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Array ( [id] => 1588 [catid] => 294 [title] => Ketamine analgo-sedation for mechanically ventilated critically ill adults: A rapid practice guideline from the Saudi Critical Care Society and the Scandinavian Society of Anesthesiology and Intensive Care Medicine [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1588.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:11:21 [updatetime] => 2024-12-12 11:11:21 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39198198/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => the Saudi Critical Care Society and the Scandinavi [pdf] => [tjyjyw] => [lyyw] => For critically ill adults undergoing iMV, the panel suggests not using ketamine monotherapy for analgo-sedation.Evidence level: Very low；Recommendation grade: Conditional [laiyuan] => 对于接受有创机械通气的危重成人患者，专家组不建议单独使用氯胺酮治疗进行镇静镇痛。（证据级别：极低；推荐强度：条件推荐） [znzldj] => B级 [_inputtime] => 1733973081 [_updatetime] => 1733973081 [_nrjc] => [_nrsh] => )
推荐意见
对于接受有创机械通气的危重成人患者，专家组不建议单独使用氯胺酮治疗进行镇静镇痛。（证据级别：极低；推荐强度：条件推荐）

For critically ill adults undergoing iMV, the panel suggests not using ketamine monotherapy for analgo-sedation.Evidence level: Very low；Recommendation grade: Conditional

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：the Saudi Critical Care Society and the Scandinavi

来源 Ketamine analgo-sedation for mechanically ventilated critically ill adults: A rapid practice guideline from the Saudi Critical Care Society and the Scandinavian Society of Anesthesiology and Intensive Care Medicine
原文链接
阅读
Array ( [id] => 1589 [catid] => 294 [title] => Ketamine analgo-sedation for mechanically ventilated critically ill adults: A rapid practice guideline from the Saudi Critical Care Society and the Scandinavian Society of Anesthesiology and Intensive Care Medicine [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1589.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:11:21 [updatetime] => 2024-12-12 11:11:21 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39198198/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => the Saudi Critical Care Society and the Scandinavi [pdf] => [tjyjyw] => [lyyw] => For critically ill adults undergoing iMV, the panel suggests using ketamine as an adjunct to non-ketamine usual care sedatives (e.g., opioids, propofol, dexmedetomidine) or continuing with non-ketamine usual care sedatives alone.Evidence level: Very low；Recommendation grade: Conditional [laiyuan] => 对于接受有创机械通气的危重成人患者，专家组建议将氯胺酮作为其它非氯胺酮类镇静剂（如阿片类药物、丙泊酚、右美托咪定）的辅助用药，或者继续仅单独使用非氯胺酮类镇静剂。（证据级别：极低；推荐强度：条件推荐） [znzldj] => B级 [_inputtime] => 1733973081 [_updatetime] => 1733973081 [_nrjc] => [_nrsh] => )
推荐意见
对于接受有创机械通气的危重成人患者，专家组建议将氯胺酮作为其它非氯胺酮类镇静剂（如阿片类药物、丙泊酚、右美托咪定）的辅助用药，或者继续仅单独使用非氯胺酮类镇静剂。（证据级别：极低；推荐强度：条件推荐）

For critically ill adults undergoing iMV, the panel suggests using ketamine as an adjunct to non-ketamine usual care sedatives (e.g., opioids, propofol, dexmedetomidine) or continuing with non-ketamine usual care sedatives alone.Evidence level: Very low；Recommendation grade: Conditional

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：the Saudi Critical Care Society and the Scandinavi

来源 Ketamine analgo-sedation for mechanically ventilated critically ill adults: A rapid practice guideline from the Saudi Critical Care Society and the Scandinavian Society of Anesthesiology and Intensive Care Medicine
原文链接
阅读
Array ( [id] => 1582 [catid] => 101 [title] => Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1582.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:17 [updatetime] => 2024-12-12 11:01:17 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => The use of the Parker Flex-Tip ETT is recommended over conventional ETTs for FOI in the general population. Moderate Strong [laiyuan] => 对于普通人群的光纤插管（FOI），建议使用弹簧气管导管而不是传统气管导管（ETT）。 （强烈建议；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972477 [_updatetime] => 1733972477 [_nrjc] => [_nrsh] => )
推荐意见
对于普通人群的光纤插管（FOI），建议使用弹簧气管导管而不是传统气管导管（ETT）。 （强烈建议；证据水平中等）

The use of the Parker Flex-Tip ETT is recommended over conventional ETTs for FOI in the general population. Moderate Strong

