Array
(
    [id] => 1413
    [catid] => 297
    [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1413.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
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    [nrjc] => Array
        (
        )
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        (
        )
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    [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => the European Society of Anaesthesiology and Intens
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => In postoperative anaemia with Hb less than 10 g/dl, we recommend timely i.v. iron administration at weightbased dosing after considering contraindications.(Evidence level: moderate;Recommendation grade: strong)
    [laiyuan] => 对于术后血红蛋白低于10 g/dl的贫血患者,我们建议在考虑禁忌症后,按照体重剂量及时静脉注射铁剂。(证据级别:中;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										对于术后血红蛋白低于10 g/dl的贫血患者,我们建议在考虑禁忌症后,按照体重剂量及时静脉注射铁剂。(证据级别:中;推荐强度:强推荐)										
										   In postoperative anaemia with Hb less than 10 g/dl, we recommend timely i.v. iron administration at weightbased dosing after considering contraindications.(Evidence level: moderate;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] => 1414
    [catid] => 297
    [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1414.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => the European Society of Anaesthesiology and Intens
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => In postoperative anaemia with Hb less than 6 to 8 g/dl or falling below physiological RBC transfusion triggers (based on signs of organ ischaemia and adequacy of cardiopulmonary reserve), we recommend RBC transfusion with a single unit strategy.(Evidence level: low;Recommendation grade: strong)
    [laiyuan] => 对于术后血红蛋白低于6-8g/dl或低于生理性红细胞输注触发点(基于器官缺血体征和心肺储备充足)的贫血,我们推荐单一单位输注红细胞策略。(证据级别:低;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										对于术后血红蛋白低于6-8g/dl或低于生理性红细胞输注触发点(基于器官缺血体征和心肺储备充足)的贫血,我们推荐单一单位输注红细胞策略。(证据级别:低;推荐强度:强推荐)										
										   In postoperative anaemia with Hb less than 6 to 8 g/dl or falling below physiological RBC transfusion triggers (based on signs of organ ischaemia and adequacy of cardiopulmonary reserve), we recommend RBC transfusion with a single unit strategy.(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] => 1415
    [catid] => 297
    [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1415.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => the European Society of Anaesthesiology and Intens
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => For postoperative iron administration, we recommend i.v.over oral iron administration.  (Evidence level: moderate;Recommendation grade: strong)
    [laiyuan] => 对于术后补铁,我们建议静脉补铁,而不是口服补铁。(证据级别:中;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										对于术后补铁,我们建议静脉补铁,而不是口服补铁。(证据级别:中;推荐强度:强推荐)										
										   For postoperative iron administration, we recommend i.v.over oral iron administration.  (Evidence level: moderate;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] => 1416
    [catid] => 297
    [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1416.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => the European Society of Anaesthesiology and Intens
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => Intravenous iron formulations allowing higher maximal single doses (such as isomaltoside ,carboxymaltose) may be more effective than those with low licensed maximum single doses (such as sucrose). (Evidence level: moderate)
    [laiyuan] => 单次最大剂量较高的静脉注射铁制剂(如异麦芽糖苷、羧甲基麦芽糖)可能比单次最大剂量较低的制剂(如蔗糖)更有效。(证据级别:中)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										单次最大剂量较高的静脉注射铁制剂(如异麦芽糖苷、羧甲基麦芽糖)可能比单次最大剂量较低的制剂(如蔗糖)更有效。(证据级别:中)										
										   Intravenous iron formulations allowing higher maximal single doses (such as isomaltoside ,carboxymaltose) may be more effective than those with low licensed maximum single doses (such as sucrose). (Evidence level: moderate)										
									 
    							 
    							
    								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] => 1417
    [catid] => 105
    [title] => 中国甲状腺及甲状旁腺手术中神经监测指南(2023版)
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1417.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国医师协会
中国研究型医院学会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 肌松剂应选用中短效非去极化类型,麻醉诱导时通常给予1倍ED95剂量或可适量增加,术中不宜或仅可少量追加,必要时可使用拮抗剂减弱肌松作用,以免影响神经监测效果。(推荐等级A;证据等级:A)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										肌松剂应选用中短效非去极化类型,麻醉诱导时通常给予1倍ED95剂量或可适量增加,术中不宜或仅可少量追加,必要时可使用拮抗剂减弱肌松作用,以免影响神经监测效果。(推荐等级A;证据等级:A)										
										   										
