Array
(
[id] => 1546
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1546.html
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[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
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[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/38065762/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest verifying optimal tracheal tube position in the tracheobronchial tree in case of complex pa_x005ftients or those with continued clinical instability with chest radiography, visualisation of the carina with a flexible fibrescope, chest ultrasonography, or all (2C).
[laiyuan] => 建议在复杂或持续临床不稳定的患者中，通过胸片、柔性纤维镜、胸部超声或所有方法验证气管导管在气管支气管树中的最佳位置（2C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在复杂或持续临床不稳定的患者中，通过胸片、柔性纤维镜、胸部超声或所有方法验证气管导管在气管支气管树中的最佳位置（2C）。
We suggest verifying optimal tracheal tube position in the tracheobronchial tree in case of complex pa_x005ftients or those with continued clinical instability with chest radiography, visualisation of the carina with a flexible fibrescope, chest ultrasonography, or all (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] => 1547
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1547.html
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[tableid] => 0
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(
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[xzl] => 0
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/38065762/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest assessing clinical signs like conjugate gaze, facial grimace, eye-opening and purposeful movements to predict successful awake extubation. If measurable, a tidal volume >5 ml kg-1can support readiness to extubate (2C).
[laiyuan] => 建议评估临床症状，如共轭凝视，面部表情，睁眼和有目的的运动，以预测清醒状态下的成功拔管。如可测量，潮气量> 5ml/kg可以支持拔管（2C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议评估临床症状，如共轭凝视，面部表情，睁眼和有目的的运动，以预测清醒状态下的成功拔管。如可测量，潮气量> 5ml/kg可以支持拔管（2C）。
We suggest assessing clinical signs like conjugate gaze, facial grimace, eye-opening and purposeful movements to predict successful awake extubation. If measurable, a tidal volume >5 ml kg-1can support readiness to extubate (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] => 1548
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1548.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/38065762/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest use of intraoperative corticoste_x005froids, nebulised epinephrine, or both to prevent and treat postextubation stridor when significant airway manipulation has occurred (1C).
[laiyuan] => 当进行明显气道操作时，建议术中使用皮质类固醇，雾化肾上腺素，或两者共用，以预防和治疗拔管后喘鸣（1C）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当进行明显气道操作时，建议术中使用皮质类固醇，雾化肾上腺素，或两者共用，以预防和治疗拔管后喘鸣（1C）。
We suggest use of intraoperative corticoste_x005froids, nebulised epinephrine, or both to prevent and treat postextubation stridor when significant airway manipulation has occurred (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] => 1549
[catid] => 249
[title] => Airway management in neonates and infants: European Society of
Anaesthesiology and Intensive Care and British Journal of
Anaesthesia joint guidelines
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1549.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
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[nrjc] => Array
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[xzl] => 0
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/38065762/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend use of HFNO, contin_x005fuous positive airway pressure (CPAP), or nasal intermittent positive pressure ventilation (NIPPV) for postextubation respiratory support when clinically appropriate (1B).
[laiyuan] => 建议在临床上适当的情况下使用经鼻高流量氧疗（HFNC）、持续气道正压通气（CPAP）或鼻间歇正压通气（NIPPV）进行拔管后呼吸支持（1B）。
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在临床上适当的情况下使用经鼻高流量氧疗（HFNC）、持续气道正压通气（CPAP）或鼻间歇正压通气（NIPPV）进行拔管后呼吸支持（1B）。
We recommend use of HFNO, contin_x005fuous positive airway pressure (CPAP), or nasal intermittent positive pressure ventilation (NIPPV) for postextubation respiratory support when clinically appropriate (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] => 1508
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1508.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
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[nrsh] => Array
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[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest use of the head and torso inclined (semi-Fowler) position during RSI.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
[laiyuan] => 我们建议在快速诱导插管期间使用头部和躯干倾斜（半卧位）位置。（证据等级：极低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在快速诱导插管期间使用头部和躯干倾斜（半卧位）位置。（证据等级：极低，推荐强度：弱推荐）
We suggest use of the head and torso inclined (semi-Fowler) position during RSI.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1509
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1509.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
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[xzl] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest preoxygenation with HFNO when laryngoscopy is expected to be challenging.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
