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[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
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[author] => 甘肃中医院
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend that telemedicine and standardised questionnaires be used as part of the preoperative anaesthesia assessment to improve patient accessibility to
preanaesthesia care and their satisfaction.（1B）
[laiyuan] => 推荐将远程医疗和标准化问卷作为术前麻醉评估的一部分，以提高患者对麻醉前护理的可及性和满意度。（1B）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐将远程医疗和标准化问卷作为术前麻醉评估的一部分，以提高患者对麻醉前护理的可及性和满意度。（1B）
We recommend that telemedicine and standardised questionnaires be used as part of the preoperative anaesthesia assessment to improve patient accessibility to
preanaesthesia care and their satisfaction.（1B）
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
[id] => 1592
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest using the Revised Cardiac Risk Index (RCRI) score in preoperative patient risk stratification. (2C)
[laiyuan] => 建议在术前患者风险分层中使用改良心脏风险指数（RCRI）评分。（2C）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在术前患者风险分层中使用改良心脏风险指数（RCRI）评分。（2C）
We suggest using the Revised Cardiac Risk Index (RCRI) score in preoperative patient risk stratification. (2C)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
[id] => 1593
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1593.html
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[inputip] => 39.144.210.1
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => When ordering preoperative blood tests, we suggest using natriuretic peptides as biological markers in high-risk patients (RCRI >2) undergoing high-risk surgery. (2C)
[laiyuan] => 在进行术前血液检查时，建议将钠尿肽作为接受高风险手术高危患者（RCRI>2）的生物标记物。（2C）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在进行术前血液检查时，建议将钠尿肽作为接受高风险手术高危患者（RCRI>2）的生物标记物。（2C）
When ordering preoperative blood tests, we suggest using natriuretic peptides as biological markers in high-risk patients (RCRI >2) undergoing high-risk surgery. (2C)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
[id] => 1594
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1594.html
[link_id] => 0
[tableid] => 0
[inputip] => 39.144.210.1
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We discourage using METs as a subjective measurement of the patient’s functional capacity before medical decision-making. The preoperative patient-subjective
estimate of METs correlates poorly with the METs measured by exercise stress testing. Nonetheless, in selected individuals, the preoperative assessment of patientsubjective METs is used as a surrogate marker of preoperative performance even if this is not seen as a substitute for preoperative cardiopulmonary testing. (1A)
[laiyuan] => 我们不建议在医疗决策之前使用代谢当量（METs）作为患者功能能力的主观测量标准。术前患者主观估计的代谢当量与运动负荷试验测量的代谢当量之间的相关性较差。尽管如此，在选定的人群中，即使不被视为术前心肺检查的替代指标，术前对患者主观代谢当量的评估也被用作术前功能的替代标志。（1A）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们不建议在医疗决策之前使用代谢当量（METs）作为患者功能能力的主观测量标准。术前患者主观估计的代谢当量与运动负荷试验测量的代谢当量之间的相关性较差。尽管如此，在选定的人群中，即使不被视为术前心肺检查的替代指标，术前对患者主观代谢当量的评估也被用作术前功能的替代标志。（1A）
We discourage using METs as a subjective measurement of the patient’s functional capacity before medical decision-making. The preoperative patient-subjective
estimate of METs correlates poorly with the METs measured by exercise stress testing. Nonetheless, in selected individuals, the preoperative assessment of patientsubjective METs is used as a surrogate marker of preoperative performance even if this is not seen as a substitute for preoperative cardiopulmonary testing. (1A)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
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[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1595.html
[link_id] => 0
[tableid] => 0
[inputip] => 39.144.210.1
[inputtime] => 2024-12-12 11:16:16
[updatetime] => 2024-12-12 11:16:16
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend combining natriuretic peptides and Duke Activity Status Index questionnaires to evaluate cardiac reserve in high-risk patients undergoing high-risk
surgery. (1C)
[laiyuan] => 推荐结合利钠肽和杜克活动状况指数问卷来评估接受高风险手术高危患者的心脏储备功能。（1C）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐结合利钠肽和杜克活动状况指数问卷来评估接受高风险手术高危患者的心脏储备功能。（1C）
We recommend combining natriuretic peptides and Duke Activity Status Index questionnaires to evaluate cardiac reserve in high-risk patients undergoing high-risk
surgery. (1C)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
[id] => 1596
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1596.html
[link_id] => 0
[tableid] => 0
[inputip] => 39.144.210.1
