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Array ( [id] => 1514 [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/1514.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 ( ) [nrsh] => Array ( ) [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 administering a sedative-hypnotic induction agent when an NMBA is used for intubation.(Quality of Evidence:Ungraded,Strength of Recommendation:Best practice statement) [laiyuan] => 我们建议插管时使用镇静麻醉诱导剂同时使用神经肌肉阻断剂(NMBA)。(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
我们建议插管时使用镇静麻醉诱导剂同时使用神经肌肉阻断剂(NMBA)。(证据等级:未分级,推荐强度:最佳实践声明)

We advise administering a sedative-hypnotic induction agent when an NMBA is used for intubation.(Quality of Evidence:Ungraded,Strength of Recommendation:Best practice statement)

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

阅读
Array ( [id] => 1515 [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/1515.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 ( ) [nrsh] => Array ( ) [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 there is no difference between etomidate and other induction agents administered for RSI with respect to mortality or the incidence of hypotension or vasopressor use in the peri-intubation period and through hospital discharge.(Quality of Evidence:Moderate,Strength of Recommendation:Conditional) [laiyuan] => 我们认为依托咪酯和其他诱导剂在死亡率、插管前后和出院期间的低血压发生率或血管升压药使用率方面没有差异。(证据等级:中,推荐强度:弱推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们认为依托咪酯和其他诱导剂在死亡率、插管前后和出院期间的低血压发生率或血管升压药使用率方面没有差异。(证据等级:中,推荐强度:弱推荐)

We suggest there is no difference between etomidate and other induction agents administered for RSI with respect to mortality or the incidence of hypotension or vasopressor use in the peri-intubation period and through hospital discharge.(Quality of Evidence:Moderate,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

阅读
Array ( [id] => 1516 [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/1516.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 ( ) [nrsh] => Array ( ) [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 against administering corticosteroids following RSI with etomidate for the purpose of counteracting etomidateinduced adrenal suppression.(Quality of Evidence:Low,Strength of Recommendation:Conditional) [laiyuan] => 我们建议不要在使用依托咪酯进行快速诱导后使用皮质类固醇来对抗依托咪酯引起的肾上腺抑制。(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
我们建议不要在使用依托咪酯进行快速诱导后使用皮质类固醇来对抗依托咪酯引起的肾上腺抑制。(证据等级:低,推荐强度:弱推荐)

We suggest against administering corticosteroids following RSI with etomidate for the purpose of counteracting etomidateinduced adrenal suppression.(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

阅读
Array ( [id] => 1517 [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/1517.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 ( ) [nrsh] => Array ( ) [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 recommend administering an NMBA when a sedativehypnotic induction agent is used for intubation. (Quality of Evidence:Low,Strength of Recommendation:Strong) [laiyuan] => 我们建议在使用镇静麻醉诱导剂进行插管时使用神经肌肉阻断剂(NMBA)。(证据等级:低,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在使用镇静麻醉诱导剂进行插管时使用神经肌肉阻断剂(NMBA)。(证据等级:低,推荐强度:强推荐)

We recommend administering an NMBA when a sedativehypnotic induction agent is used for intubation. (Quality of Evidence:Low,Strength of Recommendation:Strong)

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

阅读
Array ( [id] => 1518 [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/1518.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 ( ) [nrsh] => Array ( ) [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 administering either rocuronium or succinylcholine for RSI when there are no known contraindications to succinylcholine.(Quality of Evidence:Low,Strength of Recommendation:Conditional) [laiyuan] => 我们建议在不存在琥珀胆碱禁忌症的情况下,使用罗库溴铵或琥珀胆碱进行快速诱导插管。(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
我们建议在不存在琥珀胆碱禁忌症的情况下,使用罗库溴铵或琥珀胆碱进行快速诱导插管。(证据等级:低,推荐强度:弱推荐)

We suggest administering either rocuronium or succinylcholine for RSI when there are no known contraindications to succinylcholine.(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

