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[catid] => 121
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[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => Hemoglobin and hematocrit values should be monitored frequently (every 1 to 2 h or more often on a case-by-case basis) during complex spine procedures. (C-EO, Class I)
[laiyuan] => 在进行复杂的脊柱手术时，应经常（每隔 1 到 2 小时或根据具体情况增加监测次数）监测血红蛋白和血细胞比容值。（证据等级：C-EO；推荐强度：Class I）
[znzldj] => B
[_inputtime] => 1704956981
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推荐意见
在进行复杂的脊柱手术时，应经常（每隔 1 到 2 小时或根据具体情况增加监测次数）监测血红蛋白和血细胞比容值。（证据等级：C-EO；推荐强度：Class I）
Hemoglobin and hematocrit values should be monitored frequently (every 1 to 2 h or more often on a case-by-case basis) during complex spine procedures. (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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[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => If MEPs are monitored, dexmedetomidine should be used in doses <0.8 mcg/kg/h to prevent interference with MEPs. (B-R, Class IIa)
[laiyuan] => 如果要监测运动诱发电位，右美托咪定的剂量应小于 0.8 mcg/kg/h，以防止干扰运动诱发电位s。（证据等级：B-R；推荐强度：Class IIa）
[znzldj] => B
[_inputtime] => 1704956981
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[_nrjc] =>
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)
推荐意见
如果要监测运动诱发电位，右美托咪定的剂量应小于 0.8 mcg/kg/h，以防止干扰运动诱发电位s。（证据等级：B-R；推荐强度：Class IIa）
If MEPs are monitored, dexmedetomidine should be used in doses <0.8 mcg/kg/h to prevent interference with MEPs. (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
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[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => Methadone can be a useful adjunct to TIVA or inhalational anesthetic regimens to reduce pain and opioid requirements(B-R, Class IIa)
[laiyuan] => 美沙酮可以作为全凭静脉麻醉或吸入麻醉方案的有效辅助药物，以减少疼痛和阿片类药物的需求。（证据等级：B-R；推荐强度：Class IIa）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
美沙酮可以作为全凭静脉麻醉或吸入麻醉方案的有效辅助药物，以减少疼痛和阿片类药物的需求。（证据等级：B-R；推荐强度：Class IIa）
Methadone can be a useful adjunct to TIVA or inhalational anesthetic regimens to reduce pain and opioid requirements(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
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[pdf] =>
[tjyjyw] =>
[lyyw] => To facilitate TIVA without a neuromuscular blocking agent, sufentanil or fentanyl may also be reasonable adjuncts. (C-EO, Class IIb)
[laiyuan] => 为了在不使用神经肌肉阻断剂的情况下促进全凭静脉麻醉，舒芬太尼或芬太尼也可能是合理的辅助药物。（证据等级：C-EO；推荐强度：Class IIb）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
为了在不使用神经肌肉阻断剂的情况下促进全凭静脉麻醉，舒芬太尼或芬太尼也可能是合理的辅助药物。（证据等级：C-EO；推荐强度：Class IIb）
To facilitate TIVA without a neuromuscular blocking agent, sufentanil or fentanyl may also be reasonable adjuncts. (C-EO, 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
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[pdf] =>
[tjyjyw] =>
[lyyw] => Remifentanil may be a reasonable adjunct to facilitate TIVA without a neuromuscular blocking agent. (B-R, Class IIb)
[laiyuan] => 瑞芬太尼可能是一种合理的辅助药物，可在不使用神经肌肉阻断剂的情况下促进全凭静脉麻醉。（证据等级：B-R；推荐强度： IIb）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
瑞芬太尼可能是一种合理的辅助药物，可在不使用神经肌肉阻断剂的情况下促进全凭静脉麻醉。（证据等级：B-R；推荐强度： IIb）
Remifentanil may be a reasonable adjunct to facilitate TIVA without a neuromuscular blocking agent. (B-R, 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
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[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => Lidocaine may be safely used for spine surgery patients during IONM. (B-R, Class IIb)
[laiyuan] => 脊柱手术患者在术中神经电生理监测期间可安全使用利多卡因。（证据等级：B-R；推荐强度： IIb）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
脊柱手术患者在术中神经电生理监测期间可安全使用利多卡因。（证据等级：B-R；推荐强度： IIb）
Lidocaine may be safely used for spine surgery patients during IONM. (B-R, 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
Array
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[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
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[guojia] => the Society for Neuroscience in Anesthesiology and
[pdf] =>
[tjyjyw] =>
[lyyw] => Neuromuscular blocking medications should be avoided when MEPs or electromyography are being monitored. (C-EO, Class IIb)
[laiyuan] => 在监测运动诱发电位或肌电图时，应避免使用神经肌肉阻断药物。（证据等级：C-EO；推荐强度： IIb）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在监测运动诱发电位或肌电图时，应避免使用神经肌肉阻断药物。（证据等级：C-EO；推荐强度： IIb）
Neuromuscular blocking medications should be avoided when MEPs or electromyography are being monitored. (C-EO, 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
Array
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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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[tjyjyw] =>
[lyyw] => Caution must be maintained when using remifentanil as high doses (≥0.8mcg/kg/min) may affect the amplitude of SSEPs. (B-NR, Class IIb).
[laiyuan] => 使用瑞芬太尼时必须谨慎，因为高剂量（≥0.8mcg/kg/min）可能会影响躯体感觉诱发电位的振幅。（证据等级：B-NR；推荐强度： IIb）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
使用瑞芬太尼时必须谨慎，因为高剂量（≥0.8mcg/kg/min）可能会影响躯体感觉诱发电位的振幅。（证据等级：B-NR；推荐强度： IIb）
Caution must be maintained when using remifentanil as high doses (≥0.8mcg/kg/min) may affect the amplitude of SSEPs. (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
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[pdf] =>
[tjyjyw] =>
[lyyw] => In patients undergoing MEP monitoring, padding/ appropriately sized secured soft bite blocks and frequent evaluation of intraoral integrity can be useful in preventing intraoral injuries. (C-EO, Class IIa)
[laiyuan] => 对于接受运动诱发电位监测的患者，垫块/适当大小的固定软咬合块和经常评估口腔内完整性有助于防止口腔内损伤。（证据等级：C-EO；推荐强度： IIa）
[znzldj] => B
[_inputtime] => 1704956981
[_updatetime] => 1704956981
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于接受运动诱发电位监测的患者，垫块/适当大小的固定软咬合块和经常评估口腔内完整性有助于防止口腔内损伤。（证据等级：C-EO；推荐强度： IIa）
In patients undergoing MEP monitoring, padding/ appropriately sized secured soft bite blocks and frequent evaluation of intraoral integrity can be useful in preventing intraoral injuries. (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
Array
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[title] => Guidelines for treatment of acute pain in children –the consensus statement of the Section of PaediatricAnaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy
[thumb] =>
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[status] => 9
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2022
[guojia] => the Section of PaediatricAnaesthesiology and Inten
[pdf] =>
[tjyjyw] =>
[lyyw] => Agonists of α2-receptors may be used as co-analgesics during regional anaesthesia in children. (2C)
[laiyuan] => α-2受体激动剂可作为儿童区域麻醉的辅助镇痛剂。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704956980
[_updatetime] => 1704956980
[_nrjc] =>
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推荐意见
α-2受体激动剂可作为儿童区域麻醉的辅助镇痛剂。（证据等级：低；推荐强度：弱推荐）
Agonists of α2-receptors may be used as co-analgesics during regional anaesthesia in children. (2C)
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
