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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 [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 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

阅读
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

阅读
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

阅读
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

阅读
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

阅读
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

阅读
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

阅读
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

阅读
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

阅读
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

阅读