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[catid] => 293
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
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[inputtime] => 2024-01-11 15:24:47
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Society of Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest preoxygenation with noninvasive positive pressure ventilation in patients with s evere hypoxemia Pao2/Fio2 < 150.（Quality of evidence: low；Recommendation grade:Conditional）
[laiyuan] => 重度低氧血症Pao2/Fio2<150的患者应用无创正压通气预充氧。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
重度低氧血症Pao2/Fio2<150的患者应用无创正压通气预充氧。（证据等级：低；推荐强度：弱推荐）
We suggest preoxygenation with noninvasive positive pressure ventilation in patients with s evere hypoxemia Pao2/Fio2 < 150.（Quality of evidence: low；Recommendation grade:Conditional）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1425
[catid] => 293
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
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[xzl] => 0
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Society of Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest using medication-assisted preoxygenation to
improve preoxygenation in patients undergoing rapid sequence intubation who are not able to tolerate a face mask, noninvasive positive pressure ventilation, or high-flow nasal oxygen because of agitation, delirium, or combative behavior.（Quality of evidence: Very low；Recommendation grade:Conditional）
[laiyuan] => 对于因激动、谵妄或好斗行为而无法耐受口罩、无创正压通气或高流量鼻导管的快速序列诱导患者，使用药物辅助预氧来改善预充氧。（证据等级：极低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于因激动、谵妄或好斗行为而无法耐受口罩、无创正压通气或高流量鼻导管的快速序列诱导患者，使用药物辅助预氧来改善预充氧。（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 rapid sequence intubation who are not able to tolerate a face mask, noninvasive positive pressure ventilation, or high-flow nasal oxygen because of agitation, delirium, or combative behavior.（Quality of evidence: Very low；Recommendation grade:Conditional）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1426
[catid] => 293
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1426.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:24:47
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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/37707378/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Society of Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We advise nasogastric tube decompression when the benefit
outweighs the risk in patients who are undergoing rapid sequence intubation and are at high risk of regurgitation of gastric contents.（Quality of evidence: Ungraded；Recommendation grade:Best practice statement）
[laiyuan] => 当接受快速序列诱导且胃内容物返流风险较高的患者获益大于风险时，我们建议进行鼻胃管减压。（证据等级：极低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当接受快速序列诱导且胃内容物返流风险较高的患者获益大于风险时，我们建议进行鼻胃管减压。（证据等级：极低；推荐强度：弱推荐）
We advise nasogastric tube decompression when the benefit
outweighs the risk in patients who are undergoing rapid sequence intubation and are at high risk of regurgitation of gastric contents.（Quality of evidence: Ungraded；Recommendation grade:Best practice statement）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1427
[catid] => 294
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 系统管理员
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => 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 rapid sequence intubation.（Quality of evidence: Not applicable; Recommendation grade:Insufficient evidence）
[laiyuan] => 没有足够的证据表明，对于接受快速序列诱导的低血压危重患者，在插管期间给予血管升压药或静脉输液，进一步引起低血压或心脏骤停的发生率存在差异。（证据等级：极低；推荐强度：证据不充足）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
没有足够的证据表明，对于接受快速序列诱导的低血压危重患者，在插管期间给予血管升压药或静脉输液，进一步引起低血压或心脏骤停的发生率存在差异。（证据等级：极低；推荐强度：证据不充足）
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 rapid sequence intubation.（Quality of evidence: Not applicable; Recommendation grade:Insufficient evidence）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1428
[catid] => 294
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
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[inputip] => 14.105.95.222
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(
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(
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[xzl] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => 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；Recommendation grade:Best practice statement）
[laiyuan] => 当神经肌肉阻滞剂用于插管时，我们建议使用镇静催眠诱导剂。（证据等级：极低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当神经肌肉阻滞剂用于插管时，我们建议使用镇静催眠诱导剂。（证据等级：极低；推荐强度：弱推荐）
We advise administering a sedative-hypnotic induction agent
when an NMBA is used for intubation.（Quality of evidence: Ungraded；Recommendation grade:Best practice statement）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1429
[catid] => 294
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
