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[id] => 1143
[catid] => 303
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Limited evidence supports use of narrower gauge non-cutting needles over larger needles for LP to decrease the risk of PDPH.(Evidence: Moderate Level of Certainty，Recommendation: Grade C)
[laiyuan] => 有限的证据支持使用较窄口径的非切割针而非较大针进行腰椎穿刺，以减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
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)
推荐意见
有限的证据支持使用较窄口径的非切割针而非较大针进行腰椎穿刺，以减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade C）
Limited evidence supports use of narrower gauge non-cutting needles over larger needles for LP to decrease the risk of PDPH.(Evidence: Moderate 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
(
[id] => 1144
[catid] => 303
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[lyyw] => If using a cutting needle for LP, insertion with the bevel parallel to the long axis of the spine is preferred as it may decrease the risk of PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
[laiyuan] => 如果使用切割针进行腰椎穿刺，穿刺时应首选将切面平行于脊柱长轴，这可能减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果使用切割针进行腰椎穿刺，穿刺时应首选将切面平行于脊柱长轴，这可能减少硬脊膜穿破后头痛风险。（证据级别：中；推荐强度：Grade B）
If using a cutting needle for LP, insertion with the bevel parallel to the long axis of the spine is preferred as it may decrease the risk of PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
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] => 1145
[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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[zjfj] =>
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => After inadvertent dural puncture during epidural catheter placement, an intrathecal catheter may be considered to provide anesthesia/analgesia. This decision must consider potential risks associated with intrathecal catheters. (Evidence: Low Level of Certainty，Recommendation: Grade B)
[laiyuan] => 在硬脊膜外导管放置过程中发生意外硬脊膜穿孔后，可以考虑使用蛛网膜下腔导管提供麻醉或镇痛。这一决定必须考虑与蛛网膜下腔导管相关的潜在风险。（证据级别：低；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在硬脊膜外导管放置过程中发生意外硬脊膜穿孔后，可以考虑使用蛛网膜下腔导管提供麻醉或镇痛。这一决定必须考虑与蛛网膜下腔导管相关的潜在风险。（证据级别：低；推荐强度：Grade B）
After inadvertent dural puncture during epidural catheter placement, an intrathecal catheter may be considered to provide anesthesia/analgesia. This decision must consider potential risks associated with intrathecal catheters. (Evidence: Low Level of Certainty，Recommendation: Grade B)
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] => 1146
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
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[hits] =>
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[pdf] =>
[tjyjyw] =>
[lyyw] => A prophylactic EBP is not recommended as routine as there is insufficient evidence to support its effectiveness in preventing PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 不推荐常规预防性血补丁，因为目前没有足够的证据支持其在预防硬脊膜穿破后头痛的有效性。（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐常规预防性血补丁，因为目前没有足够的证据支持其在预防硬脊膜穿破后头痛的有效性。（证据级别：低；推荐强度：Grade C）
A prophylactic EBP is not recommended as routine as there is insufficient evidence to support its effectiveness in preventing PDPH. (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] => Bed rest is not routinely recommended as prophylaxis against PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade D)
[laiyuan] => 不建议常规卧床休息作为预防硬脊膜穿破后头痛的策略。（证据级别：中；推荐强度：Grade D）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不建议常规卧床休息作为预防硬脊膜穿破后头痛的策略。（证据级别：中；推荐强度：Grade D）
Bed rest is not routinely recommended as prophylaxis against PDPH. (Evidence: Moderate 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] => 1148
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[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Routine injection of any substance intrathecally or epidurally to prevent PDPH is not recommended. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 不推荐常规鞘内或硬膜外注射任何物质预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐常规鞘内或硬膜外注射任何物质预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
Routine injection of any substance intrathecally or epidurally to prevent PDPH is not recommended. (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
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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] => There is insufficient evidence to recommend routine systemic drug administration for PDPH prophylaxis. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 目前没有足够的证据推荐常规使用全身药物来预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
目前没有足够的证据推荐常规使用全身药物来预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
There is insufficient evidence to recommend routine systemic drug administration for PDPH prophylaxis. (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
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[id] => 1117
[catid] => 35
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
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[hits] => 11
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => The use of wound catheters and/or local abdominal wall blocks and catheters should be considered to reduce postoperative opioid demand but may have variable efficacy.Level of evidence: Low；Recommendation grade: Weak
[laiyuan] => 应考虑使用伤口导管和/或局部腹壁阻滞和导管来减少术后阿片类药物的需求，但可能有不同的效果（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应考虑使用伤口导管和/或局部腹壁阻滞和导管来减少术后阿片类药物的需求，但可能有不同的效果（证据级别：低；推荐强度：弱推荐）
The use of wound catheters and/or local abdominal wall blocks and catheters should be considered to reduce postoperative opioid demand but may have variable efficacy.Level of evidence: Low；Recommendation grade: Weak
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
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[tjyjyw] =>
[lyyw] => Thoracic epidural analgesia and spinal anesthesia should be used only after assessment for sepsis and abnormal coagulation. Hypotension necessitates appropriate monitoring, volume, and vasopressor therapy. Level of evidence: Low；Recommendation grade: Weak
[laiyuan] => 胸段硬膜外镇痛和腰麻应在评估脓毒症和凝血功能异常后方可应用。低血压需要适当的监测、容量补充和升压治疗。（证据级别：低；推荐强度：弱推推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
胸段硬膜外镇痛和腰麻应在评估脓毒症和凝血功能异常后方可应用。低血压需要适当的监测、容量补充和升压治疗。（证据级别：低；推荐强度：弱推推荐）
Thoracic epidural analgesia and spinal anesthesia should be used only after assessment for sepsis and abnormal coagulation. Hypotension necessitates appropriate monitoring, volume, and vasopressor therapy. Level of evidence: Low；Recommendation grade: Weak
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
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[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
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[zjfj] =>
[tjqd] =>
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[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => A multidisciplinary discussion at the end of surgery should be used to assess suitability for endotracheal extubation as the risk of postoperative pulmonary complications and reintubation is high.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 手术结束时应通过多学科讨论来评估是否适合拔管，因为术后肺部并发症和再次插管的风险较高（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
手术结束时应通过多学科讨论来评估是否适合拔管，因为术后肺部并发症和再次插管的风险较高（证据等级：中；推荐强度：强推荐）
A multidisciplinary discussion at the end of surgery should be used to assess suitability for endotracheal extubation as the risk of postoperative pulmonary complications and reintubation is high.Level of evidence: Moderate；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
