Array
(
[id] => 1667
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => Whenever possible, a gastric ultrasound should be performed. If gastric contents are found by ultrasound and these are considered as a high risk for aspiration, patient should be counselled about this risk before deciding to proceed with sedation/general anaesthesia. (Evidence level:very Low;Recommendation grade:weak)
[laiyuan] => 在可能的情况下,应进行胃超声检查。如果通过超声检查发现胃内容物,并被认为是误吸的高风险,在决定进行镇静/全身麻醉之前,应向患者咨询这一风险。(证据分级:极低;推荐强度:弱推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在可能的情况下,应进行胃超声检查。如果通过超声检查发现胃内容物,并被认为是误吸的高风险,在决定进行镇静/全身麻醉之前,应向患者咨询这一风险。(证据分级:极低;推荐强度:弱推荐)
Whenever possible, a gastric ultrasound should be performed. If gastric contents are found by ultrasound and these are considered as a high risk for aspiration, patient should be counselled about this risk before deciding to proceed with sedation/general anaesthesia. (Evidence level:very Low;Recommendation grade:weak)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:The European Journal of Anaesthesiology
Array
(
[id] => 1668
[catid] => 194
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
[keywords] =>
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => If the procedure is of such urgency that postponement is not desirable, endotracheal intubation by rapid sequence induction/intubation is advised. (Evidence level:very Low;Recommendation grade:weak)
[laiyuan] => 如果操作过程紧急,推迟是不可取的,建议采用快速顺序诱导/插管法进行气管插管。(证据分级:极低;推荐强度:弱推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果操作过程紧急,推迟是不可取的,建议采用快速顺序诱导/插管法进行气管插管。(证据分级:极低;推荐强度:弱推荐)
If the procedure is of such urgency that postponement is not desirable, endotracheal intubation by rapid sequence induction/intubation is advised. (Evidence level:very Low;Recommendation grade:weak)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:The European Journal of Anaesthesiology
Array
(
[id] => 1669
[catid] => 192
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => SGLT2 inhibitors (SGLT2i) drugs should be withheld for 3 to 4 days before elective procedures to reduce the risk of euglycemic diabetic ketoacidosis. (Evidence level:very Low;Recommendation grade:weak)
[laiyuan] => 择期手术前应停用SGLT2抑制剂( SGLT2i )药物3 ~ 4天,以降低正常血糖糖尿病酮症酸中毒的风险。(证据分级:极低;推荐强度:弱推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
择期手术前应停用SGLT2抑制剂( SGLT2i )药物3 ~ 4天,以降低正常血糖糖尿病酮症酸中毒的风险。(证据分级:极低;推荐强度:弱推荐)
SGLT2 inhibitors (SGLT2i) drugs should be withheld for 3 to 4 days before elective procedures to reduce the risk of euglycemic diabetic ketoacidosis. (Evidence level:very Low;Recommendation grade:weak)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:The European Journal of Anaesthesiology
Array
(
[id] => 1670
[catid] => 193
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[hits] =>
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients taking SGLT2i medications should consume clear fluids approximately 2 h before the procedure to keep regular hydration. (Evidence level:very Low;Recommendation grade:weak)
[laiyuan] => 服用SGLT2i类药物的患者应在术前2 h左右饮用清澈的液体,以保持规律的水化。(证据分级:极低;推荐强度:弱推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
服用SGLT2i类药物的患者应在术前2 h左右饮用清澈的液体,以保持规律的水化。(证据分级:极低;推荐强度:弱推荐)
Patients taking SGLT2i medications should consume clear fluids approximately 2 h before the procedure to keep regular hydration. (Evidence level:very Low;Recommendation grade:weak)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:The European Journal of Anaesthesiology
Array
(
[id] => 1671
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => Euglycemic diabetic ketoacidosis should be suspected in this category of patients, and blood β-hydroxybutyrate is a functional confirmatory test. (Evidence level:very Low;Recommendation grade:weak)
[laiyuan] => 对于该类患者应怀疑正常血糖糖尿病酮症酸中毒,血β -羟丁酸是一种功能性的验证试验。(证据分级:极低;推荐强度:不推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于该类患者应怀疑正常血糖糖尿病酮症酸中毒,血β -羟丁酸是一种功能性的验证试验。(证据分级:极低;推荐强度:不推荐)
Euglycemic diabetic ketoacidosis should be suspected in this category of patients, and blood β-hydroxybutyrate is a functional confirmatory test. (Evidence level:very Low;Recommendation grade:weak)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:The European Journal of Anaesthesiology
Array
(
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[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => If a patient taking SGLT2i drugs did not discontinue the medication in time, dehydration caused by bowel preparation for endoscopy can increase the ketone levels, and the patient should be adequately hydrated before leaving the hospital. (Evidence level:very Low;Recommendation grade:weak)
[laiyuan] => 服用SGLT2i类药物的患者如未及时停药,肠道准备引起的脱水可使酮体水平升高,患者出院前应充分水化。(证据分级:极低;推荐强度:弱推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
服用SGLT2i类药物的患者如未及时停药,肠道准备引起的脱水可使酮体水平升高,患者出院前应充分水化。(证据分级:极低;推荐强度:弱推荐)
If a patient taking SGLT2i drugs did not discontinue the medication in time, dehydration caused by bowel preparation for endoscopy can increase the ketone levels, and the patient should be adequately hydrated before leaving the hospital. (Evidence level:very Low;Recommendation grade:weak)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:The European Journal of Anaesthesiology
Array
(
[id] => 1673
[catid] => 302
[title] => Prevention of perioperative venous thromboembolism: 2024 guidelines from the French Working Group on Perioperative Haemostasis (GIHP) developed in collaboration with the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Society of Vascular Medicine (SFMV) and endorsed by the French Society of Digestive Surgery (SFCD), the French Society of Pharmacology and Therapeutics (SFPT) and INNOVTE (Investigation Network On Venous ThromboEmbolism) network
