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Array ( [id] => 1768 [catid] => 290 [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/1768.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 suggest conducting the preoperative assessment as early as possible but within 30 days of the planned procedure for high-risk patients, to allow patient optimisation and fitness improvement for surgery. (CPS) [laiyuan] => 我们建议尽早进行术前评估，但在高危患者计划手术后 30 天内进行，以便优化患者并改善手术健康状况。（非常低的证据质量） [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们建议尽早进行术前评估，但在高危患者计划手术后 30 天内进行，以便优化患者并改善手术健康状况。（非常低的证据质量）

We suggest conducting the preoperative assessment as early as possible but within 30 days of the planned procedure for high-risk patients, to allow patient optimisation and fitness improvement 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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1769 [catid] => 290 [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/1769.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 suggest referral to a specialist (cardiologist, pneumologist, allergologist, etc.) to make an accurate diagnosis and, if the patient's underlying condition can be improved, to set out a time scale and treatment regimen to obtain this improvement. Only at the end of this process, when the patient is ‘optimised’, can the anaesthetist make a prediction/estimate of the risk. (CPS)) [laiyuan] => 我们建议转诊给专科医师(心脏科医生、呼吸科医生、过敏科医生等。)，以做出准确的诊断，如果患者的基本情况可以改善，则制定一个时间表和治疗方案来获得这种改善。只有在这个过程的最后，当患者被"优化"时，麻醉师才能对风险做出预测/估计。( 非常低的证据质量 ) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们建议转诊给专科医师(心脏科医生、呼吸科医生、过敏科医生等。)，以做出准确的诊断，如果患者的基本情况可以改善，则制定一个时间表和治疗方案来获得这种改善。只有在这个过程的最后，当患者被"优化"时，麻醉师才能对风险做出预测/估计。( 非常低的证据质量 )

We suggest referral to a specialist (cardiologist, pneumologist, allergologist, etc.) to make an accurate diagnosis and, if the patient's underlying condition can be improved, to set out a time scale and treatment regimen to obtain this improvement. Only at the end of this process, when the patient is ‘optimised’, can the anaesthetist make a prediction/estimate of the risk. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1770 [catid] => 290 [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/1770.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] => An expert anaesthetist should coordinate the preoperative evaluation involving a multidisciplinary team discussion when needed. (CPS) [laiyuan] => 麻醉专家应在需要时协调术前评估，包括多学科团队讨论。（非常低的证据质量） [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
麻醉专家应在需要时协调术前评估，包括多学科团队讨论。（非常低的证据质量）

An expert anaesthetist should coordinate the preoperative evaluation involving a multidisciplinary team discussion when needed. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1771 [catid] => 290 [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/1771.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 suggest using the Revised Cardiac Risk Index (RCRI) score in preoperative patient risk stratification. (2C) [laiyuan] => 我们建议使用修正的心脏风险指数( Revised Cardiac Risk Index，RCRI )评分对术前患者进行危险分层。( 2C ) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们建议使用修正的心脏风险指数( Revised Cardiac Risk Index，RCRI )评分对术前患者进行危险分层。( 2C )

We suggest using the Revised Cardiac Risk Index (RCRI) score in preoperative patient risk stratification. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1772 [catid] => 290 [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/1772.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 ordering preoperative blood tests, we suggest using natriuretic peptides as biological markers in high-risk patients (RCRI >2) undergoing high-risk surgery. (2C) [laiyuan] => 在进行术前血液检查时，我们建议使用利钠肽作为接受高危手术的高危患者的生物标志物。(2C ) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
在进行术前血液检查时，我们建议使用利钠肽作为接受高危手术的高危患者的生物标志物。(2C )

When ordering preoperative blood tests, we suggest using natriuretic peptides as biological markers in high-risk patients (RCRI >2) undergoing high-risk surgery. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1773 [catid] => 290 [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/1773.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 completing the WHO Disability Assessment Schedule 2.0 in high-risk patients before surgery as this could be useful to inform the patients about the risks of postoperative disability. (1C) [laiyuan] => 我们建议在术前完成世界卫生组织残疾评估表2.0，这将有助于告知患者术后残疾的风险。( 1C ) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在术前完成世界卫生组织残疾评估表2.0，这将有助于告知患者术后残疾的风险。( 1C )

