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[lyyw] => We recommend that aspirin should be discontinued preoperatively when prescribed for primary prevention. （Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 当阿司匹林用于一级预防时，推荐在术前停用。（证据级别：中；推荐强度：强推荐）
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推荐意见
当阿司匹林用于一级预防时，推荐在术前停用。（证据级别：中；推荐强度：强推荐）
We recommend that aspirin should be discontinued preoperatively when prescribed for primary prevention. （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
(
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[lyyw] => Where aspirin withdrawal before surgery is considered,we recommend a time from last drug intake to intervention of 3 days, although for invasive procedures at high risk of bleeding, a longer interruption (5 days) could be considered. （Evidence level: low；Recommendation grade: strong）
[laiyuan] => 如果考虑在术前停用阿司匹林，建议最后一次用药到手术的时间间隔为3日，对于出血风险高的有创操作，可以考虑更长的间隔时间(5日)。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
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)
推荐意见
如果考虑在术前停用阿司匹林，建议最后一次用药到手术的时间间隔为3日，对于出血风险高的有创操作，可以考虑更长的间隔时间(5日)。（证据级别：低；推荐强度：强推荐）
Where aspirin withdrawal before surgery is considered,we recommend a time from last drug intake to intervention of 3 days, although for invasive procedures at high risk of bleeding, a longer interruption (5 days) could be considered. （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
(
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[tjyjyw] =>
[lyyw] => In patients with risk factors for vascular complications naive of any antiplatelet treatment, we do not recommend initiating aspirin pre-operatively (except for carotid endarterectomy). （Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 对于有血管并发症危险因素且既往未接受抗血小板治疗的患者，不建议术前开始服用阿司匹林(颈动脉内膜切除术除外)。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957866
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)
推荐意见
对于有血管并发症危险因素且既往未接受抗血小板治疗的患者，不建议术前开始服用阿司匹林(颈动脉内膜切除术除外)。（证据级别：中；推荐强度：强推荐）
In patients with risk factors for vascular complications naive of any antiplatelet treatment, we do not recommend initiating aspirin pre-operatively (except for carotid endarterectomy). （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
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[tjyjyw] =>
[lyyw] => In patients chronically treated with aspirin for secondary prevention of cardiovascular events, except those patients with coronary stents, aspirin may be interrupted for procedures with a very high bleeding risk. （Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 在长期接受阿司匹林用于心血管事件二级预防的患者中（除外置入冠状动脉支架），对于出血风险非常高的手术，可能中断使用阿司匹林。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
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)
推荐意见
在长期接受阿司匹林用于心血管事件二级预防的患者中（除外置入冠状动脉支架），对于出血风险非常高的手术，可能中断使用阿司匹林。（证据级别：中；推荐强度：强推荐）
In patients chronically treated with aspirin for secondary prevention of cardiovascular events, except those patients with coronary stents, aspirin may be interrupted for procedures with a very high bleeding risk. （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
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[tjqd] =>
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[pdf] =>
[tjyjyw] =>
[lyyw] => In patients chronically treated with aspirin for secondary prevention of cardiovascular events, aspirin must be maintained during and after low and moderate bleeding risk procedures.（Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 对于长期接受阿司匹林用于心血管事件二级预防的患者，在中低出血风险的手术期间和之后必须继续使用阿司匹林。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于长期接受阿司匹林用于心血管事件二级预防的患者，在中低出血风险的手术期间和之后必须继续使用阿司匹林。（证据级别：中；推荐强度：强推荐）
In patients chronically treated with aspirin for secondary prevention of cardiovascular events, aspirin must be maintained during and after low and moderate bleeding risk procedures.（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
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[tjyjyw] =>
[lyyw] => Timing of first administration and dose of postoperative anticoagulants, along with resumption of aspirin, after the procedure must be carefully discussed to mitigate postoperative bleeding complications. （Evidence level: low；Recommendation grade: weak）
