Array
(
[id] => 139
[catid] => 114
[title] => Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations Executive Summary
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/139.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 1
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => AMERICAN ACADEMY OF HEAD AND NECK SURGERY
[pdf] =>
[tjyjyw] =>
[lyyw] => Clinicians should recommend that patients (or their caregivers) store prescribed opioids securely and dispose of unused opioids through take-back programs or another accepted method(Evidence level:Low;Recommendation grade:Strong).
[laiyuan] => 临床医生应建议患者(或其护理人员)妥善储存处方阿片类药物,并通过回收计划或其他可接受的方法处理未使用的阿片类药物。(证据分级:低; 推荐强度:强推荐)
[znzldj] => A
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
临床医生应建议患者(或其护理人员)妥善储存处方阿片类药物,并通过回收计划或其他可接受的方法处理未使用的阿片类药物。(证据分级:低; 推荐强度:强推荐)
Clinicians should recommend that patients (or their caregivers) store prescribed opioids securely and dispose of unused opioids through take-back programs or another accepted method(Evidence level:Low;Recommendation grade:Strong).
证据评价方法:GRADE
指南质量等级:A
年份:2021
国家:AMERICAN ACADEMY OF HEAD AND NECK SURGERY
Array
(
[id] => 140
[catid] => 191
[title] => South African cardiovascular risk stratification guideline for non-cardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/140.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => http://www.samj.org.za/index.php/samj/article/view/13424
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => 南非
[pdf] =>
[tjyjyw] =>
[lyyw] => Recommendation: We recommend daily postoperative troponin measurements for 48 - 72 hours for all non-cardiac surgical patients 45 years and older with: (i) a history of coronary artery disease, stroke or transient ischaemic attack, congestive cardiac failure, or patients who are 18 years and older with peripheral vascular disease undergoing vascular surgery, i.e. a baseline risk >5% for major adverse cardiac events at 30 days after surgery (if no preoperative NP screening); or (ii) an elevated NT-pro BNP/BNP measurement before surgery (defined as BNP >99 pg/mL or a NT-proBNP >300 pg/mL)(Evidence level:moderate;Recommendation grade:conditional recommendation).
[laiyuan] => 所有 45 岁及以上、患有以下疾病的非心脏手术患者在术后 48 - 72 小时内每天测量肌钙蛋白: (i) 有冠状动脉疾病、中风或短暂性脑缺血发作、充血性心力衰竭病史,或 18 岁及以上患有外周血管疾病的患者接受血管手术,即术后 30 天发生重大心脏不良事件的基线风险>5%(如果术前未进行 NP 筛查);或 (ii) 术前 NT-pro BNP/BNP 测量值升高(定义为 BNP >99 pg/mL 或 NT-proBNP >300 pg/mL)(证据分级:中 ;推荐强度:有条件推荐)
[znzldj] => B
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
所有 45 岁及以上、患有以下疾病的非心脏手术患者在术后 48 - 72 小时内每天测量肌钙蛋白: (i) 有冠状动脉疾病、中风或短暂性脑缺血发作、充血性心力衰竭病史,或 18 岁及以上患有外周血管疾病的患者接受血管手术,即术后 30 天发生重大心脏不良事件的基线风险>5%(如果术前未进行 NP 筛查);或 (ii) 术前 NT-pro BNP/BNP 测量值升高(定义为 BNP >99 pg/mL 或 NT-proBNP >300 pg/mL)(证据分级:中 ;推荐强度:有条件推荐)
Recommendation: We recommend daily postoperative troponin measurements for 48 - 72 hours for all non-cardiac surgical patients 45 years and older with: (i) a history of coronary artery disease, stroke or transient ischaemic attack, congestive cardiac failure, or patients who are 18 years and older with peripheral vascular disease undergoing vascular surgery, i.e. a baseline risk >5% for major adverse cardiac events at 30 days after surgery (if no preoperative NP screening); or (ii) an elevated NT-pro BNP/BNP measurement before surgery (defined as BNP >99 pg/mL or a NT-proBNP >300 pg/mL)(Evidence level:moderate;Recommendation grade:conditional recommendation).