									 
    							 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2023
    								国家:中国医师协会
中国研究型医院学会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 1418
    [catid] => 105
    [title] => 中国甲状腺及甲状旁腺手术中神经监测指南(2023版)
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1418.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国医师协会
中国研究型医院学会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 麻醉管理中可使用抗胆碱药物减少腺体分泌,有助于保持表面电极与声带的良好接触。(推荐等级:B;证据等级:C)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										麻醉管理中可使用抗胆碱药物减少腺体分泌,有助于保持表面电极与声带的良好接触。(推荐等级:B;证据等级:C)										
										   										
									 
    							 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2023
    								国家:中国医师协会
中国研究型医院学会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 1419
    [catid] => 14
    [title] => 中国甲状腺及甲状旁腺手术中神经监测指南(2023版)
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1419.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国医师协会
中国研究型医院学会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 宜在可视喉镜下留置监测导管,避免使用导管表面润滑油和喉腔喷雾,注意置管角度与深度,确保表面电极与声带接触良好。(推荐等级:A;证据等级:C)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										宜在可视喉镜下留置监测导管,避免使用导管表面润滑油和喉腔喷雾,注意置管角度与深度,确保表面电极与声带接触良好。(推荐等级:A;证据等级:C)										
										   										
									 
    							 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2023
    								国家:中国医师协会
中国研究型医院学会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 1420
    [catid] => 14
    [title] => 中国甲状腺及甲状旁腺手术中神经监测指南(2023版)
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1420.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国医师协会
中国研究型医院学会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 术前宜进行喉镜检查或其他检查评估声带功能,术后可视情况选择性应用。(推荐等级:A;证据等级:B)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										术前宜进行喉镜检查或其他检查评估声带功能,术后可视情况选择性应用。(推荐等级:A;证据等级:B)										
										   										
									 
    							 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2023
    								国家:中国医师协会
中国研究型医院学会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 1421
    [catid] => 105
    [title] => 中国甲状腺及甲状旁腺手术中神经监测指南(2023版)
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1421.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:33
    [updatetime] => 2024-01-11 15:24:33
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://kns-cnki-net-443.webvpn.gszy.edu.cn/kcms2/article/abstract?v=VoBN4ANGQ4fbgf_0S6_dkvGZ7foV9Ru3ICVKer-DhhDaSeUQuW0DmjoX2jYJwOw4R5iNGN7SddutlTXABllFSJqHzwNPHSQvGxfkVvoTx2qEpsWnqWStCZ37iROGZMfOzDc_DilA8EQ=&uniplatform=NZKPT&flag=copy
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => 中国医师协会
中国研究型医院学会
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => 
    [laiyuan] => 肌松剂过量时,可暂停涉及神经区域的手术操作或应用拮抗剂,待肌松效果减弱后再行手术操作。(推荐等级:A;证据等级:A)
    [znzldj] => B
    [_inputtime] => 1704957873
    [_updatetime] => 1704957873
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										肌松剂过量时,可暂停涉及神经区域的手术操作或应用拮抗剂,待肌松效果减弱后再行手术操作。(推荐等级:A;证据等级:A)										
										   										
									 
    							 
    							
    								证据评价方法:GRADE
    								指南质量等级:B
    								年份:2023
    								国家:中国医师协会
中国研究型医院学会
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 1381
    [catid] => 297
    [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
    [thumb] => 
    [keywords] => 
    [description] => 
    [hits] => 
    [uid] => 1
    [author] => 系统管理员
    [status] => 9
    [url] => https://www.anes-guide.com/show/1381.html
    [link_id] => 0
    [tableid] => 0
    [inputip] => 14.105.95.222
    [inputtime] => 2024-01-11 15:24:32
    [updatetime] => 2024-01-11 15:24:32
    [displayorder] => 0
    [nrjc] => Array
        (
        )
    [nrsh] => Array
        (
        )
    [xzl] => 0
    [dzl] => 0
    [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/
    [demo_url] => 
    [zjpjff] => GRADE
    [zjfj] => 
    [tjqd] => 
    [nianfen] => 2023
    [guojia] => the European Society of Anaesthesiology and Intens
    [pdf] => 
    [tjyjyw] => 
    [lyyw] => VHA-guided haemostatic treatment reduces the need for blood products.  (Evidence level: moderate)
    [laiyuan] => VHA指导下的止血治疗减少了对血液制品的需求。(证据级别:中)
    [znzldj] => B
    [_inputtime] => 1704957872
    [_updatetime] => 1704957872
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										VHA指导下的止血治疗减少了对血液制品的需求。(证据级别:中)										
										   VHA-guided haemostatic treatment reduces the need for blood products.  (Evidence level: moderate)										
									 
    							 
    							
    								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