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[id] => 1434
[catid] => 291
[title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus based guideline on postoperative delirium in adult patients
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[nianfen] => 2023
[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；Recommendation grade:Weak）
[laiyuan] => 在接受手术的患者中，我们不建议使用任何药物作为降低术后谵妄发病率的预防措施。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
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)
推荐意见
在接受手术的患者中，我们不建议使用任何药物作为降低术后谵妄发病率的预防措施。（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；Recommendation grade:Weak）
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
Array
(
[id] => 1435
[catid] => 294
[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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[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；Recommendation grade:Strong）
[laiyuan] => 当术中或术后使用右美托咪定以预防术后谵妄时，我们建议平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
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当术中或术后使用右美托咪定以预防术后谵妄时，我们建议平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；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
Array
(
[id] => 1436
[catid] => 293
[title] => Update of the European Society of Anaesthesiology and Intensive Care Medicine evidence-based and consensus based guideline on postoperative delirium in adult patients
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[tjqd] =>
[nianfen] => 2023
[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；Recommendation grade:Weak）
[laiyuan] => 在接受手术的患者中，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生率。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在接受手术的患者中，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生率。（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；Recommendation grade:Weak）
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
Array
(
[id] => 1437
[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
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[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；Recommendation grade:Weak）
[laiyuan] => 我们不建议应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
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们不建议应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；Recommendation grade:Weak）
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
Array
(
[id] => 1438
[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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[tjqd] =>
[nianfen] => 2023
[guojia] => European Society of Anaesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend that preoperative anaesthesia consultation in older
adults includes the screening for risk factors for POD and addresses patients’ needs to optimise their preoperative status.（Quality of evidence: Low；Recommendation grade:Strong）
[laiyuan] => 我们建议老年人的术前麻醉咨询包括筛查术后谵妄的风险因素，并满足患者优化术前状态的需求。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议老年人的术前麻醉咨询包括筛查术后谵妄的风险因素，并满足患者优化术前状态的需求。（证据等级：低；推荐强度：强推荐）
We recommend that preoperative anaesthesia consultation in older
adults includes the screening for risk factors for POD and addresses patients’ needs to optimise their preoperative status.（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：European Society of Anaesthesiology and Intensive
Array
(
[id] => 1439
[catid] => 303
[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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[tjqd] =>
[nianfen] => 2023
[guojia] => European Society of Anaesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend that the results of the screening for POD risk factors are shared among the care team and the preventive strategies discussed and registered in the medical records.（Quality of evidence: Low；Recommendation grade:Strong）
[laiyuan] => 我们建议在护理团队之间共享术后谵妄风险因素筛查的结果，并在医疗记录中讨论和登记预防策略。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957887
[_updatetime] => 1704957887
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在护理团队之间共享术后谵妄风险因素筛查的结果，并在医疗记录中讨论和登记预防策略。（证据等级：低；推荐强度：强推荐）
We recommend that the results of the screening for POD risk factors are shared among the care team and the preventive strategies discussed and registered in the medical records.（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：European Society of Anaesthesiology and Intensive
Array
(
[id] => 1409
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend monitoring of Hb concentrations for anaemia detection prior to, during and after high-bleeding-risk surgery and in situations where silent bleeding, massive blood loss and fluid shifts are at least suspected.（Evidence level: high；Recommendation grade: strong）
[laiyuan] => 我们建议在高出血风险手术之前、期间和之后，以及在至少怀疑无症状出血、大量失血和液体转移的情况下，监测Hb浓度以检测贫血。（推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957873
[_updatetime] => 1704957873
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在高出血风险手术之前、期间和之后，以及在至少怀疑无症状出血、大量失血和液体转移的情况下，监测Hb浓度以检测贫血。（推荐强度：强推荐）
We recommend monitoring of Hb concentrations for anaemia detection prior to, during and after high-bleeding-risk surgery and in situations where silent bleeding, massive blood loss and fluid shifts are at least suspected.（Evidence level: high；Recommendation grade: strong）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1410
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[zjfj] =>
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[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => After severe peri-operative bleeding, Hb levels should be monitored during the first postoperative days. （Evidence level: low；Recommendation grade: strong）
[laiyuan] => 严重出血后，应在术后第1天监测Hb水平。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957873
[_updatetime] => 1704957873
[_nrjc] =>
[_nrsh] =>
)
推荐意见
严重出血后，应在术后第1天监测Hb水平。（证据级别：低；推荐强度：强推荐）
After severe peri-operative bleeding, Hb levels should be monitored during the first postoperative days. （Evidence level: low；Recommendation grade: strong）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1411
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[tjyjyw] =>
[lyyw] => When severe bleeding and volume shifts are expected and/or occurring, continuous noninvasive Hb monitoring may be considered for trend analyses and for reducing blood sampling for invasive laboratory measurement of Hb concentration, especially in children. （Evidence level: low；Recommendation grade: weak）
[laiyuan] => 围手术期发生严重出血后，应在首次发生严重出血和(或)发生容量转移时监测Hb水平，尤其是儿童，可考虑连续无创Hb监测进行趋势分析和减少有创实验室Hb浓度测定的采血。（证据级别：低；推荐强度：低推荐）
[znzldj] => B
[_inputtime] => 1704957873
[_updatetime] => 1704957873
[_nrjc] =>
[_nrsh] =>
)
推荐意见
围手术期发生严重出血后，应在首次发生严重出血和(或)发生容量转移时监测Hb水平，尤其是儿童，可考虑连续无创Hb监测进行趋势分析和减少有创实验室Hb浓度测定的采血。（证据级别：低；推荐强度：低推荐）
When severe bleeding and volume shifts are expected and/or occurring, continuous noninvasive Hb monitoring may be considered for trend analyses and for reducing blood sampling for invasive laboratory measurement of Hb concentration, especially in children. （Evidence level: low；Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
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[tjyjyw] =>
[lyyw] => In postoperative anaemia with Hb at least 10 g/dl, we suggest testing for iron deficiency and subsequent administration of i.v. iron at weight-based dosing if ferritin less than 100mg/l or ferritin less than 300mg/l and transferrin saturation less than 20%.（Evidence level: low；Recommendation grade: weak）
[laiyuan] => 术后贫血Hb≥10g /dl时，我们建议进行缺铁试验，如果铁蛋白低于100mg/l或低于300mg/l，转铁蛋白饱和度低于20%，则按体重给药静脉注射铁。（证据级别：低；推荐强度：低推荐）
[znzldj] => B
[_inputtime] => 1704957873
[_updatetime] => 1704957873
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术后贫血Hb≥10g /dl时，我们建议进行缺铁试验，如果铁蛋白低于100mg/l或低于300mg/l，转铁蛋白饱和度低于20%，则按体重给药静脉注射铁。（证据级别：低；推荐强度：低推荐）
In postoperative anaemia with Hb at least 10 g/dl, we suggest testing for iron deficiency and subsequent administration of i.v. iron at weight-based dosing if ferritin less than 100mg/l or ferritin less than 300mg/l and transferrin saturation less than 20%.（Evidence level: low；Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