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[hits] =>
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[inputip] => 14.105.95.222
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[xzl] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Society of Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest there is no difference between etomidate and other
induction agents administered for rapid sequence intubation 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；Recommendation grade:Conditional）
[laiyuan] => 依托咪酯和其他快速序列诱导剂在插管前后和出院期间的死亡率或低血压或血管升压药使用率方面没有差异。（证据等级：中等；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
依托咪酯和其他快速序列诱导剂在插管前后和出院期间的死亡率或低血压或血管升压药使用率方面没有差异。（证据等级：中等；推荐强度：弱推荐）
We suggest there is no difference between etomidate and other
induction agents administered for rapid sequence intubation 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；Recommendation grade:Conditional）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1430
[catid] => 294
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1430.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:24:47
[updatetime] => 2024-01-11 15:24:47
[displayorder] => 0
[nrjc] => Array
(
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(
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[xzl] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Society of Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest against administering corticosteroids following rapid sequence intubation with etomidate for the purpose of counteracting etomidateinduced adrenal suppression.（Quality of evidence: Low；Recommendation grade:Conditional）
[laiyuan] => 建议不要在快速序列诱导使用依托咪酯后进行皮质类固醇治疗，以对抗依托咪酯诱导的肾上腺抑制。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议不要在快速序列诱导使用依托咪酯后进行皮质类固醇治疗，以对抗依托咪酯诱导的肾上腺抑制。（证据等级：低；推荐强度：弱推荐）
We suggest against administering corticosteroids following rapid sequence intubation with etomidate for the purpose of counteracting etomidateinduced adrenal suppression.（Quality of evidence: Low；Recommendation grade:Conditional）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
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[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => 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；Recommendation grade:Strong）
[laiyuan] => 当使用镇静催眠诱导剂进行插管时，我们建议使用神经肌肉阻滞剂。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当使用镇静催眠诱导剂进行插管时，我们建议使用神经肌肉阻滞剂。（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；Recommendation grade:Strong）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1432
[catid] => 294
[title] => Society of Critical Care Medicine Clinical Practice Guidelines for Rapid Sequence Intubation in the Critically Ill Adult Patient
[thumb] =>
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/37707378/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => Society of Critical Care Medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest administering either rocuronium or succinylcholine
for rapid sequence intubation when there are no known contraindications to succinylcholine.（Quality of evidence: Low；Recommendation grade:Conditional）
[laiyuan] => 当琥珀酰胆碱没有明确禁忌症时，我们建议使用罗库或琥珀酰胆碱进行快速序列诱导。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当琥珀酰胆碱没有明确禁忌症时，我们建议使用罗库或琥珀酰胆碱进行快速序列诱导。（证据等级：低；推荐强度：弱推荐）
We suggest administering either rocuronium or succinylcholine
for rapid sequence intubation when there are no known contraindications to succinylcholine.（Quality of evidence: Low；Recommendation grade:Conditional）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：Society of Critical Care Medicine
Array
(
[id] => 1433
[catid] => 290
[title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus based guideline on postoperative delirium in adult patients
[thumb] =>
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[description] =>
[hits] =>
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[status] => 9
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[inputtime] => 2024-01-11 15:24:47
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[displayorder] => 0
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(
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[nrsh] => Array
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[xzl] => 0
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[wailian] => https://guide.medlive.cn/guideline/29567
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[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；Recommendation grade:Strong）
[laiyuan] => 建议术前评估术后谵妄的风险因素：（1）年龄较大，（2）美国麻醉学学会身体状况评分>2，（3）Charlson合并症指数>2，以及（4）迷你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
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议术前评估术后谵妄的风险因素：（1）年龄较大，（2）美国麻醉学学会身体状况评分>2，（3）Charlson合并症指数>2，以及（4）迷你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；Recommendation grade:Strong）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：European Society of Anaesthesiology and Intensive