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I
原文链接
阅读
Array ( [id] => 1583 [catid] => 101 [title] => Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1583.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:17 [updatetime] => 2024-12-12 11:01:17 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => The Parker Flex ETT is suggested instead of conventional ETTs for FOI and laryngoscopy to reduce the risk of complications in the general population. Low Strong [laiyuan] => 建议使用弹簧气管导管代替传统的气管导管（ETT）进行光纤插管和喉镜检查，以降低普通人群出现并发症的风险。 （强烈建议；证据水平低等） [znzldj] => B级 [_inputtime] => 1733972477 [_updatetime] => 1733972477 [_nrjc] => [_nrsh] => )
推荐意见
建议使用弹簧气管导管代替传统的气管导管（ETT）进行光纤插管和喉镜检查，以降低普通人群出现并发症的风险。 （强烈建议；证据水平低等）

The Parker Flex ETT is suggested instead of conventional ETTs for FOI and laryngoscopy to reduce the risk of complications in the general population. Low Strong

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I
原文链接
阅读
Array ( [id] => 1584 [catid] => 101 [title] => Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1584.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:17 [updatetime] => 2024-12-12 11:01:17 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => Face mask ventilation with a modified triple airway manoeuvre is recommended over the ‘‘CE’’ technique in the general population. Strong recommendation; Low level of evidence [laiyuan] => 在普通人群中，推荐使用改良的三重气道操作面罩通气，而非 “CE ”技术。(强烈推荐；证据水平低) [znzldj] => B级 [_inputtime] => 1733972477 [_updatetime] => 1733972477 [_nrjc] => [_nrsh] => )
推荐意见
在普通人群中，推荐使用改良的三重气道操作面罩通气，而非 “CE ”技术。(强烈推荐；证据水平低)

Face mask ventilation with a modified triple airway manoeuvre is recommended over the ‘‘CE’’ technique in the general population. Strong recommendation; Low level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I
原文链接
阅读
Array ( [id] => 1585 [catid] => 101 [title] => Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1585.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:17 [updatetime] => 2024-12-12 11:01:17 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => The use of ultrasound is recommended over palpation to identify the cricothyroid membrane. Low Strong [laiyuan] => 建议使用超声而不是触摸来识别环甲膜。（强烈建议；证据水平低等） [znzldj] => B级 [_inputtime] => 1733972477 [_updatetime] => 1733972477 [_nrjc] => [_nrsh] => )
推荐意见
建议使用超声而不是触摸来识别环甲膜。（强烈建议；证据水平低等）

The use of ultrasound is recommended over palpation to identify the cricothyroid membrane. Low Strong

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I
原文链接
阅读
Array ( [id] => 1586 [catid] => 106 [title] => Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1586.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:17 [updatetime] => 2024-12-12 11:01:17 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => A manometer should be used for continuous monitoring of cuff pressure. Strong recommendation; low level of evidence [laiyuan] => 推荐使用压力计持续监测袖带压力。（强烈推荐；证据水平低） [znzldj] => B级 [_inputtime] => 1733972477 [_updatetime] => 1733972477 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用压力计持续监测袖带压力。（强烈推荐；证据水平低）

A manometer should be used for continuous monitoring of cuff pressure. Strong recommendation; low level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I
原文链接
阅读
Array ( [id] => 1587 [catid] => 101 [title] => Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1587.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:17 [updatetime] => 2024-12-12 11:01:17 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38340791/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Spanish Society of Anesthesiology, Reanimation and [pdf] => [tjyjyw] => [lyyw] => Prophylactic administration of corticosteroids is recommended before extubation in patients at high risk of airway obstruction. Strong recommendation; moderate level of evidence [laiyuan] => 对于存在气道阻塞高风险的患者，建议在拔管前预防性使用糖皮质激素。（强烈推荐；证据水平中等） [znzldj] => B级 [_inputtime] => 1733972477 [_updatetime] => 1733972477 [_nrjc] => [_nrsh] => )
推荐意见
对于存在气道阻塞高风险的患者，建议在拔管前预防性使用糖皮质激素。（强烈推荐；证据水平中等）

Prophylactic administration of corticosteroids is recommended before extubation in patients at high risk of airway obstruction. Strong recommendation; moderate level of evidence

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Spanish Society of Anesthesiology, Reanimation and

