Array
(
[id] => 1140
[catid] => 203
[title] => ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1140.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:33
[updatetime] => 2024-01-11 15:23:33
[displayorder] => 0
[nrjc] => Array
(
)
[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://guide.medlive.cn/guideline/28939
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => ESAIC
[pdf] =>
[tjyjyw] =>
[lyyw] => The use of postoperative BNP/NT-proBNP-enhanced management to improve outcomes should only be used in the context of clinical research. Level of evidence:No data；Recommendation grade:No recommendation.
[laiyuan] => 术后BNP/NT-proBNP强化管理改善预后应仅在临床研究的背景下使用。（证据等级：无数据；推荐强度：不推荐）
[znzldj] => A
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术后BNP/NT-proBNP强化管理改善预后应仅在临床研究的背景下使用。（证据等级：无数据；推荐强度：不推荐）
The use of postoperative BNP/NT-proBNP-enhanced management to improve outcomes should only be used in the context of clinical research. Level of evidence:No data；Recommendation grade:No recommendation.
证据评价方法：GRADE
指南质量等级：A
年份：2023
国家：ESAIC
Array
(
[id] => 1101
[catid] => 30
[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] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1101.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:32
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[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
[dzl] => 0
[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => To minimize the risk of aspiration after induction of anesthesia rapid control of the airway with intubation using a fast-acting muscle relaxant such as
succinylcholine 1–2 mg kg -1 or rocuronium 0.9 to 1.2 mg kg -1 for placement of an endotracheal tube should be used. We recommend the use of cricoid pressure according to the practitioner’s respective national guidelines. Drugs for induction of anesthesia should be selected and dosed appropriately to maintain hemodynamic stability.Evidence level: Moderate；Recommendation grade: Strong
[laiyuan] => 为了减少麻醉诱导后的误吸风险，使用速效肌松剂，如置入气管导管时应使用琥珀胆碱1-2mg/kg或罗库溴铵0.9-1.2mg/kg。我们建议根据执业医师各自的国家指南使用环状软骨压力。麻醉诱导时应选择合适的药物和剂量，以维持血流动力学稳定（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
为了减少麻醉诱导后的误吸风险，使用速效肌松剂，如置入气管导管时应使用琥珀胆碱1-2mg/kg或罗库溴铵0.9-1.2mg/kg。我们建议根据执业医师各自的国家指南使用环状软骨压力。麻醉诱导时应选择合适的药物和剂量，以维持血流动力学稳定（证据级别：中；推荐强度：强推荐）
To minimize the risk of aspiration after induction of anesthesia rapid control of the airway with intubation using a fast-acting muscle relaxant such as
succinylcholine 1–2 mg kg -1 or rocuronium 0.9 to 1.2 mg kg -1 for placement of an endotracheal tube should be used. We recommend the use of cricoid pressure according to the practitioner’s respective national guidelines. Drugs for induction of anesthesia should be selected and dosed appropriately to maintain hemodynamic stability.Evidence level: 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
Array
(
[id] => 1102
[catid] => 30
[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] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1102.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:32
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[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
[dzl] => 0
[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => There is no evidence to recommend one anesthetic agent over another for maintenance of anesthesia.Level of evidence: Low；Recommendation grade: Weak
[laiyuan] => 没有证据去推荐一种麻醉药物优于另一种麻醉药维持麻醉。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
没有证据去推荐一种麻醉药物优于另一种麻醉药维持麻醉。（证据级别：低；推荐强度：弱推荐）
There is no evidence to recommend one anesthetic agent over another for maintenance of anesthesia.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
(
[id] => 1103
[catid] => 31
[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] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1103.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:32
[updatetime] => 2024-01-11 15:23:32
[displayorder] => 0
[nrjc] => Array
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[nrsh] => Array
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[xzl] => 0
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[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Consider using depth of anesthesia monitoring in patients over 60 years of age at risk of postoperative delirium and anesthesia-induced hypotension. Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 对于60岁以上有术后谵妄和麻醉性低血压风险的患者，考虑使用麻醉深度监测。（证据等级：中；推荐等级：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于60岁以上有术后谵妄和麻醉性低血压风险的患者，考虑使用麻醉深度监测。（证据等级：中；推荐等级：强推荐）
Consider using depth of anesthesia monitoring in patients over 60 years of age at risk of postoperative delirium and anesthesia-induced hypotension. 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
Array
(
[id] => 1104
[catid] => 37
[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] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1104.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:32
[updatetime] => 2024-01-11 15:23:32
[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
[dzl] => 0
[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => A multimodal approach to reducing PONV should be utilized, minimizing triggers and opioids.Level of evidence: High；Recommendation grade: Strong.