证据评价方法:GRADE
指南质量等级:B
年份:2021
国家:南非
Array
(
[id] => 141
[catid] => 191
[title] => South African cardiovascular risk stratification guideline for non-cardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/141.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => 南非
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend that all elective noncardiac surgical patients who are 45 years and older with a history of coronary artery disease, or stroke or transient ischaemic attack, or congestive cardiac failure, or patients who are 18 years or older with peripheral vascular disease undergoing vascular surgery should have preoperative NP screening(Evidence level:High;Recommendation grade:strong).
[laiyuan] => 所有 45 岁及以上、有冠状动脉疾病、中风或短暂性缺血发作或充血性心力衰竭病史的非心脏外科择期手术患者,或 18 岁及以上、患有外周血管疾病的血管外科手术患者,都应进行术前 NP 筛查。(证据分级:高 ;推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
所有 45 岁及以上、有冠状动脉疾病、中风或短暂性缺血发作或充血性心力衰竭病史的非心脏外科择期手术患者,或 18 岁及以上、患有外周血管疾病的血管外科手术患者,都应进行术前 NP 筛查。(证据分级:高 ;推荐强度:强推荐)
We recommend that all elective noncardiac surgical patients who are 45 years and older with a history of coronary artery disease, or stroke or transient ischaemic attack, or congestive cardiac failure, or patients who are 18 years or older with peripheral vascular disease undergoing vascular surgery should have preoperative NP screening(Evidence level:High;Recommendation grade:strong).
证据评价方法:GRADE
指南质量等级:B
年份:2021
国家:南非
Array
(
[id] => 142
[catid] => 191
[title] => South African cardiovascular risk stratification guideline for non-cardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/142.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => 南非
[pdf] =>
[tjyjyw] =>
[lyyw] => We do not recommend routine noninvasive testing for cardiovascular risk stratification prior to elective adult non-cardiac surgery(Evidence level:low and moderate;Recommendation grade:strong).
[laiyuan] => 不建议择期成人非心脏外科手术前常规无创检测以进行心血管风险分层。(证据分级:低-中 ;推荐强度:强推荐)
[znzldj] => B
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不建议择期成人非心脏外科手术前常规无创检测以进行心血管风险分层。(证据分级:低-中 ;推荐强度:强推荐)
We do not recommend routine noninvasive testing for cardiovascular risk stratification prior to elective adult non-cardiac surgery(Evidence level:low and moderate;Recommendation grade:strong).
证据评价方法:GRADE
指南质量等级:B
年份:2021
国家:南非
Array
(
[id] => 143
[catid] => 191
[title] => South African cardiovascular risk stratification guideline for non-cardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/143.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2021
[guojia] => 南非
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest that all elective non-cardiac surgical patients 45 years and older with a history of coronary artery disease, or stroke or transient ischaemic attack, or congestive cardiac failure; or patients 18 years or older with peripheral vascular disease undergoing vascular surgery require further preoperative risk stratification as their predicted 30-day MACE risk >5%. This recommendation does not apply to patients undergoing low risk surgery, and surgery which does not require overnight hospital admission.(Evidence level:moderate;Recommendation grade:conditional recommendation).
[laiyuan] => 所有 45 岁及以上、有冠状动脉疾病、中风或短暂性缺血发作或充血性心力衰竭病史的择期非心脏手术患者;或 18 岁及以上、有外周血管疾病的血管手术患者,都需要进行进一步的术前风险分层,因为他们的预测 30 天 MACE(主要心脏不良事件) 风险>5%。 此建议不适用于接受低风险手术和不需要住院过夜的手术的患者。(证据分级:中; 推荐强度:有条件推荐)
[znzldj] => B
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
所有 45 岁及以上、有冠状动脉疾病、中风或短暂性缺血发作或充血性心力衰竭病史的择期非心脏手术患者;或 18 岁及以上、有外周血管疾病的血管手术患者,都需要进行进一步的术前风险分层,因为他们的预测 30 天 MACE(主要心脏不良事件) 风险>5%。 此建议不适用于接受低风险手术和不需要住院过夜的手术的患者。(证据分级:中; 推荐强度:有条件推荐)
We suggest that all elective non-cardiac surgical patients 45 years and older with a history of coronary artery disease, or stroke or transient ischaemic attack, or congestive cardiac failure; or patients 18 years or older with peripheral vascular disease undergoing vascular surgery require further preoperative risk stratification as their predicted 30-day MACE risk >5%. This recommendation does not apply to patients undergoing low risk surgery, and surgery which does not require overnight hospital admission.(Evidence level:moderate;Recommendation grade:conditional recommendation).
