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Array ( [id] => 2847 [catid] => 35 [title] => 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2847.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41363869 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2026 [guojia] => American Society of Anesthesiologists (ASA) [pdf] => [tjyjyw] => [lyyw] => For adults undergoing open abdominal, retroperitoneal, and pelvic surgeries, we recommend fascial plane blocks to reduce pain and/or opioid requirements in the first 24 h postoperatively. Fascial plane blocks also improve patient satisfaction. [laiyuan] => 对于接受开放性腹部、腹膜后和盆腔手术的成人患者，推荐使用筋膜平面阻滞以减少术后24小时内的疼痛和/或阿片类药物需求，并可提高患者满意度。（证据等级：高，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
对于接受开放性腹部、腹膜后和盆腔手术的成人患者，推荐使用筋膜平面阻滞以减少术后24小时内的疼痛和/或阿片类药物需求，并可提高患者满意度。（证据等级：高，推荐强度：强推荐）

For adults undergoing open abdominal, retroperitoneal, and pelvic surgeries, we recommend fascial plane blocks to reduce pain and/or opioid requirements in the first 24 h postoperatively. Fascial plane blocks also improve patient satisfaction.

证据评价方法：GRADE

指南质量等级：B

年份：2026

国家：American Society of Anesthesiologists (ASA)

来源 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
原文链接
阅读
Array ( [id] => 2848 [catid] => 200 [title] => 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2848.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41363869 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2026 [guojia] => American Society of Anesthesiologists (ASA) [pdf] => [tjyjyw] => [lyyw] => For adults undergoing mastectomy, we recommend fascial plane or paravertebral blocks to reduce pain and/or opioid requirements in the first 24 h postoperatively. Fascial plane blocks also improve patient satisfaction and quality of recovery. [laiyuan] => 对于接受乳房切除术的成人患者，推荐使用筋膜平面或椎旁阻滞以减少术后24小时内的疼痛和/或阿片类药物需求，并可提高患者满意度和恢复质量。（证据等级：高，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
对于接受乳房切除术的成人患者，推荐使用筋膜平面或椎旁阻滞以减少术后24小时内的疼痛和/或阿片类药物需求，并可提高患者满意度和恢复质量。（证据等级：高，推荐强度：强推荐）

For adults undergoing mastectomy, we recommend fascial plane or paravertebral blocks to reduce pain and/or opioid requirements in the first 24 h postoperatively. Fascial plane blocks also improve patient satisfaction and quality of recovery.

证据评价方法：GRADE

指南质量等级：B

年份：2026

国家：American Society of Anesthesiologists (ASA)

来源 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
原文链接
阅读
Array ( [id] => 2849 [catid] => 35 [title] => 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2849.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41363869 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2026 [guojia] => American Society of Anesthesiologists (ASA) [pdf] => [tjyjyw] => [lyyw] => For adults undergoing minimally invasive abdominal surgeries including cholecystectomy, appendectomy, bariatric, gastrectomy, and liver resection surgeries, we recommend fascial plane blocks to reduce pain and/or opioid requirements in the first 24 h postoperatively. [laiyuan] => 对于接受微创腹部手术（包括胆囊切除术、阑尾切除术、减重手术、胃切除术和肝切除术）的成人患者，推荐使用筋膜平面阻滞以减少术后24小时内的疼痛和/或阿片类药物需求。（证据等级：高，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
对于接受微创腹部手术（包括胆囊切除术、阑尾切除术、减重手术、胃切除术和肝切除术）的成人患者，推荐使用筋膜平面阻滞以减少术后24小时内的疼痛和/或阿片类药物需求。（证据等级：高，推荐强度：强推荐）

For adults undergoing minimally invasive abdominal surgeries including cholecystectomy, appendectomy, bariatric, gastrectomy, and liver resection surgeries, we recommend fascial plane blocks to reduce pain and/or opioid requirements in the first 24 h postoperatively.