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend completing the WHO Disability Assessment Schedule 2.0 in high-risk patients before surgery as this could be useful to inform the patients about
the risks of postoperative disability. (1C)
[laiyuan] => 推荐高风险患者在手术前填写世界卫生组织《残疾评定量表》（WHODAS 2.0），有助于让患者了解术后残疾的风险。（1C）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐高风险患者在手术前填写世界卫生组织《残疾评定量表》（WHODAS 2.0），有助于让患者了解术后残疾的风险。（1C）
We recommend completing the WHO Disability Assessment Schedule 2.0 in high-risk patients before surgery as this could be useful to inform the patients about
the risks of postoperative disability. (1C)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
[id] => 1597
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1597.html
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest using a focused POCUS examination of the heart and lung, performed by a trained anaesthetist, in patients with any concerns regarding cardiovascular
comorbidity before urgent or emergency surgery to address significant cardiac abnormalities and request a cardiology consultation and trigger more thorough
cardiovascular monitoring, but it should not delay surgery.（2B）
[laiyuan] => 建议在急诊手术前对存在或心血管合并症疑虑的患者，由经过培训的麻醉医师进行心脏和肺部的重点床旁超声检查（POCUS），以发现显著的心脏异常，并要求进行心脏科会诊以及启动更全面的心血管监测，但不应延误手术。 （2B）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在急诊手术前对存在或心血管合并症疑虑的患者，由经过培训的麻醉医师进行心脏和肺部的重点床旁超声检查（POCUS），以发现显著的心脏异常，并要求进行心脏科会诊以及启动更全面的心血管监测，但不应延误手术。 （2B）
We suggest using a focused POCUS examination of the heart and lung, performed by a trained anaesthetist, in patients with any concerns regarding cardiovascular
comorbidity before urgent or emergency surgery to address significant cardiac abnormalities and request a cardiology consultation and trigger more thorough
cardiovascular monitoring, but it should not delay surgery.（2B）
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
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[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
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[hits] =>
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[author] => 甘肃中医院
[status] => 9
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => There is no compelling evidence that a preoperative focused cardiac POCUS exam in patients with or without known chronic heart failure or coronary artery disease
before elective high-risk surgery could reduce postoperative morbidity.(2B)
[laiyuan] => 尚无确凿证据表明，在择期高风险手术前对已知或未知有慢性心力衰竭或冠状动脉疾病的患者进行术前重点心脏POCUS检查可以降低术后发病率。（2B）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
尚无确凿证据表明，在择期高风险手术前对已知或未知有慢性心力衰竭或冠状动脉疾病的患者进行术前重点心脏POCUS检查可以降低术后发病率。（2B）
There is no compelling evidence that a preoperative focused cardiac POCUS exam in patients with or without known chronic heart failure or coronary artery disease
before elective high-risk surgery could reduce postoperative morbidity.(2B)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
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[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1599.html
[link_id] => 0
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[inputip] => 39.144.210.1
[inputtime] => 2024-12-12 11:16:16
[updatetime] => 2024-12-12 11:16:16
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[xzl] => 0
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommendthat preoperative antigen testing (detecting specific proteins onthe surface oftheSARS-CoV-2 virus) be performed only on symptomatic patients. (1C)
[laiyuan] => 推荐术前仅对有症状的患者进行抗原检测（检测SARS-CoV2病毒表面的特异性蛋白）。（1C）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐术前仅对有症状的患者进行抗原检测（检测SARS-CoV2病毒表面的特异性蛋白）。（1C）
We recommendthat preoperative antigen testing (detecting specific proteins onthe surface oftheSARS-CoV-2 virus) be performed only on symptomatic patients. (1C)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
Array
(
[id] => 1600
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1600.html
[link_id] => 0
[tableid] => 0
[inputip] => 39.144.210.1
[inputtime] => 2024-12-12 11:16:16
[updatetime] => 2024-12-12 11:16:16
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of
Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend not using chest computed tomography (CT) as a screening tool for diagnosing SARS-CoV2 in asymptomatic patients. (1C)
[laiyuan] => 不推荐使用胸部计算机断层扫描（CT）作为诊断无症状患者的SARS-CoV2的筛查工具。（1C）
[znzldj] => B级
[_inputtime] => 1733973376
[_updatetime] => 1733973376
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐使用胸部计算机断层扫描（CT）作为诊断无症状患者的SARS-CoV2的筛查工具。（1C）
We recommend not using chest computed tomography (CT) as a screening tool for diagnosing SARS-CoV2 in asymptomatic patients. (1C)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：the European Society of
Anaesthesiology and Intens