[laiyuan] => 我们建议在喉镜插入之前使用高流量给氧（HFNO）。（证据等级：低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在喉镜插入之前使用高流量给氧（HFNO）。（证据等级：低，推荐强度：弱推荐）
We suggest preoxygenation with HFNO when laryngoscopy is expected to be challenging.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1510
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1510.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
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[nrsh] => Array
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[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest preoxygenation with NIPPV in patients with severe hypoxemia Pao2/Fio2 < 150.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
[laiyuan] => 我们建议对严重低氧血症 Pao2/Fio2 < 150 的患者进行无创正压通气（NIPPV）进行预氧合。（证据等级：低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议对严重低氧血症 Pao2/Fio2 < 150 的患者进行无创正压通气（NIPPV）进行预氧合。（证据等级：低，推荐强度：弱推荐）
We suggest preoxygenation with NIPPV in patients with severe hypoxemia Pao2/Fio2 < 150.（Quality of Evidence：Low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1511
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1511.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
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[nrjc] => Array
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[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest using medication-assisted preoxygenation to improve preoxygenation in patients undergoing RSI who are not able to tolerate a face mask, NIPPV, or HFNO because of agitation, delirium, or combative behavior.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
[laiyuan] => 对于因躁动、谵妄或挣扎行为而无法耐受面罩、无创正压通气（NIPPV）或高流量给氧（HFNO）的快速诱导插管患者，我们建议使用药物辅助预吸氧来改善预吸氧情况。（证据等级：极低，推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于因躁动、谵妄或挣扎行为而无法耐受面罩、无创正压通气（NIPPV）或高流量给氧（HFNO）的快速诱导插管患者，我们建议使用药物辅助预吸氧来改善预吸氧情况。（证据等级：极低，推荐强度：弱推荐）
We suggest using medication-assisted preoxygenation to improve preoxygenation in patients undergoing RSI who are not able to tolerate a face mask, NIPPV, or HFNO because of agitation, delirium, or combative behavior.（Quality of Evidence：Very low，Strength of Recommendation：Conditional）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1512
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1512.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
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[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We advise nasogastric tube decompression when the benefit outweighs the risk in patients who are undergoing RSI and are at high risk of regurgitation of gastric contents.（Quality of Evidence：Ungraded，Strength of Recommendation：Best practice statement Ungraded）
[laiyuan] => 当患者有胃内容物反流的高风险时，我们建议进行鼻胃管减压，降低快速诱导插管期间患者的误吸风险。（证据等级：未分级，推荐强度：最佳实践声明）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当患者有胃内容物反流的高风险时，我们建议进行鼻胃管减压，降低快速诱导插管期间患者的误吸风险。（证据等级：未分级，推荐强度：最佳实践声明）
We advise nasogastric tube decompression when the benefit outweighs the risk in patients who are undergoing RSI and are at high risk of regurgitation of gastric contents.（Quality of Evidence：Ungraded，Strength of Recommendation：Best practice statement Ungraded）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
Array
(
[id] => 1513
[catid] => 303
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 3
[author] => 甘肃中医院
[status] => 9
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[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.116
[inputtime] => 2024-12-12 10:54:19
[updatetime] => 2024-12-12 10:54:19
[displayorder] => 0
[nrjc] => Array
(
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(
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[xzl] => 0
[dzl] => 0
[wailian] => https://journals.lww.com/ccmjournal/fulltext/2023/10000/society_of_critical_care_medicine_clinical.14.aspx
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => American Society of
Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => There is insufficient evidence to make a recommendation that there is a difference in the incidence of further hypotension or cardiac arrest between the administration of peri-intubation vasopressors or IV fluids for hypotensive critically ill patients undergoing RSI Insufficient evidence Not applicable.（Quality of Evidence：Not applicable，Strength of Recommendation：Insufficient evidence）
[laiyuan] => 没有足够的证据表明，对于接受快速诱导插管的低血压危重患者，插管期间使用血管升压药或静脉输液，后续出现低血压或心脏骤停的发生率存在差异。（证据等级：不适用，推荐强度：证据不足）
[znzldj] => B级
[_inputtime] => 1733972059
[_updatetime] => 1733972059
[_nrjc] =>
[_nrsh] =>
)
推荐意见
没有足够的证据表明，对于接受快速诱导插管的低血压危重患者，插管期间使用血管升压药或静脉输液，后续出现低血压或心脏骤停的发生率存在差异。（证据等级：不适用，推荐强度：证据不足）
There is insufficient evidence to make a recommendation that there is a difference in the incidence of further hypotension or cardiac arrest between the administration of peri-intubation vasopressors or IV fluids for hypotensive critically ill patients undergoing RSI Insufficient evidence Not applicable.（Quality of Evidence：Not applicable，Strength of Recommendation：Insufficient evidence）
证据评价方法：GRADE
指南质量等级：B级
年份：2023
国家：American Society of
Critical Care Medicine