证据评价方法：GRADE

指南质量等级：B

年份：2026

国家：American Society of Anesthesiologists (ASA)

来源 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
原文链接
阅读
Array ( [id] => 2850 [catid] => 80 [title] => 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2850.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41363869 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2026 [guojia] => American Society of Anesthesiologists (ASA) [pdf] => [tjyjyw] => [lyyw] => For children (younger than 18 yr) undergoing open cardiothoracic surgeries, we recommend fascial plane blocks to reduce pain and/or opioid use in the first 24 h postoperatively. [laiyuan] => 对于接受开放性心脏或胸部手术的儿童（18岁以下），推荐使用筋膜平面阻滞以减少术后24小时内的疼痛和/或阿片类药物需求。（证据等级：高，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
对于接受开放性心脏或胸部手术的儿童（18岁以下），推荐使用筋膜平面阻滞以减少术后24小时内的疼痛和/或阿片类药物需求。（证据等级：高，推荐强度：强推荐）

For children (younger than 18 yr) undergoing open cardiothoracic surgeries, we recommend fascial plane blocks to reduce pain and/or opioid use in the first 24 h postoperatively.

证据评价方法：GRADE

指南质量等级：B

年份：2026

国家：American Society of Anesthesiologists (ASA)

来源 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
原文链接
阅读
Array ( [id] => 2851 [catid] => 80 [title] => 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2851.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41363869 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2026 [guojia] => American Society of Anesthesiologists (ASA) [pdf] => [tjyjyw] => [lyyw] => For adults undergoing minimally invasive cardiothoracic surgeries including lobectomy, valve repair/replacement, and esophageal procedures, we suggest regional techniques including neuraxial and fascial plane blocks to reduce pain in the first 24 h postoperatively. [laiyuan] => 对于接受微创心胸外科手术（包括肺叶切除术、瓣膜修复/置换术、食管手术）的成人患者，建议使用区域麻醉技术（包括椎管内阻滞和筋膜平面阻滞）以减少术后24小时内的疼痛。（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
对于接受微创心胸外科手术（包括肺叶切除术、瓣膜修复/置换术、食管手术）的成人患者，建议使用区域麻醉技术（包括椎管内阻滞和筋膜平面阻滞）以减少术后24小时内的疼痛。（证据等级：高，推荐强度：弱推荐）

For adults undergoing minimally invasive cardiothoracic surgeries including lobectomy, valve repair/replacement, and esophageal procedures, we suggest regional techniques including neuraxial and fascial plane blocks to reduce pain in the first 24 h postoperatively.

证据评价方法：GRADE

指南质量等级：B

年份：2026

国家：American Society of Anesthesiologists (ASA)

来源 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
原文链接
阅读
Array ( [id] => 2852 [catid] => 35 [title] => 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2852.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41363869 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2026 [guojia] => American Society of Anesthesiologists (ASA) [pdf] => [tjyjyw] => [lyyw] => For adults undergoing minimally invasive hernia repair, we suggest fascial plane blocks to reduce pain in the first 24 h postoperatively. [laiyuan] => 对于接受微创疝气修复术的成人患者，建议使用筋膜平面阻滞以减少术后24小时内的疼痛。（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
对于接受微创疝气修复术的成人患者，建议使用筋膜平面阻滞以减少术后24小时内的疼痛。（证据等级：高，推荐强度：弱推荐）

For adults undergoing minimally invasive hernia repair, we suggest fascial plane blocks to reduce pain in the first 24 h postoperatively.

证据评价方法：GRADE

指南质量等级：B

年份：2026

国家：American Society of Anesthesiologists (ASA)

来源 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
原文链接
阅读
Array ( [id] => 2853 [catid] => 35 [title] => 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2853.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41363869 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2026 [guojia] => American Society of Anesthesiologists (ASA) [pdf] => [tjyjyw] => [lyyw] => For children (younger than 18 yr) undergoing open hernia repair, we suggest a fascial plane block to reduce pain in the first 24 h postoperatively. [laiyuan] => 对于接受开放性疝气修复术的儿童（年龄小于18岁），建议使用筋膜平面阻滞以减少术后24小时内的疼痛。（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
对于接受开放性疝气修复术的儿童（年龄小于18岁），建议使用筋膜平面阻滞以减少术后24小时内的疼痛。（证据等级：高，推荐强度：弱推荐）

For children (younger than 18 yr) undergoing open hernia repair, we suggest a fascial plane block to reduce pain in the first 24 h postoperatively.

