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Array ( [id] => 1748 [catid] => 203 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1748.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend using frailty testing as an effective tool for predicting postoperative outcomes, especially for assessing the risk of delirium. (1C) [laiyuan] => 我们建议将虚弱程度测试作为预测术后结果的有效工具,尤其是用于评估谵妄的风险。(1C) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们建议将虚弱程度测试作为预测术后结果的有效工具,尤其是用于评估谵妄的风险。(1C)

We recommend using frailty testing as an effective tool for predicting postoperative outcomes, especially for assessing the risk of delirium. (1C)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1749 [catid] => 191 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1749.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend using the Clinical Frailty Scale if the preoperative anaesthesia physical examination reveals the presence of a frailty phenotype. We should ask for evaluation by a geriatrician to improve the cognitive, nutritional and comorbidity status by delaying surgery (time-sensitive or elective procedures) when possible. (1C) [laiyuan] => 如果术前麻醉体检发现存在虚弱表型,我们建议使用临床虚弱量表。我们应要求老年病学专家进行评估,以改善认知、营养和合并症状况,尽可能推迟手术(时间敏感或选择性手术)。(1C) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
如果术前麻醉体检发现存在虚弱表型,我们建议使用临床虚弱量表。我们应要求老年病学专家进行评估,以改善认知、营养和合并症状况,尽可能推迟手术(时间敏感或选择性手术)。(1C)

We recommend using the Clinical Frailty Scale if the preoperative anaesthesia physical examination reveals the presence of a frailty phenotype. We should ask for evaluation by a geriatrician to improve the cognitive, nutritional and comorbidity status by delaying surgery (time-sensitive or elective procedures) when possible. (1C)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1750 [catid] => 203 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1750.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend using the Clinical Frailty Scale because of its high feasibility and predictive values. (1C) [laiyuan] => 术后并发症风险高但需要低风险手术的患者,我们建议使用临床虚弱量表,因为它具有很高的可行性和预测价值。(1C) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
术后并发症风险高但需要低风险手术的患者,我们建议使用临床虚弱量表,因为它具有很高的可行性和预测价值。(1C)

We recommend using the Clinical Frailty Scale because of its high feasibility and predictive values. (1C)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1751 [catid] => 203 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1751.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => The role of prehabilitation should be established in noncardiac surgery patients.(2B) [laiyuan] => 在非心脏手术患者中,应确立预康复的作用(2B)。 [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
在非心脏手术患者中,应确立预康复的作用(2B)。

The role of prehabilitation should be established in noncardiac surgery patients.(2B)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1752 [catid] => 203 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1752.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Nutritional support before surgery should be considered in noncardiac surgery patients.(2C) [laiyuan] => 非心脏手术患者术前应考虑营养支持(2C)。 [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
非心脏手术患者术前应考虑营养支持(2C)。

Nutritional support before surgery should be considered in noncardiac surgery patients.(2C)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1753 [catid] => 204 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1753.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We do not recommend routine admission to the ICU for patients with stable cardiac diseases undergoing elective major surgery. Selective access to the ICU in this subset of patients following a multidisciplinary evaluation of the risk-to-benefit ratio might be more appropriate. (1C) [laiyuan] => 我们不建议接受择期大手术的稳定心脏病患者常规入住ICU。在对风险效益比进行多学科评估后,对这部分患者选择性进入ICU可能更合适。(1C) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们不建议接受择期大手术的稳定心脏病患者常规入住ICU。在对风险效益比进行多学科评估后,对这部分患者选择性进入ICU可能更合适。(1C)