[laiyuan] => 采用多模式方法减少PONV，尽量减少诱因和阿片类药物。（证据级别：高；推荐强度：强推荐。
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
采用多模式方法减少PONV，尽量减少诱因和阿片类药物。（证据级别：高；推荐强度：强推荐。
A multimodal approach to reducing PONV should be utilized, minimizing triggers and opioids.Level of evidence: High；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
Array
(
[id] => 1105
[catid] => 34
[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] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1105.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:32
[updatetime] => 2024-01-11 15:23:32
[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
[dzl] => 0
[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Measurement of core temperature,using a reliable method to monitor the efficacy of warming measures, should be routine.Level of evidence: High；Recommendation grade: Strong
[laiyuan] => 核心温度的测量应成为常规，使用可靠的方法来监测增温措施的效果（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
核心温度的测量应成为常规，使用可靠的方法来监测增温措施的效果（证据级别：高；推荐强度：强推荐）
Measurement of core temperature,using a reliable method to monitor the efficacy of warming measures, should be routine.Level of evidence: High；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
Array
(
[id] => 1106
[catid] => 34
[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] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1106.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:32
[updatetime] => 2024-01-11 15:23:32
[displayorder] => 0
[nrjc] => Array
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[nrsh] => Array
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[xzl] => 0
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[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Active warming devices and warming of intravenous fluids should be used to maintain normothermia.Level of evidence: High；Recommendation grade: Strong
[laiyuan] => 应使用主动加温装置和静脉输液加温以维持体温正常（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应使用主动加温装置和静脉输液加温以维持体温正常（证据级别：高；推荐强度：强推荐）
Active warming devices and warming of intravenous fluids should be used to maintain normothermia.Level of evidence: High；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
Array
(
[id] => 1107
[catid] => 39
[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] =>
[keywords] =>
[description] =>
[hits] => 1
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[nrjc] => Array
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[nrsh] => Array
(
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[xzl] => 0
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[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Routine use of low tidal volume (6–8 ml/kg predicted body weight) and positive end-expiratory PEEP ≥ 5 cm H2O with titration according to flow-volume loops and clinical evaluation is recommended.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 建议常规使用低潮气量(6-8ml/kg理想体重)和PEEP≥5cm H2O，并根据流量-容量环进行调整和临床评估。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议常规使用低潮气量(6-8ml/kg理想体重)和PEEP≥5cm H2O，并根据流量-容量环进行调整和临床评估。（证据等级：中；推荐强度：强推荐）
Routine use of low tidal volume (6–8 ml/kg predicted body weight) and positive end-expiratory PEEP ≥ 5 cm H2O with titration according to flow-volume loops and clinical evaluation is recommended.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
Array
(
[id] => 1108
[catid] => 31
[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] =>
[keywords] =>
[description] =>
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[status] => 9
[url] => https://www.anes-guide.com/show/1108.html
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[xzl] => 0
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Neuromuscular blockade should be monitored using a quantitative peripheral nerve monitor to ensure adequate reversal before endotracheal extubation,with the most reliable site of monitoring being the abductor pollicis muscle.Level of evidence: High；Recommendation: Strong
[laiyuan] => 气管拔管前应使用定量外周神经监测仪监测神经肌肉阻滞，以确保充分逆转，最可靠的监测部位为拇外展肌（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
气管拔管前应使用定量外周神经监测仪监测神经肌肉阻滞，以确保充分逆转，最可靠的监测部位为拇外展肌（证据级别：高；推荐强度：强推荐）
Neuromuscular blockade should be monitored using a quantitative peripheral nerve monitor to ensure adequate reversal before endotracheal extubation,with the most reliable site of monitoring being the abductor pollicis muscle.Level of evidence: High；Recommendation: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1109
[catid] => 31
[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] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => https://www.anes-guide.com/show/1109.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:32
[updatetime] => 2024-01-11 15:23:32
[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
)
[xzl] => 0
[dzl] => 0
[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Reversal of NMB using a selective relaxant binding agent as compared with neostigmine is recommended.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 与新斯的明相比，推荐使用选择性松弛剂结合剂，通过定量外周神经逆转来监测神经肌肉阻滞。（证据等级：中等推荐等级：强推荐）
[znzldj] => B
[_inputtime] => 1704957812
[_updatetime] => 1704957812
[_nrjc] =>
[_nrsh] =>
)
推荐意见
与新斯的明相比，推荐使用选择性松弛剂结合剂，通过定量外周神经逆转来监测神经肌肉阻滞。（证据等级：中等推荐等级：强推荐）
Reversal of NMB using a selective relaxant binding agent as compared with neostigmine is recommended.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