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
[status] => 9
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[tjqd] =>
[nianfen] => 2024
[guojia] => Anaesthesia, critical care & pain medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend implementing local protocols of venous thromboprophylaxis to reduce the risk of perioperative complications. These protocols include early ambulation as well as pharmacological and mechanical prophylaxis, whose indication, methods, and duration depend on the risk for VTE of the patient and surgery, the bleeding risk, and the perioperative care pathway.(Evidence level:High;Recommendation grade:Strong)
[laiyuan] => 我们建议实施静脉血栓预防的局部方案,以减少围手术期并发症的风险。这些方案包括早期走动以及药物和机械预防,其适应症、方法和持续时间取决于患者和手术静脉血栓栓塞风险,出血风险和围手术期护理途径。(证据分级:高;推荐强度:强推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议实施静脉血栓预防的局部方案,以减少围手术期并发症的风险。这些方案包括早期走动以及药物和机械预防,其适应症、方法和持续时间取决于患者和手术静脉血栓栓塞风险,出血风险和围手术期护理途径。(证据分级:高;推荐强度:强推荐)
We recommend implementing local protocols of venous thromboprophylaxis to reduce the risk of perioperative complications. These protocols include early ambulation as well as pharmacological and mechanical prophylaxis, whose indication, methods, and duration depend on the risk for VTE of the patient and surgery, the bleeding risk, and the perioperative care pathway.(Evidence level:High;Recommendation grade:Strong)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:Anaesthesia, critical care & pain medicine
Array
(
[id] => 1674
[catid] => 303
[title] => Prevention of perioperative venous thromboembolism: 2024 guidelines from the French Working Group on Perioperative Haemostasis (GIHP) developed in collaboration with the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Society of Vascular Medicine (SFMV) and endorsed by the French Society of Digestive Surgery (SFCD), the French Society of Pharmacology and Therapeutics (SFPT) and INNOVTE (Investigation Network On Venous ThromboEmbolism) network
[thumb] =>
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[tjqd] =>
[nianfen] => 2024
[guojia] => Anaesthesia, critical care & pain medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => After surgery with a low risk for VTE, if the patient has a major personal risk factor for VTE or several minor risk factors, we suggest using thromboprophylaxis with an anticoagulant for a minimum of 7 days. (Evidence level:moderate/Low;Recommendation grade:Strong)
[laiyuan] => 在静脉血栓栓塞风险低的手术后,如果患者有发生静脉血栓栓塞主要个人危险因素或几个次要危险因素,我们建议使用抗凝药物至少7天。(证据分级:中或低;推荐强度:强推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在静脉血栓栓塞风险低的手术后,如果患者有发生静脉血栓栓塞主要个人危险因素或几个次要危险因素,我们建议使用抗凝药物至少7天。(证据分级:中或低;推荐强度:强推荐)
After surgery with a low risk for VTE, if the patient has a major personal risk factor for VTE or several minor risk factors, we suggest using thromboprophylaxis with an anticoagulant for a minimum of 7 days. (Evidence level:moderate/Low;Recommendation grade:Strong)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:Anaesthesia, critical care & pain medicine
Array
(
[id] => 1675
[catid] => 302
[title] => Prevention of perioperative venous thromboembolism: 2024 guidelines from the French Working Group on Perioperative Haemostasis (GIHP) developed in collaboration with the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Society of Vascular Medicine (SFMV) and endorsed by the French Society of Digestive Surgery (SFCD), the French Society of Pharmacology and Therapeutics (SFPT) and INNOVTE (Investigation Network On Venous ThromboEmbolism) network
[thumb] =>
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => Anaesthesia, critical care & pain medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend using pharmacological thromboprophylaxis after THA or TKA.(Evidence level:High;Recommendation grade:Strong)
[laiyuan] => 我们建议在全髋关节置换术或全膝关节置换术后采用药物性血栓预防措施。(证据分级:高;推荐强度:强推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在全髋关节置换术或全膝关节置换术后采用药物性血栓预防措施。(证据分级:高;推荐强度:强推荐)
We recommend using pharmacological thromboprophylaxis after THA or TKA.(Evidence level:High;Recommendation grade:Strong)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:Anaesthesia, critical care & pain medicine
Array
(
[id] => 1676
[catid] => 302
[title] => Prevention of perioperative venous thromboembolism: 2024 guidelines from the French Working Group on Perioperative Haemostasis (GIHP) developed in collaboration with the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Society of Vascular Medicine (SFMV) and endorsed by the French Society of Digestive Surgery (SFCD), the French Society of Pharmacology and Therapeutics (SFPT) and INNOVTE (Investigation Network On Venous ThromboEmbolism) network
[thumb] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => Anaesthesia, critical care & pain medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend pharmacological thromboprophylaxis for 35 days after THA and 14 days after TKA.(Evidence level:High;Recommendation grade:Strong)
[laiyuan] => 我们建议在全髋关节置换术后进行35天的药物性血栓预防,在全膝关节置换术后进行14天的药物性血栓预防。(证据分级:高;推荐强度:强推荐)
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在全髋关节置换术后进行35天的药物性血栓预防,在全膝关节置换术后进行14天的药物性血栓预防。(证据分级:高;推荐强度:强推荐)
We recommend pharmacological thromboprophylaxis for 35 days after THA and 14 days after TKA.(Evidence level:High;Recommendation grade:Strong)
证据评价方法:GRADE
指南质量等级:B级
年份:2024
国家:Anaesthesia, critical care & pain medicine