来源 Spanish Society of Anesthesiology, Reanimation and Pain Therapy (SEDAR), Spanish Society of Emergency and Emergency Medicine (SEMES) and Spanish Society of Otolaryngology, Head and Neck Surgery (SEORL-CCC) Guideline for difficult airway management. Part I
原文链接
阅读
Array ( [id] => 1550 [catid] => 300 [title] => Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023) [thumb] => [keywords] => [description] => [hits] => 1 [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1550.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38530771/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Perioperative Professional Committees and Anesthes [pdf] => [tjyjyw] => [lyyw] => Definition of POGD in Western medicine POGD is a non-mechanical obstructive digestive tract disease that is induced by multiple factors such as surgical trauma, anesthesia, and patients’ psychological status; it can lead to aberrant postoperative brain-gut interactions and is manifested as symptom spectrum disorders, gastrointestinal motility disturbance, visceral hypersensitivity, mucosal immune function alteration, intestinal flora change, abnormal processing function of the central nervous system (CNS) . The common clinical subtypes include PONV, PGS, POI , and postoperative diarrhea. [laiyuan] => 术后胃肠功能紊乱的西医定义 术后胃肠功能紊乱是指由于手术创伤、麻醉及患者精神心理状态等多种因素的影响，导致术后肠-脑互动异常，出现一组症状谱与动力紊乱、内脏高敏感、黏膜免疫功能改变、肠道菌群改变、中枢神经系统处理功能异常等相关的消化道非机械梗阻性疾病。常见临床类型包括术后单纯恶心呕吐，术后胃瘫综合征，术后麻痹性肠梗阻，术后腹泻。 [znzldj] => A级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
推荐意见
术后胃肠功能紊乱的西医定义 术后胃肠功能紊乱是指由于手术创伤、麻醉及患者精神心理状态等多种因素的影响，导致术后肠-脑互动异常，出现一组症状谱与动力紊乱、内脏高敏感、黏膜免疫功能改变、肠道菌群改变、中枢神经系统处理功能异常等相关的消化道非机械梗阻性疾病。常见临床类型包括术后单纯恶心呕吐，术后胃瘫综合征，术后麻痹性肠梗阻，术后腹泻。

Definition of POGD in Western medicine POGD is a non-mechanical obstructive digestive tract disease that is induced by multiple factors such as surgical trauma, anesthesia, and patients’ psychological status; it can lead to aberrant postoperative brain-gut interactions and is manifested as symptom spectrum disorders, gastrointestinal motility disturbance, visceral hypersensitivity, mucosal immune function alteration, intestinal flora change, abnormal processing function of the central nervous system (CNS) . The common clinical subtypes include PONV, PGS, POI , and postoperative diarrhea.

证据评价方法：GRADE

指南质量等级：A级

年份：2024

国家：Perioperative Professional Committees and Anesthes

来源 Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)
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Array ( [id] => 1551 [catid] => 300 [title] => Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1551.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:01:16 [updatetime] => 2024-12-12 11:01:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/38530771/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Perioperative Professional Committees and Anesthes [pdf] => [tjyjyw] => [lyyw] => Definition of POGD in TCM The term POGD is not clearly documented in TCM. The clinical manifestations of patients show that the disease is mainly implicated with “stuffiness and fullness”, “regurgitation” “nausea”, “vomiting”, “intestine impediment”, “intestinal obstruction”, and “diarrhea” in TCM . [laiyuan] => 术后胃肠功能紊乱的中医定义 术后胃肠功能紊乱在中医学中的病名尚无明确记载，根据患者的临床表现，多归于中医学“痞满”、“反胃”、“呕吐”、“肠痹”、“肠结”、“泄泻”等范畴。 [znzldj] => A级 [_inputtime] => 1733972476 [_updatetime] => 1733972476 [_nrjc] => [_nrsh] => )
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术后胃肠功能紊乱的中医定义 术后胃肠功能紊乱在中医学中的病名尚无明确记载，根据患者的临床表现，多归于中医学“痞满”、“反胃”、“呕吐”、“肠痹”、“肠结”、“泄泻”等范畴。

Definition of POGD in TCM The term POGD is not clearly documented in TCM. The clinical manifestations of patients show that the disease is mainly implicated with “stuffiness and fullness”, “regurgitation” “nausea”, “vomiting”, “intestine impediment”, “intestinal obstruction”, and “diarrhea” in TCM .

证据评价方法：GRADE

指南质量等级：A级

年份：2024

国家：Perioperative Professional Committees and Anesthes

来源 Clinical practice guidelines for prevention and treatment of postoperative gastrointestinal disorder with Integrated Traditional Chinese and Western Medicine (2023)
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