证据评价方法:GRADE
指南质量等级:B
年份:2021
国家:南非
Array
(
[id] => 144
[catid] => 40
[title] => Guidelines for enhanced recovery after lung surgery:
recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/144.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://academic.oup.com/ejcts/article/55/1/91/5124324?login=false
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2019
[guojia] => Enhanced Recovery After Surgery and the European S
[pdf] =>
[tjyjyw] =>
[lyyw] => Preoperative exercise rehabilitation plans can reduce hospital hospitalization time and postoperative pulmonary complications. Due to the heterogeneity of research, there is no clear recommendation on the nature of intervention in terms of exercise type, mode, frequency, or preoperative duration. Rehabilitation treatment should be considered for patients with poor lung function or motor ability.(Evidence level:low;Recommendation grade:strong).
[laiyuan] => 术前运动康复计划可减少医院住院时间和术后肺部并发症。由于研究的异质性,在运动类型、方式、频率或术前持续时间方面,对干预的性质没有明确的建议。对肺功能或运动能力不佳的患者应考虑康复治疗。(证据等级:低;推荐强度:强推荐)
[znzldj] => C
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前运动康复计划可减少医院住院时间和术后肺部并发症。由于研究的异质性,在运动类型、方式、频率或术前持续时间方面,对干预的性质没有明确的建议。对肺功能或运动能力不佳的患者应考虑康复治疗。(证据等级:低;推荐强度:强推荐)
Preoperative exercise rehabilitation plans can reduce hospital hospitalization time and postoperative pulmonary complications. Due to the heterogeneity of research, there is no clear recommendation on the nature of intervention in terms of exercise type, mode, frequency, or preoperative duration. Rehabilitation treatment should be considered for patients with poor lung function or motor ability.(Evidence level:low;Recommendation grade:strong).
证据评价方法:GRADE
指南质量等级:C
年份:2019
国家:Enhanced Recovery After Surgery and the European S
Array
(
[id] => 145
[catid] => 40
[title] => Guidelines for enhanced recovery after lung surgery:
recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/145.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2019
[guojia] => Enhanced Recovery After Surgery and the European S
[pdf] =>
[tjyjyw] =>
[lyyw] => Alcohol is related to the increase of perioperative incidence rate and mortality. Patients who abuse alcohol should avoid drinking at least 4 weeks before surgery.(Evidence level:moderate;Recommendation grade:strong).
[laiyuan] => 酒精与围手术期发病率和死亡率增加有关,滥用酒精的患者在手术前至少4周内应避免饮酒。(证据等级:中;推荐强度:强推荐)
[znzldj] => C
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
酒精与围手术期发病率和死亡率增加有关,滥用酒精的患者在手术前至少4周内应避免饮酒。(证据等级:中;推荐强度:强推荐)
Alcohol is related to the increase of perioperative incidence rate and mortality. Patients who abuse alcohol should avoid drinking at least 4 weeks before surgery.(Evidence level:moderate;Recommendation grade:strong).
证据评价方法:GRADE
指南质量等级:C
年份:2019
国家:Enhanced Recovery After Surgery and the European S
Array
(
[id] => 146
[catid] => 40
[title] => Guidelines for enhanced recovery after lung surgery:
recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/146.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2019
[guojia] => Enhanced Recovery After Surgery and the European S
[pdf] =>
[tjyjyw] =>
[lyyw] => Smoking is associated with an increased risk of postoperative morbidity (especially pulmonary complications) and mortality and ideally should be stopped at least 4 weeks before surgery.(Evidence level:high;Recommendation grade:strong).
