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Array ( [id] => 1892 [catid] => 77 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1892.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend against routine use of albumin or synthetic colloids for priming the cardiopulmonary bypass circuit. (Strong recommendation, moderate quality evidence) [laiyuan] => 在体外循环手术中,不建议常规使用白蛋白或人工胶体来预充心肺转流回路。(强烈推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
在体外循环手术中,不建议常规使用白蛋白或人工胶体来预充心肺转流回路。(强烈推荐;中等质量证据)

We recommend against routine use of albumin or synthetic colloids for priming the cardiopulmonary bypass circuit. (Strong recommendation, moderate quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1893 [catid] => 77 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1893.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend against use of excessive (>30 ml/kg) ultrafiltration during cardiopulmonary bypass. (Weak recommendation, moderate quality evidence) [laiyuan] => 在体外循环手术中,不建议在体外循环期间使用过多的超滤(>30 ml kg-1)。(弱推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
在体外循环手术中,不建议在体外循环期间使用过多的超滤(>30 ml kg-1)。(弱推荐;中等质量证据)

We recommend against use of excessive (>30 ml/kg) ultrafiltration during cardiopulmonary bypass. (Weak recommendation, moderate quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1894 [catid] => 47 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1894.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend against a positive fluid balance in the first 24 h following lung resection surgery. (Weak recommen- dation, very low-quality evidence) [laiyuan] => 在胸外科手术中,不建议在肺切除术后的第一个24小时内保持液体正平衡。(弱推荐;非常低质量的证据) [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
在胸外科手术中,不建议在肺切除术后的第一个24小时内保持液体正平衡。(弱推荐;非常低质量的证据)

We recommend against a positive fluid balance in the first 24 h following lung resection surgery. (Weak recommen- dation, very low-quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1895 [catid] => 92 [title] => Perioperative fluid management: evidence-based consensus recommendations from the international multidisciplinary PeriOperative Quality Initiative [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1895.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:23:26 [updatetime] => 2024-12-12 11:23:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39341776/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => / [pdf] => [tjyjyw] => [lyyw] => We recommend against use of albumin in neurosurgical patients. (Strong recommendation, moderate quality evidence) [laiyuan] => 在神经外科手术中,不建议患者使用白蛋白。(强烈推荐;中等质量证据) [znzldj] => B级 [_inputtime] => 1733973806 [_updatetime] => 1733973806 [_nrjc] => [_nrsh] => )
推荐意见
在神经外科手术中,不建议患者使用白蛋白。(强烈推荐;中等质量证据)

We recommend against use of albumin in neurosurgical patients. (Strong recommendation, moderate quality evidence)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:/

阅读
Array ( [id] => 1826 [catid] => 295 [title] => German guidelines for airway management 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1826.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:58 [updatetime] => 2024-12-12 11:20:58 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38753159/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => German Society for Anesthesiology and Intensive Ca [pdf] => [tjyjyw] => [lyyw] => A powerful suction device (preferably motorized) with a large lumen suction tube (e.g.,Yankauer suction kit) shall be available on the patient during airway management. [laiyuan] => 在气道管理过程中,应为患者准备一个带有大腔吸引管的强力吸引装置(最好是电动的)(如 Yankauer 吸引套件)。(推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973658 [_updatetime] => 1733973658 [_nrjc] => [_nrsh] => )
推荐意见
在气道管理过程中,应为患者准备一个带有大腔吸引管的强力吸引装置(最好是电动的)(如 Yankauer 吸引套件)。(推荐强度:强推荐)

A powerful suction device (preferably motorized) with a large lumen suction tube (e.g.,Yankauer suction kit) shall be available on the patient during airway management.

证据评价方法:GRADE

指南质量等级:B级

年份:2023

国家:German Society for Anesthesiology and Intensive Ca

阅读
Array ( [id] => 1827 [catid] => 293 [title] => German guidelines for airway management 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1827.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:58 [updatetime] => 2024-12-12 11:20:58 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38753159/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => German Society for Anesthesiology and Intensive Ca [pdf] => [tjyjyw] => [lyyw] => Endotracheal intubation shall be performed with a Macintosh blade video laryngoscope. [laiyuan] => 气管内插管应使用 Macintosh镜片视频喉镜进行。(推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973658 [_updatetime] => 1733973658 [_nrjc] => [_nrsh] => )
推荐意见
气管内插管应使用 Macintosh镜片视频喉镜进行。(推荐强度:强推荐)

Endotracheal intubation shall be performed with a Macintosh blade video laryngoscope.

