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Array ( [id] => 1208 [catid] => 301 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1208.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to set up a protocol for prevention of postoperative nausea and vomiting in view of facilitating postoperative rehabilitation(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 为加快术后康复,建议制定术后恶心呕吐预防方案。(证据级别:1+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
为加快术后康复,建议制定术后恶心呕吐预防方案。(证据级别:1+;推荐强度:强推荐)

It is recommended to set up a protocol for prevention of postoperative nausea and vomiting in view of facilitating postoperative rehabilitation(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

阅读
Array ( [id] => 1209 [catid] => 301 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1209.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to administer intravenous dexamethasone at a dose of 4 or 8 mg in general anaesthesia so as to reduce postoperative complications, particularly postoperative nausea and vomiting(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 建议全身麻醉时静脉注射4或8毫克地塞米松,以减少术后并发症,特别是对于术后恶心和呕吐。(证据级别:1+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
建议全身麻醉时静脉注射4或8毫克地塞米松,以减少术后并发症,特别是对于术后恶心和呕吐。(证据级别:1+;推荐强度:强推荐)

It is recommended to administer intravenous dexamethasone at a dose of 4 or 8 mg in general anaesthesia so as to reduce postoperative complications, particularly postoperative nausea and vomiting(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

阅读
Array ( [id] => 1210 [catid] => 294 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1210.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to perioperatively administer tranexamic acid in major surgery and/or in the event of haemorrhagic risk, the objective being to reduce haemorrhagic complications and/or perioperative and postoperative transfusion. GRADE 1+ (Accord Fort) [laiyuan] => 建议在大手术和/或有出血风险的情况下,在围手术期使用氨甲环酸,目的是减少出血并发症和/或围手术期和术后输血。 [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
建议在大手术和/或有出血风险的情况下,在围手术期使用氨甲环酸,目的是减少出血并发症和/或围手术期和术后输血。

It is recommended to perioperatively administer tranexamic acid in major surgery and/or in the event of haemorrhagic risk, the objective being to reduce haemorrhagic complications and/or perioperative and postoperative transfusion. GRADE 1+ (Accord Fort)

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

阅读
Array ( [id] => 1211 [catid] => 291 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1211.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to administer antibiotic prophylaxis in compliance with the indications and means of delivery specified in the SFAR ‘‘Antibiotic prophylaxis’’ guidelines, the objective being to reduce surgical site infections(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 建议按照法国麻醉和重症医学学会制定的《Antibiotic prophylaxis》指南中规定的适应症和给药方式应用抗生素预防,以减少手术部位感染。(证据级别:1+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
建议按照法国麻醉和重症医学学会制定的《Antibiotic prophylaxis》指南中规定的适应症和给药方式应用抗生素预防,以减少手术部位感染。(证据级别:1+;推荐强度:强推荐)

It is recommended to administer antibiotic prophylaxis in compliance with the indications and means of delivery specified in the SFAR ‘‘Antibiotic prophylaxis’’ guidelines, the objective being to reduce surgical site infections(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

阅读
Array ( [id] => 1212 [catid] => 295 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1212.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to monitor curarization and to comply with the formalized expert recommendations guidelines entitled ‘‘muscle reversal and relaxation in anaesthesia’’ concerning decurarization, the objective being to reduce postoperative complications(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 建议按照《Muscle reversal and relaxation in anaesthesia》专家共识中所涉及到的肌松监测相关内容进行肌松监测,目的是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
建议按照《Muscle reversal and relaxation in anaesthesia》专家共识中所涉及到的肌松监测相关内容进行肌松监测,目的是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 monitor curarization and to comply with the formalized expert recommendations guidelines entitled ‘‘muscle reversal and relaxation in anaesthesia’’ concerning decurarization, the objective being to reduce 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

阅读
Array ( [id] => 1213 [catid] => 299 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1213.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to utilize multimodal analgesia associating analgesics other than morphine (AOM) with local anaesthetics, thereby implementing opioid-sparing pain management and reducing length of stay and postoperative complications(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 推荐使用吗啡以外的镇痛药(AOM)联合局部麻醉药的多模式镇痛,从而实施节约阿片类药物的疼痛管理,减少住院时间和术后并发症(证据级别:1+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用吗啡以外的镇痛药(AOM)联合局部麻醉药的多模式镇痛,从而实施节约阿片类药物的疼痛管理,减少住院时间和术后并发症(证据级别:1+;推荐强度:强推荐)