[laiyuan] => 吸烟与术后发病率(尤其是肺部并发症)和死亡率的增加有关,理想情况下应在手术前至少4周停止吸烟。(证据等级:高;推荐强度:强推荐)
[znzldj] => C
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
吸烟与术后发病率(尤其是肺部并发症)和死亡率的增加有关,理想情况下应在手术前至少4周停止吸烟。(证据等级:高;推荐强度:强推荐)
Smoking is associated with an increased risk of postoperative morbidity (especially pulmonary complications) and mortality and ideally should be stopped at least 4 weeks before surgery.(Evidence level:high;Recommendation grade:strong).
证据评价方法:GRADE
指南质量等级:C
年份:2019
国家:Enhanced Recovery After Surgery and the European S
Array
(
[id] => 147
[catid] => 40
[title] => Guidelines for enhanced recovery after lung surgery:
recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/147.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2019
[guojia] => Enhanced Recovery After Surgery and the European S
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients should routinely receive dedicated preoperative counselling.(Evidence level:low;Recommendation grade:conditional recommendation).
[laiyuan] => 患者应定期接受专门的术前咨询(证据等级:低;推荐强度:强推荐)
[znzldj] => C
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
患者应定期接受专门的术前咨询(证据等级:低;推荐强度:强推荐)
Patients should routinely receive dedicated preoperative counselling.(Evidence level:low;Recommendation grade:conditional recommendation).
证据评价方法:GRADE
指南质量等级:C
年份:2019
国家:Enhanced Recovery After Surgery and the European S
Array
(
[id] => 148
[catid] => 42
[title] => Guidelines for enhanced recovery after lung surgery:
recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS)
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/148.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:07:27
[updatetime] => 2024-01-11 15:07:27
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] =>
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2019
[guojia] => Enhanced Recovery After Surgery and the European S
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients taking β-blockers preoperatively should continue to take them in the postoperative period to prevent postoperative atrial fibrillation and flutter (POAF)secondary to acute withdrawal(Evidence level:High;Recommendation grade: Strong). Magnesium supplementation may be considered in magnesium deplete patients(Evidence level:Low;Recommendation grade: Week). The administration of diltiazem preoperatively or amiodarone postoperatively is reasonable in patients deemed at high risk, although there is little evidence that POAF prophylaxis improves outcomes(Evidence level:Moderate;Recommendation grade: Week).
[laiyuan] => 术前服用β受体阻滞剂的患者应在术后继续服用,以预防术后急性停药后继发的房颤和房扑(POAF)(证据等级:高;推荐强度:强推荐)。镁缺乏症患者可考虑补充镁(证据等级:低;推荐强度:弱推荐)。对于高危患者,术前给予地尔硫卓或术后给予胺碘酮是合理的,尽管很少有证据表明预防POAF可以改善预后(证据等级:中;推荐强度:弱推荐)
[znzldj] => C
[_inputtime] => 1704956847
[_updatetime] => 1704956847
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前服用β受体阻滞剂的患者应在术后继续服用,以预防术后急性停药后继发的房颤和房扑(POAF)(证据等级:高;推荐强度:强推荐)。镁缺乏症患者可考虑补充镁(证据等级:低;推荐强度:弱推荐)。对于高危患者,术前给予地尔硫卓或术后给予胺碘酮是合理的,尽管很少有证据表明预防POAF可以改善预后(证据等级:中;推荐强度:弱推荐)
Patients taking β-blockers preoperatively should continue to take them in the postoperative period to prevent postoperative atrial fibrillation and flutter (POAF)secondary to acute withdrawal(Evidence level:High;Recommendation grade: Strong). Magnesium supplementation may be considered in magnesium deplete patients(Evidence level:Low;Recommendation grade: Week). The administration of diltiazem preoperatively or amiodarone postoperatively is reasonable in patients deemed at high risk, although there is little evidence that POAF prophylaxis improves outcomes(Evidence level:Moderate;Recommendation grade: Week).
证据评价方法:GRADE
指南质量等级:C
年份:2019
国家:Enhanced Recovery After Surgery and the European S