We do not recommend routine admission to the ICU for patients with stable cardiac diseases undergoing elective major surgery. Selective access to the ICU in this subset of patients following a multidisciplinary evaluation of the risk-to-benefit ratio might be more appropriate. (1C)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1754 [catid] => 192 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1754.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => When a GLP-1 agonist is prescribed as a weekly injection and considering the long half-life of GLP-1 agonists, we recommend pausing GLP-1 agonists at least 1 week before a scheduled procedure requiring sedation/anaesthesia. If these drugs are given for obesity, then 2 weeks (three half-lives) are recommended. (CPS) [laiyuan] => 当每周注射一次胰高血糖素样肽-1激动剂(GLP-1激动剂)时,考虑到GLP-1激动剂的长半衰期,我们建议在需要镇静/麻醉的预定程序前至少1周停用GLP-1激动剂。如果这些药物用于治疗肥胖症,则建议使用2周(三个半衰期)。(非常低的证据质量) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
当每周注射一次胰高血糖素样肽-1激动剂(GLP-1激动剂)时,考虑到GLP-1激动剂的长半衰期,我们建议在需要镇静/麻醉的预定程序前至少1周停用GLP-1激动剂。如果这些药物用于治疗肥胖症,则建议使用2周(三个半衰期)。(非常低的证据质量)

When a GLP-1 agonist is prescribed as a weekly injection and considering the long half-life of GLP-1 agonists, we recommend pausing GLP-1 agonists at least 1 week before a scheduled procedure requiring sedation/anaesthesia. If these drugs are given for obesity, then 2 weeks (three half-lives) are recommended. (CPS)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1755 [catid] => 192 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1755.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => If the medication is prescribed as daily oral or subcutaneous administration, we recommend pausing GLP-1 agonists on the day of the procedure. (CPS) [laiyuan] => 如果处方药物为每日口服或皮下注射,我们建议在手术当天暂停使用胰高血糖素样肽-1激动剂(GLP-1 激动剂)。(极低的证据质量) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
如果处方药物为每日口服或皮下注射,我们建议在手术当天暂停使用胰高血糖素样肽-1激动剂(GLP-1 激动剂)。(极低的证据质量)

If the medication is prescribed as daily oral or subcutaneous administration, we recommend pausing GLP-1 agonists on the day of the procedure. (CPS)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1756 [catid] => 192 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1756.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => There is no evidence to show that stopping these medications even 1 week before the procedure will eliminate the risk of delayed gastric emptying, despite following the usual fasting timing for surgery. (CPS) [laiyuan] => 没有证据表明,即使在手术前一周停用胰高血糖素样肽-1激动剂(GLP-1激动剂)或钠-葡萄糖协同转运蛋白-2抑制剂(SGLT2i),就能消除胃排空延迟的风险,尽管手术时要遵守通常的禁食时间。(非常低的证据质量) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
没有证据表明,即使在手术前一周停用胰高血糖素样肽-1激动剂(GLP-1激动剂)或钠-葡萄糖协同转运蛋白-2抑制剂(SGLT2i),就能消除胃排空延迟的风险,尽管手术时要遵守通常的禁食时间。(非常低的证据质量)

There is no evidence to show that stopping these medications even 1 week before the procedure will eliminate the risk of delayed gastric emptying, despite following the usual fasting timing for surgery. (CPS)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1757 [catid] => 193 [title] => Preoperative assessment of adults undergoing elective noncardiac surgery:Updated guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1757.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:20:56 [updatetime] => 2024-12-12 11:20:56 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39492705/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => A clear fluid diet should be encouraged 24 h before any procedure in patients taking GLP-1 agonists. (CPS) [laiyuan] => 对于服用胰高血糖素样肽-1激动剂(GLP-1激动剂)的患者,在进行任何手术前24小时,应鼓励患者进行清亮的流质饮食。(非常低的证据质量) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
对于服用胰高血糖素样肽-1激动剂(GLP-1激动剂)的患者,在进行任何手术前24小时,应鼓励患者进行清亮的流质饮食。(非常低的证据质量)

A clear fluid diet should be encouraged 24 h before any procedure in patients taking GLP-1 agonists. (CPS)

证据评价方法:GRADE

指南质量等级:B级

年份:2024

国家:The European Society of Anaesthesiology and Intens

阅读