It is recommended to utilize multimodal analgesia associating analgesics other than morphine (AOM) with local anaesthetics, thereby implementing opioid-sparing pain management and reducing length of stay and 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

阅读
Array ( [id] => 1214 [catid] => 297 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1214.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to implement thrombosis prevention protocols in order to reduce the risks of venous thromboembolic events and postoperative complications. The protocols include early walking, thromboprophylaxis treatment and intermittent pneumatic compression for which the indications depend on the venous thromboembolic risk entailed by the operation and the patient’s state of health(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 建议施行血栓预防方案,以减少静脉血栓栓塞和术后并发症的发生风险。方案包括早期活动、血栓预防治疗和使用间歇充气压力泵,其适应症取决于手术带来的静脉血栓栓塞风险和患者的健康状况。(证据级别:1+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
建议施行血栓预防方案,以减少静脉血栓栓塞和术后并发症的发生风险。方案包括早期活动、血栓预防治疗和使用间歇充气压力泵,其适应症取决于手术带来的静脉血栓栓塞风险和患者的健康状况。(证据级别:1+;推荐强度:强推荐)

It is recommended to implement thrombosis prevention protocols in order to reduce the risks of venous thromboembolic events and postoperative complications. The protocols include early walking, thromboprophylaxis treatment and intermittent pneumatic compression for which the indications depend on the venous thromboembolic risk entailed by the operation and the patient’s state of health(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

阅读
Array ( [id] => 1215 [catid] => 302 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1215.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to implement postoperative measures in post-anaesthesia care units, particularly resumed fluid intake, ambulation, withdrawal of urinary (and other) catheters, the objective being to reduce length of hospital stay and postoperative complications(Evidence level:2+;Recommendation grade:Strong). [laiyuan] => 建议在麻醉后监护病房实施术后措施,特别是恢复液体摄入、活动、拔除尿管(和其他),目的是减少住院时间和术后并发症。(证据级别:2+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
建议在麻醉后监护病房实施术后措施,特别是恢复液体摄入、活动、拔除尿管(和其他),目的是减少住院时间和术后并发症。(证据级别:2+;推荐强度:强推荐)

It is probably recommended to implement postoperative measures in post-anaesthesia care units, particularly resumed fluid intake, ambulation, withdrawal of urinary (and other) catheters, the objective being to reduce length of hospital stay and 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

阅读
Array ( [id] => 1216 [catid] => 302 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1216.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to start oral feeding during the first 24 postoperative hours, the objectives being to limit length of hospital stay and occurrence of complications, including in the aftermath of intestinal anastomosis (with the exception of surgery for oropharyngeal cancer, and in the absence of any surgical contraindication)(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 建议在术后24 h内开始经口进食,目的是减少住院时间和并发症的发生,包括肠吻合术后(口咽癌手术除外,无手术禁忌证)(证据级别:1+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
建议在术后24 h内开始经口进食,目的是减少住院时间和并发症的发生,包括肠吻合术后(口咽癌手术除外,无手术禁忌证)(证据级别:1+;推荐强度:强推荐)

It is recommended to start oral feeding during the first 24 postoperative hours, the objectives being to limit length of hospital stay and occurrence of complications, including in the aftermath of intestinal anastomosis (with the exception of surgery for oropharyngeal cancer, and in the absence of any surgical contraindication)(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

阅读
Array ( [id] => 1217 [catid] => 302 [title] => Guidelines on perioperative optimization protocol for the adult patient 2023 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1217.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:23:50 [updatetime] => 2024-01-11 15:23:50 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => The French Society of Anesthesiology and Intensive [pdf] => [tjyjyw] => [lyyw] => It is recommended to have the patient walk at an early stage, ideally during the first 12 postoperative hours, and in all cases before the 24th postoperative hour, the objective being to reduce length of hospital stay(Evidence level:1+;Recommendation grade:Strong). [laiyuan] => 建议患者术后早期下床活动,理想情况患者应在术后前12小时进行活动,任何情况患者均应在术后24小时之前进行活动,以减少住院时间。(证据级别:1+;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957830 [_updatetime] => 1704957830 [_nrjc] => [_nrsh] => )
推荐意见
建议患者术后早期下床活动,理想情况患者应在术后前12小时进行活动,任何情况患者均应在术后24小时之前进行活动,以减少住院时间。(证据级别:1+;推荐强度:强推荐)

It is recommended to have the patient walk at an early stage, ideally during the first 12 postoperative hours, and in all cases before the 24th postoperative hour, the objective being to reduce length of hospital stay(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

阅读