证据评价方法:GRADE

指南质量等级:B级

年份:2023

国家:German Society for Anesthesiology and Intensive Ca

阅读
Array ( [id] => 1828 [catid] => 290 [title] => German guidelines for airway management 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1828.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:58 [updatetime] => 2024-12-12 11:20:58 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38753159/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => German Society for Anesthesiology and Intensive Ca [pdf] => [tjyjyw] => [lyyw] => In patients with a significantly increased risk of aspiration (e.g., ileus, trauma with impaired consciousness), gastric contents shall be aspirated through an existing gastric tube or a large lumen (e.g., 16 Ch) gastric tube placed prior to anesthesia induction, unless contraindicated. [laiyuan] => 对于误吸风险明显增加的患者(如肠梗阻、意识受损的创伤),除非有禁忌,否则应在麻醉诱导前通过现有的胃管或大管腔(如16ch)胃管吸出胃内容物。(推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973658 [_updatetime] => 1733973658 [_nrjc] => [_nrsh] => )
推荐意见
对于误吸风险明显增加的患者(如肠梗阻、意识受损的创伤),除非有禁忌,否则应在麻醉诱导前通过现有的胃管或大管腔(如16ch)胃管吸出胃内容物。(推荐强度:强推荐)

In patients with a significantly increased risk of aspiration (e.g., ileus, trauma with impaired consciousness), gastric contents shall be aspirated through an existing gastric tube or a large lumen (e.g., 16 Ch) gastric tube placed prior to anesthesia induction, unless contraindicated.

证据评价方法:GRADE

指南质量等级:B级

年份:2023

国家:German Society for Anesthesiology and Intensive Ca

阅读
Array ( [id] => 1829 [catid] => 290 [title] => German guidelines for airway management 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1829.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:58 [updatetime] => 2024-12-12 11:20:58 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38753159/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => German Society for Anesthesiology and Intensive Ca [pdf] => [tjyjyw] => [lyyw] => To identify possible predictors of difficult one lung ventilation, clinical examination should be supplemented by the inclusion of radiologic imaging and bronchoscopic findings. [laiyuan] => 为了确定单肺通气困难的可能预测因素,临床检查应辅以影像学和支气管镜检查。(推荐强度:推荐) [znzldj] => B级 [_inputtime] => 1733973658 [_updatetime] => 1733973658 [_nrjc] => [_nrsh] => )
推荐意见
为了确定单肺通气困难的可能预测因素,临床检查应辅以影像学和支气管镜检查。(推荐强度:推荐)

To identify possible predictors of difficult one lung ventilation, clinical examination should be supplemented by the inclusion of radiologic imaging and bronchoscopic findings.

证据评价方法:GRADE

指南质量等级:B级

年份:2023

国家:German Society for Anesthesiology and Intensive Ca

阅读
Array ( [id] => 1830 [catid] => 295 [title] => German guidelines for airway management 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1830.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:58 [updatetime] => 2024-12-12 11:20:58 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38753159/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => German Society for Anesthesiology and Intensive Ca [pdf] => [tjyjyw] => [lyyw] => If there are predictors or indications of difficult or impossiblemask ventilation and/or endotracheal intubation in patients for one lung ventilation, the airway shall be secured while maintaining spontaneous breathing. [laiyuan] => 如果有预兆或迹象表明单肺通气患者会出现面罩通气困难或不可能进行面罩通气和/或气管插管,则应在保持自主呼吸的同时确保气道通畅。(推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973658 [_updatetime] => 1733973658 [_nrjc] => [_nrsh] => )
推荐意见
如果有预兆或迹象表明单肺通气患者会出现面罩通气困难或不可能进行面罩通气和/或气管插管,则应在保持自主呼吸的同时确保气道通畅。(推荐强度:强推荐)

If there are predictors or indications of difficult or impossiblemask ventilation and/or endotracheal intubation in patients for one lung ventilation, the airway shall be secured while maintaining spontaneous breathing.

证据评价方法:GRADE

指南质量等级:B级

年份:2023

国家:German Society for Anesthesiology and Intensive Ca

阅读
Array ( [id] => 1831 [catid] => 295 [title] => German guidelines for airway management 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1831.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:58 [updatetime] => 2024-12-12 11:20:58 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38753159/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => German Society for Anesthesiology and Intensive Ca [pdf] => [tjyjyw] => [lyyw] => After placement of the bronchial blocker or transfer to a double-lumen tube, bronchoscopy shall be used to verify correct positioning. [laiyuan] => 放置支气管封堵器或转移到双腔管后,应使用支气管镜检查来验证位置是否正确。(推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973658 [_updatetime] => 1733973658 [_nrjc] => [_nrsh] => )
推荐意见
放置支气管封堵器或转移到双腔管后,应使用支气管镜检查来验证位置是否正确。(推荐强度:强推荐)

After placement of the bronchial blocker or transfer to a double-lumen tube, bronchoscopy shall be used to verify correct positioning.

证据评价方法:GRADE

指南质量等级:B级

年份:2023

国家:German Society for Anesthesiology and Intensive Ca

阅读