证据评价方法：GRADE

指南质量等级：B

年份：2026

国家：American Society of Anesthesiologists (ASA)

来源 2026 American Society of Anesthesiologists Practice Guideline on Perioperative Pain Management Using Local and Regional Analgesia for Cardiothoracic Surgeries, Mastectomy, and Abdominal Surgeries
原文链接
阅读
Array ( [id] => 2854 [catid] => 134 [title] => ESAIC focused guidelines for the management of the failing epidural during labour epidural analgesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2854.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/39744744 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We recommend that anaesthesiologists consistently take responsibility for initiating and executing suitable corrective strategies for addressing failing epidural. [laiyuan] => 建议由麻醉医师全程主导硬膜外麻醉失败的识别与干预，及时启动并实施经循证验证的纠正策略。（证据等级：高，推荐强度：强推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
建议由麻醉医师全程主导硬膜外麻醉失败的识别与干预，及时启动并实施经循证验证的纠正策略。（证据等级：高，推荐强度：强推荐）

We recommend that anaesthesiologists consistently take responsibility for initiating and executing suitable corrective strategies for addressing failing epidural.

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：European Society of Anaesthesiology and Intensive

来源 ESAIC focused guidelines for the management of the failing epidural during labour epidural analgesia
原文链接
阅读
Array ( [id] => 2855 [catid] => 134 [title] => ESAIC focused guidelines for the management of the failing epidural during labour epidural analgesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2855.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/39744744 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => European Society of Anaesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => We suggest that each instance of failed augmentation of Labour Epidural Analgesia for intrapartum caesarean delivery be addressed on an individual basis. Depending on the circumstances, both neuraxial anaesthesia (such as epidural top-up, new spinal, or combined spinal-epidural techniques) and general anaesthesia may be appropriate choices. [laiyuan] => 建议对于分娩镇痛失败后转化为剖宫产麻醉的每个病例，应根据具体情况个体化处理。根据情况，椎管内麻醉（如硬膜外追加、新发腰麻或腰硬联合麻醉）和全身麻醉均可作为合适的选择。（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
建议对于分娩镇痛失败后转化为剖宫产麻醉的每个病例，应根据具体情况个体化处理。根据情况，椎管内麻醉（如硬膜外追加、新发腰麻或腰硬联合麻醉）和全身麻醉均可作为合适的选择。（证据等级：高，推荐强度：弱推荐）

We suggest that each instance of failed augmentation of Labour Epidural Analgesia for intrapartum caesarean delivery be addressed on an individual basis. Depending on the circumstances, both neuraxial anaesthesia (such as epidural top-up, new spinal, or combined spinal-epidural techniques) and general anaesthesia may be appropriate choices.

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：European Society of Anaesthesiology and Intensive

来源 ESAIC focused guidelines for the management of the failing epidural during labour epidural analgesia
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Array ( [id] => 2808 [catid] => 76 [title] => 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2808.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:40:54 [updatetime] => 2026-04-14 11:40:54 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/39955230 [demo_url] => [zjpjff] => AHA [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => European Association for Cardio-Thoracic Surgery(E [pdf] => [tjyjyw] => [lyyw] => The use of processed EEG monitoring should be considered to reduce the incidence of intraoperative awareness and excess in depth of anaesthesia.（Ⅱa） [laiyuan] => 推荐使用脑电图监测以降低术中知晓和麻醉过深的发生率。（证据等级：高，推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1776138054 [_updatetime] => 1776138054 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用脑电图监测以降低术中知晓和麻醉过深的发生率。（证据等级：高，推荐强度：弱推荐）

The use of processed EEG monitoring should be considered to reduce the incidence of intraoperative awareness and excess in depth of anaesthesia.（Ⅱa）

证据评价方法：AHA

指南质量等级：B

年份：2025

国家：European Association for Cardio-Thoracic Surgery(E

来源 2024 EACTS/EACTAIC/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery
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