位的术中氧合。(证据等级:B-R;推荐强度:Class I)

The Jackson surgical table should be used whenever possible to reduce intra-abdominal pressure and improve intraoperative oxygenation in the prone position. (B-R, 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

阅读