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Array ( [id] => 1375 [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/1375.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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 supplementation improves fatigue and depression score postpartum. （Evidence level:moderate） [laiyuan] => 静脉补铁可改善产后疲劳和抑郁评分。（证据级别：中） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
静脉补铁可改善产后疲劳和抑郁评分。（证据级别：中）

Intravenous iron supplementation improves fatigue and depression score postpartum. （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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1376 [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/1376.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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] => We suggest assessing fibrinogen levels in parturients with bleeding,as levels less than 2g/l may identify those at risk of severe postpartum haemorrhage.（Evidence level: low；Recommendation grade:strong） [laiyuan] => 我们建议评估出血产妇的纤维蛋白原水平，因为低于2g/l的水平可以确定那些有严重产后出血风险的产妇。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
我们建议评估出血产妇的纤维蛋白原水平，因为低于2g/l的水平可以确定那些有严重产后出血风险的产妇。（证据级别：低；推荐强度：强推荐）

We suggest assessing fibrinogen levels in parturients with bleeding,as levels less than 2g/l may identify those at risk of severe postpartum haemorrhage.（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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1377 [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/1377.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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] => High-volume resuscitation with crystalloids and colloids is associated with coagulopathy and adverse maternal outcomes in women with postpartum haemorrhage. （Evidence level: low） [laiyuan] => 使用晶体液和胶体液进行高容量复苏与产后出血妇女的凝血病和不良孕产妇结局相关。（证据级别：低） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
使用晶体液和胶体液进行高容量复苏与产后出血妇女的凝血病和不良孕产妇结局相关。（证据级别：低）

High-volume resuscitation with crystalloids and colloids is associated with coagulopathy and adverse maternal outcomes in women with postpartum haemorrhage. （Evidence level: low）

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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1378 [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/1378.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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] => Dynamic platelet count decrease or a level less than150×10^9 /l at the onset of labour, particularly if combined with plasma fibrinogen level less than 2.0 g/l, may indicate an increased risk of postpartum haemorrhage.（Evidence level: low） [laiyuan] => 分娩开始时动态血小板计数减少或水平低于150×10^9/l，特别是如果伴有血浆纤维蛋白原水平低于2.0g/l，可能表明产后出血的风险增加。（证据级别：低） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
分娩开始时动态血小板计数减少或水平低于150×10^9/l，特别是如果伴有血浆纤维蛋白原水平低于2.0g/l，可能表明产后出血的风险增加。（证据级别：低）

Dynamic platelet count decrease or a level less than150×10^9 /l at the onset of labour, particularly if combined with plasma fibrinogen level less than 2.0 g/l, may indicate an increased risk of postpartum haemorrhage.（Evidence level: low）

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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1379 [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/1379.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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] => At the beginning of labour, aPTT and PT are of little predictive value for postpartum haemorrhage. （Evidence level: low） [laiyuan] => 在分娩初期，aPTT和PT对产后出血的预测价值不大。（证据级别：低） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
在分娩初期，aPTT和PT对产后出血的预测价值不大。（证据级别：低）

At the beginning of labour, aPTT and PT are of little predictive value for postpartum haemorrhage. （Evidence level: low）

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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1380 [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/1380.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:31 [updatetime] => 2024-01-11 15:24:31 [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 can identify obstetric coagulopathy including hypo-fibrinogenaemia and reduced platelet level. （Evidence level: moderate） [laiyuan] => VHA可以识别产科凝血病，包括低纤维蛋白原血症和血小板水平降低。（证据级别：中） [znzldj] => B [_inputtime] => 1704957871 [_updatetime] => 1704957871 [_nrjc] => [_nrsh] => )
推荐意见
VHA可以识别产科凝血病，包括低纤维蛋白原血症和血小板水平降低。（证据级别：中）

VHA can identify obstetric coagulopathy including hypo-fibrinogenaemia and reduced platelet level. （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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1324 [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/1324.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => We suggest, in cases of ongoing bleeding as part of a goaldirected coagulation therapy algorithm ，monitoring FXIII and correction of deficiency. （Evidence level: low；Recommendation grade: weak） [laiyuan] => 我们建议，在持续出血的情况下，作为目标导向凝血治疗策略的一部分，监测因子XIII和纠正不足。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
我们建议，在持续出血的情况下，作为目标导向凝血治疗策略的一部分，监测因子XIII和纠正不足。（证据级别：低；推荐强度：弱推荐）

We suggest, in cases of ongoing bleeding as part of a goaldirected coagulation therapy algorithm ，monitoring FXIII and correction of deficiency. （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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1325 [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/1325.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => We suggest the intra-operative and postoperative use of cell salvage in major orthopaedic procedures with high risk of bleeding. （Evidence level: moderate；Recommendation grade: weak） [laiyuan] => 我们建议在出血高风险骨科大手术，术中和术后使用红细胞回收技术。（证据级别：中；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在出血高风险骨科大手术，术中和术后使用红细胞回收技术。（证据级别：中；推荐强度：弱推荐）

We suggest the intra-operative and postoperative use of cell salvage in major orthopaedic procedures with high risk of bleeding. （Evidence level: moderate；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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1326 [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/1326.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => We recommend a low central venous pressure (CVP) and restrictive fluid administration during liver surgery to reduce bleeding. （Evidence level:high；Recommendation grade: strong） [laiyuan] => 我们建议在肝脏手术中采用低中心静脉压(血红蛋白)和限制性液体管理以减少出血。（证据级别：高；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在肝脏手术中采用低中心静脉压(血红蛋白)和限制性液体管理以减少出血。（证据级别：高；推荐强度：强推荐）

We recommend a low central venous pressure (CVP) and restrictive fluid administration during liver surgery to reduce bleeding. （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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1327 [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/1327.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:30 [updatetime] => 2024-01-11 15:24:30 [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] => Intra-operative hypovolaemic phlebotomy or infrahepatic inferior vena cava clamping used together with low CVP strategy are suggested for decreasing intra-operative blood loss and transfusion requirements in selected patients undergoing major liver resections.（Evidence level: low；Recommendation grade:weak） [laiyuan] => 建议术中静脉切开或肝下腔静脉阻断与低中心静脉压策略一起使用，以减少手术中出血量和输血需求。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957870 [_updatetime] => 1704957870 [_nrjc] => [_nrsh] => )
推荐意见
建议术中静脉切开或肝下腔静脉阻断与低中心静脉压策略一起使用，以减少手术中出血量和输血需求。（证据级别：低；推荐强度：弱推荐）

Intra-operative hypovolaemic phlebotomy or infrahepatic inferior vena cava clamping used together with low CVP strategy are suggested for decreasing intra-operative blood loss and transfusion requirements in selected patients undergoing major liver resections.（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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读

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