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[catid] => 302
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is probably recommended to have the patient walk, ideally during the first 12 postoperative hours, and in all cases before the 24th postoperative hour, the objective being to reduce postoperative complications（Evidence level:2+；Recommendation grade:Strong）.
[laiyuan] => 建议患者理想情况下应在术后前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，以减少术后并发症。（证据级别：2+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
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)
推荐意见
建议患者理想情况下应在术后前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，以减少术后并发症。（证据级别：2+；推荐强度：强推荐）
It is probably recommended to have the patient walk, ideally during the first 12 postoperative hours, and in all cases before the 24th postoperative hour, the objective being to reduce 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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[catid] => 303
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
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[tjyjyw] =>
[lyyw] => It is probably recommended to establish a list of criteria for hospital discharge, the objective being to reduce length of stay, without affecting occurrence of postoperative complications（Evidence level:2+；Recommendation grade:Strong）.
[laiyuan] => 建议建立出院标准清单，目的是在不影响术后并发症发生率的情况下减少住院时间。（证据级别：2+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议建立出院标准清单，目的是在不影响术后并发症发生率的情况下减少住院时间。（证据级别：2+；推荐强度：强推荐）
It is probably recommended to establish a list of criteria for hospital discharge, the objective being to reduce length of stay, without affecting occurrence of 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
Array
(
[id] => 1178
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
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[author] => 系统管理员
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => The decision to perform EBP under radiological guidance should be individualized based on patient factors, including age, BMI, degree of spondylotic change, context of dural puncture, and prior lumbar spine surgeries and, provider expertise. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 影像学引导下进行硬膜外血补丁治疗应根据患者因素进行个体化决策，包括年龄、体重指数、退行性变程度、蛛网膜穿刺情况以及前次腰椎手术情况，同时还应考虑临床医师的专业水平。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
影像学引导下进行硬膜外血补丁治疗应根据患者因素进行个体化决策，包括年龄、体重指数、退行性变程度、蛛网膜穿刺情况以及前次腰椎手术情况，同时还应考虑临床医师的专业水平。（证据级别：低；推荐强度：Grade I）
The decision to perform EBP under radiological guidance should be individualized based on patient factors, including age, BMI, degree of spondylotic change, context of dural puncture, and prior lumbar spine surgeries and, provider expertise. (Evidence: Low Level of Certainty，Recommendation: Grade I)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
(
[id] => 1179
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 系统管理员
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[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Radiological guidance should consider risk-benefit analysis, available resources, and follow-up capabilities, and where the clinician determines that EBP cannot be safely performed with landmarks alone. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 影像学引导下的治疗应考虑风险-收益分析、可用资源、随访能力以及当临床医师认为仅靠解剖标志无法安全地进行硬膜外血补丁治疗时。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
影像学引导下的治疗应考虑风险-收益分析、可用资源、随访能力以及当临床医师认为仅靠解剖标志无法安全地进行硬膜外血补丁治疗时。（证据级别：低；推荐强度：Grade I）
Radiological guidance should consider risk-benefit analysis, available resources, and follow-up capabilities, and where the clinician determines that EBP cannot be safely performed with landmarks alone. (Evidence: Low Level of Certainty，Recommendation: Grade I)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
(
[id] => 1180
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1180.html
[link_id] => 0
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[inputip] => 14.105.95.222
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[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Strict aseptic technique should be observed in both collection and injection of autologous blood. (Evidence: Moderate Level of Certainty，Recommendation: Grade A)
[laiyuan] => 采集和注射自体血液均应遵守严格的无菌技术。（证据级别：中；推荐强度：Grade A）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
采集和注射自体血液均应遵守严格的无菌技术。（证据级别：中；推荐强度：Grade A）
Strict aseptic technique should be observed in both collection and injection of autologous blood. (Evidence: Moderate Level of Certainty，Recommendation: Grade A)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
(
[id] => 1181
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
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[description] =>
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[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence does not support routine use of blood cultures before an EBP. (Evidence: Low Level of Certainty，Recommendation: Grade D)
[laiyuan] => 证据不支持在进行硬膜外血补丁治疗前常规使用血培养。（证据级别：低；推荐强度：Grade D）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
证据不支持在进行硬膜外血补丁治疗前常规使用血培养。（证据级别：低；推荐强度：Grade D）
Evidence does not support routine use of blood cultures before an EBP. (Evidence: Low Level of Certainty，Recommendation: Grade D)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[id] => 1182
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
[description] =>
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[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Informed consent for an EBP should include the potential for repeat dural puncture, backache, and neurological complications. (Evidence: High Level of Certainty，Recommendation: Grade A)
[laiyuan] => 对实行硬膜外血补丁的知情同意应包括可能出现的反复硬脊膜穿刺、背痛和神经并发症。（证据级别：高；推荐强度：Grade A）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对实行硬膜外血补丁的知情同意应包括可能出现的反复硬脊膜穿刺、背痛和神经并发症。（证据级别：高；推荐强度：Grade A）
Informed consent for an EBP should include the potential for repeat dural puncture, backache, and neurological complications. (Evidence: High Level of Certainty，Recommendation: Grade A)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[id] => 1183
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => To minimize complications, blood should be injected slowly and incrementally. If the patient develops significant backache or headache (eg, pressure paresthesia), injection of blood should be stopped and resumed based on the clinical judgement if symptoms resolve. (Evidence: Moderate Level of Certainty，Recommendation: Grade A)
[laiyuan] => 为尽量减少并发症，应缓慢、递增地注入血液。如果患者出现明显的腰痛或头痛(如压迫性感觉异常)，应停止注射血液，症状消失后根据临床判断恢复注射血液。（证据级别：中；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
为尽量减少并发症，应缓慢、递增地注入血液。如果患者出现明显的腰痛或头痛(如压迫性感觉异常)，应停止注射血液，症状消失后根据临床判断恢复注射血液。（证据级别：中；推荐强度：Grade B）
To minimize complications, blood should be injected slowly and incrementally. If the patient develops significant backache or headache (eg, pressure paresthesia), injection of blood should be stopped and resumed based on the clinical judgement if symptoms resolve. (Evidence: Moderate Level of Certainty，Recommendation: Grade A)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => After an EBP, if backache persists, increases in severity, or changes in its nature, other diagnoses should be investigated. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 硬膜外血补丁后，如果背痛持续存在、加重或性质变化，应进行其他诊断。（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
硬膜外血补丁后，如果背痛持续存在、加重或性质变化，应进行其他诊断。（证据级别：低；推荐强度：Grade C）
After an EBP, if backache persists, increases in severity, or changes in its nature, other diagnoses should be investigated. (Evidence: Low Level of Certainty，Recommendation: Grade C)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
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[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Epidural analgesia and anesthesia can be effective following EBP and should not be withheld. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 进行过硬膜外血补丁的患者可以使用硬脊膜外镇痛和麻醉，并不应该被禁止。（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
进行过硬膜外血补丁的患者可以使用硬脊膜外镇痛和麻醉，并不应该被禁止。（证据级别：低；推荐强度：Grade C）
Epidural analgesia and anesthesia can be effective following EBP and should not be withheld. (Evidence: Low Level of Certainty，Recommendation: Grade C)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