[laiyuan] => 术后首次使用抗凝剂的时间和剂量，以及术后恢复使用阿司匹林，必须仔细讨论，以减少术后出血并发症。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957866
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[_nrsh] =>
)
推荐意见
术后首次使用抗凝剂的时间和剂量，以及术后恢复使用阿司匹林，必须仔细讨论，以减少术后出血并发症。（证据级别：低；推荐强度：弱推荐）
Timing of first administration and dose of postoperative anticoagulants, along with resumption of aspirin, after the procedure must be carefully discussed to mitigate postoperative bleeding complications. （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
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[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => For intra-operative or postoperative bleeding, for example, in neurosurgery, supposedly related to aspirin, we suggest that platelet transfusion be considered (dose: 0.7 per 10 kg body weight in adults). （Evidence level: low；Recommendation grade: weak）
[laiyuan] => 对于可能与阿司匹林相关的术中或术后出血(如神经外科手术)，推荐考虑输注血小板（剂量：0.7×10^11/10kg）。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于可能与阿司匹林相关的术中或术后出血(如神经外科手术)，推荐考虑输注血小板（剂量：0.7×10^11/10kg）。（证据级别：低；推荐强度：弱推荐）
For intra-operative or postoperative bleeding, for example, in neurosurgery, supposedly related to aspirin, we suggest that platelet transfusion be considered (dose: 0.7 per 10 kg body weight in adults). （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
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[tjqd] =>
[nianfen] => 2023
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[tjyjyw] =>
[lyyw] => We recommend that aspirin be continued for at least 4 weeks after bare metal stent (BMS) implantation and for 3 to 12 months after drug-eluting stent (DES) implantation, unless the risk of life-threatening surgical bleeding on aspirin is unacceptably high. （Evidence level: high；Recommendation grade: strong）
[laiyuan] => 建议在裸金属支架置入后继续服用阿司匹林至少4周，在药物洗脱支架置入后继续服用3 ~12个月，除非服用阿司匹林导致致命性手术出血的风险非常高。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在裸金属支架置入后继续服用阿司匹林至少4周，在药物洗脱支架置入后继续服用3 ~12个月，除非服用阿司匹林导致致命性手术出血的风险非常高。（证据级别：高；推荐强度：强推荐）
We recommend that aspirin be continued for at least 4 weeks after bare metal stent (BMS) implantation and for 3 to 12 months after drug-eluting stent (DES) implantation, unless the risk of life-threatening surgical bleeding on aspirin is unacceptably high. （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
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2023
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[tjqd] =>
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[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is probably recommended to closely monitor depth of anaesthesia, particularly in patients at risk due to comorbidities or to the operation itself, the objective being to reduce neurocognitive postoperative complications（Evidence level:2+；Recommendation grade:Strong）.
[laiyuan] => 建议密切监测麻醉深度，特别是对有合并症或手术本身风险的患者，目的是减少术后神经认知并发症（证据级别：2+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议密切监测麻醉深度，特别是对有合并症或手术本身风险的患者，目的是减少术后神经认知并发症（证据级别：2+；推荐强度：强推荐）
It is probably recommended to closely monitor depth of anaesthesia, particularly in patients at risk due to comorbidities or to the operation itself, the objective being to reduce neurocognitive postoperative complications（Evidence level:2+；Recommendation grade:Strong）.
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：The French Society of Anesthesiology and Intensive
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2023
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[zjfj] =>
[tjqd] =>
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[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is recommended to combat perioperative hypothermia so as to reduce occurrence of postoperative complications（Evidence level:1+；Recommendation grade:Strong）.
[laiyuan] => 建议避免围手术期低温，以减少术后并发症的发生。（证据级别：1+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议避免围手术期低温，以减少术后并发症的发生。（证据级别：1+；推荐强度：强推荐）
It is recommended to combat perioperative hypothermia so as to reduce occurrence of postoperative complications（Evidence level:1+；Recommendation grade:Strong）.
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：The French Society of Anesthesiology and Intensive