We recommend completing the WHO Disability Assessment Schedule 2.0 in high-risk patients before surgery as this could be useful to inform the patients about the risks of postoperative disability. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1774 [catid] => 290 [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/1774.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 suggest using a focused POCUS examination of the heart and lung, performed by a trained anaesthetist, in patients with any concerns regarding cardiovascular comorbidity before urgent or emergency surgery to address significant cardiac abnormalities and request a cardiology consultation and trigger more thorough cardiovascular monitoring, but it should not delay surgery. (2B) [laiyuan] => 我们建议在急诊或急诊手术前，由经过培训的麻醉师对有心血管合并症的患者进行集中的床旁超声心肺检查，以解决显著的心脏异常，并要求心内科会诊，并触发更彻底的心血管监测，但不应推迟手术。( 证据级别：弱；推荐强度：强推荐) [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在急诊或急诊手术前，由经过培训的麻醉师对有心血管合并症的患者进行集中的床旁超声心肺检查，以解决显著的心脏异常，并要求心内科会诊，并触发更彻底的心血管监测，但不应推迟手术。( 证据级别：弱；推荐强度：强推荐)

We suggest using a focused POCUS examination of the heart and lung, performed by a trained anaesthetist, in patients with any concerns regarding cardiovascular comorbidity before urgent or emergency surgery to address significant cardiac abnormalities and request a cardiology consultation and trigger more thorough cardiovascular monitoring, but it should not delay surgery. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1775 [catid] => 290 [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/1775.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 compelling evidence that a preoperative focused cardiac POCUS exam in patients with or without known chronic heart failure or coronary artery disease before elective high-risk surgery could reduce postoperative morbidity. (2B) [laiyuan] => 没有令人信服的证据表明，在择期高危手术之前，对患有或不患有已知慢性心力衰竭或冠状动脉疾病的患者进行术前聚焦心脏床旁超声 检查可以降低术后发病率。（2B） [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
没有令人信服的证据表明，在择期高危手术之前，对患有或不患有已知慢性心力衰竭或冠状动脉疾病的患者进行术前聚焦心脏床旁超声 检查可以降低术后发病率。（2B）

There is no compelling evidence that a preoperative focused cardiac POCUS exam in patients with or without known chronic heart failure or coronary artery disease before elective high-risk surgery could reduce postoperative morbidity. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1776 [catid] => 290 [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/1776.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 assessing the patient's airway before any procedure. (1C) [laiyuan] => 我们建议在进行任何手术前评估患者的气道。（1C） [znzldj] => B级 [_inputtime] => 1733973656 [_updatetime] => 1733973656 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在进行任何手术前评估患者的气道。（1C）

We recommend assessing the patient's airway before any procedure. (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

来源 Preoperative assessment of adults undergoing elective noncardiac surgery Updated guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1703 [catid] => 302 [title] => Prevention of perioperative venous thromboembolism: 2024 guidelines from the French Working Group on Perioperative Haemostasis (GIHP) developed in collaboration with the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Society of Vascular Medicine (SFMV) and endorsed by the French Society of Digestive Surgery (SFCD), the French Society of Pharmacology and Therapeutics (SFPT) and INNOVTE (Investigation Network On Venous ThromboEmbolism) network [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/1703.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:19:01 [updatetime] => 2024-12-12 11:19:01 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/39447869/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => Anaesthesia, critical care & pain medicine [pdf] => [tjyjyw] => [lyyw] => We recommend using IPC if venous thromboprophylaxis is indicated but anticoagulants are contraindicated.（Evidence level:High；Recommendation grade:Strong） [laiyuan] => 我们建议，如果有静脉血栓预防的指征但抗凝剂存在禁忌证，那么应使用间歇性充气加压装置。（证据分级：高；推荐强度：强推荐） [znzldj] => B级 [_inputtime] => 1733973541 [_updatetime] => 1733973541 [_nrjc] => [_nrsh] => )
推荐意见
我们建议，如果有静脉血栓预防的指征但抗凝剂存在禁忌证，那么应使用间歇性充气加压装置。（证据分级：高；推荐强度：强推荐）

We recommend using IPC if venous thromboprophylaxis is indicated but anticoagulants are contraindicated.（Evidence level:High；Recommendation grade:Strong）

证据评价方法：GRADE

指南质量等级：B级

年份：2024

国家：Anaesthesia, critical care & pain medicine

来源 Prevention of perioperative venous thromboembolism: 2024 guidelines from the French Working Group on Perioperative Haemostasis (GIHP) developed in collaboration with the French Society of Anaesthesia and Intensive Care Medicine (SFAR), the French Society of Thrombosis and Haemostasis (SFTH) and the French Society of Vascular Medicine (SFMV) and endorsed by the French Society of Digestive Surgery (SFCD), the French Society of Pharmacology and Therapeutics (SFPT) and INNOVTE (Investigation Network On Venous ThromboEmbolism) network
原文链接
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