阅读
Array ( [id] => 1519 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1519.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 ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We recommend evaluating the following preoperative risk factors for POD: (1) older age, (2) American Society of Anesthesiology Physical status score > 2, (3) Charlson Comorbidity Index >2 and (4) Mini Mental State Examination score lower than 25 points.(Quality of Evidence:Moderate,Strength of Recommendation:Strong) [laiyuan] => 我们建议评估术后谵妄的术前风险因素:(1)高龄,(2)美国麻醉学会身体状况评分 > 2,(3)查尔森(Charlson)合并症指数 > 2 和(4)简易精神状态检查评分低于 25 分。(证据等级:中,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
我们建议评估术后谵妄的术前风险因素:(1)高龄,(2)美国麻醉学会身体状况评分 > 2,(3)查尔森(Charlson)合并症指数 > 2 和(4)简易精神状态检查评分低于 25 分。(证据等级:中,推荐强度:强推荐)

We recommend evaluating the following preoperative risk factors for POD: (1) older age, (2) American Society of Anesthesiology Physical status score > 2, (3) Charlson Comorbidity Index >2 and (4) Mini Mental State Examination score lower than 25 points.(Quality of Evidence:Moderate,Strength of Recommendation:Strong)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1520 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1520.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 ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => In patients undergoing surgery, we do not suggest the use of any drug as a prophylactic measure to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 对于接受手术的患者,我们不建议使用任何药物作为预防措施来降低术后谵妄的发病率。(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
对于接受手术的患者,我们不建议使用任何药物作为预防措施来降低术后谵妄的发病率。(证据等级:低,推荐强度:弱推荐)

In patients undergoing surgery, we do not suggest the use of any drug as a prophylactic measure to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1521 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1521.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 ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => When dexmedetomidine is used intra-operatively or postoperatively with the aim to prevent POD, we recommend balancing the expected benefits against the most important side effects (bradycardia and hypotension).(Quality of Evidence:Moderate,Strength of Recommendation:Strong) [laiyuan] => 当在术中或术后使用右美托咪啶来预防术后谵妄时,我们建议权衡预期益处与最重要的副作用(心动过缓和低血压)。(证据等级:中,推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733972059 [_updatetime] => 1733972059 [_nrjc] => [_nrsh] => )
推荐意见
当在术中或术后使用右美托咪啶来预防术后谵妄时,我们建议权衡预期益处与最重要的副作用(心动过缓和低血压)。(证据等级:中,推荐强度:强推荐)

When dexmedetomidine is used intra-operatively or postoperatively with the aim to prevent POD, we recommend balancing the expected benefits against the most important side effects (bradycardia and hypotension).(Quality of Evidence:Moderate,Strength of Recommendation:Strong)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1522 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1522.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 ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => In patients undergoing surgery, we do not suggest any specific type of surgery or type of anaesthesia to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 对于接受手术的患者,我们不建议任何特定类型的手术或麻醉来降低术后谵妄的发病率。(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
对于接受手术的患者,我们不建议任何特定类型的手术或麻醉来降低术后谵妄的发病率。(证据等级:低,推荐强度:弱推荐)

In patients undergoing surgery, we do not suggest any specific type of surgery or type of anaesthesia to reduce the incidence of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读
Array ( [id] => 1523 [catid] => 300 [title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensusbased guideline on postoperative delirium in adult patients [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1523.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 ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/fulltext/2024/02000/update_of_the_european_society_of_anaesthesiology.2.aspx [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We do not suggest using biomarkers to identify patients at risk of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak) [laiyuan] => 我们不建议使用生物标志物来识别有术后谵妄风险的患者。(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
我们不建议使用生物标志物来识别有术后谵妄风险的患者。(证据等级:低,推荐强度:弱推荐)

We do not suggest using biomarkers to identify patients at risk of POD.(Quality of Evidence:Low,Strength of Recommendation:Weak)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:European Society of Anaesthesiology and Intensive

阅读