Array
(
[id] => 1734
[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] =>
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[author] => 甘肃中医院
[status] => 9
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[nianfen] => 2024
[guojia] => Anaesthesia, critical care & pain medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => When facing postoperative isolated dDVT, we recommend assessing the risk of thrombotic extension (bilateral or multiple DVT (> 1 vein), personal history of VTE, active cancer) and the bleeding risk (related to the patient and procedure) to select the optimal management.（Evidence level:High；Recommendation grade:Strong）
[laiyuan] => 当遇到术后孤立性小腿深静脉血栓（dDVT）时，我们建议评估血栓扩展的风险（双侧或多条深静脉血栓形成（涉及多于 1 条静脉）、个人静脉血栓栓塞症病史、活动性癌症）以及出血风险（与患者及手术操作相关），以便选择最佳的处理方案。（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
当遇到术后孤立性小腿深静脉血栓（dDVT）时，我们建议评估血栓扩展的风险（双侧或多条深静脉血栓形成（涉及多于 1 条静脉）、个人静脉血栓栓塞症病史、活动性癌症）以及出血风险（与患者及手术操作相关），以便选择最佳的处理方案。（证据分级：高；推荐强度：强推荐）
When facing postoperative isolated dDVT, we recommend assessing the risk of thrombotic extension (bilateral or multiple DVT (> 1 vein), personal history of VTE, active cancer) and the bleeding risk (related to the patient and procedure) to select the optimal management.（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
Array
(
[id] => 1735
[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] =>
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[author] => 甘肃中医院
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => Anaesthesia, critical care & pain medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => In the absence of risk factors for extension, we suggest starting or continuing anticoagulant thromboprophylaxis for 35 days without ultrasound monitoring.（Evidence level:moderate/Low；Recommendation grade:Strong）
[laiyuan] => 在不存在血栓扩展风险因素的情况下，我们建议开始或继续进行抗凝血栓预防，持续35天，期间无需进行超声监测。（证据分级：中或低；推荐强度：强推荐）
[znzldj] => B级
[_inputtime] => 1733973541
[_updatetime] => 1733973541
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在不存在血栓扩展风险因素的情况下，我们建议开始或继续进行抗凝血栓预防，持续35天，期间无需进行超声监测。（证据分级：中或低；推荐强度：强推荐）
In the absence of risk factors for extension, we suggest starting or continuing anticoagulant thromboprophylaxis for 35 days without ultrasound monitoring.（Evidence level:moderate/Low；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
Array
(
[id] => 1736
[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] =>
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[author] => 甘肃中医院
[status] => 9
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[inputip] => 39.144.210.1
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(
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[xzl] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => Anaesthesia, critical care & pain medicine
[pdf] =>
[tjyjyw] =>
[lyyw] => In the presence of risk factors for extension, and if the bleeding risk is low, we suggest starting therapeutic anticoagulation for 6 to 12 weeks.（Evidence level:moderate/Low；Recommendation grade:Strong）
[laiyuan] => 在存在血栓扩展风险因素且出血风险较低的情况下，我们建议开始进行为期6至12周的治疗性抗凝。（证据分级：中或低；推荐强度：强推荐）
[znzldj] => B级
[_inputtime] => 1733973541
[_updatetime] => 1733973541
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在存在血栓扩展风险因素且出血风险较低的情况下，我们建议开始进行为期6至12周的治疗性抗凝。（证据分级：中或低；推荐强度：强推荐）
In the presence of risk factors for extension, and if the bleeding risk is low, we suggest starting therapeutic anticoagulation for 6 to 12 weeks.（Evidence level:moderate/Low；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
Array
(
[id] => 1737
[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] =>
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[author] => 甘肃中医院
[status] => 9
[url] => https://www.anes-guide.com/show/1737.html
[link_id] => 0
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[inputip] => 39.144.210.1
[inputtime] => 2024-12-12 11:19:01
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[xzl] => 0
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[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] => If anticoagulant-based thromboprophylaxis is contraindicated, we suggest against therapeutic-dosing anticoagulation or placement of IVC filter. We suggest performing another CUS on day 7 to look for proximal extension.（Evidence level:moderate/Low；Recommendation grade:weak）
[laiyuan] => 如果基于抗凝剂的血栓预防措施存在禁忌证，我们建议不要进行治疗剂量的抗凝或置入下腔静脉滤器。我们建议在第 7 天再次进行下肢静脉彩色超声检查，以查看是否有近端血栓扩展。（证据分级：中或低；推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733973541
[_updatetime] => 1733973541
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果基于抗凝剂的血栓预防措施存在禁忌证，我们建议不要进行治疗剂量的抗凝或置入下腔静脉滤器。我们建议在第 7 天再次进行下肢静脉彩色超声检查，以查看是否有近端血栓扩展。（证据分级：中或低；推荐强度：弱推荐）
If anticoagulant-based thromboprophylaxis is contraindicated, we suggest against therapeutic-dosing anticoagulation or placement of IVC filter. We suggest performing another CUS on day 7 to look for proximal extension.（Evidence level:moderate/Low；Recommendation grade:weak）
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
Array
(
[id] => 1654
[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
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[wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00258&type=Fulltext
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => In haemophilia patients, pharmacokinetic-guided treatment should be implemented over real-body weight-guided treatment to assure an optimal perioperative achievement of the prespecified coagulation factor range. (Evidence level:moderate；Recommendation grade:weak)
[laiyuan] => 在血友病患者中，应实施药代动力学指导的治疗，而不是体重指导的治疗，以确保围手术期达到预定的凝血因子范围。（证据分级：中；推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在血友病患者中，应实施药代动力学指导的治疗，而不是体重指导的治疗，以确保围手术期达到预定的凝血因子范围。（证据分级：中；推荐强度：弱推荐）
In haemophilia patients, pharmacokinetic-guided treatment should be implemented over real-body weight-guided treatment to assure an optimal perioperative achievement of the prespecified coagulation factor range. (Evidence level:moderate；Recommendation grade:weak)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：The European Journal of Anaesthesiology
Array
(
[id] => 1655
[catid] => 191
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[description] =>
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[author] => 甘肃中医院
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[link_id] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend that patients with haemophilia, von Willebrand disease and factor X deficiency should be managed with a coordinated, multidisciplinary approach to their care. (Evidence level:Low；Recommendation grade:Strong)
[laiyuan] => 我们建议对血友病、血管性血友病和凝血因子X缺乏症患者的治疗应采用多学科协作的方法。（证据分级：低；推荐强度：强推荐）
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议对血友病、血管性血友病和凝血因子X缺乏症患者的治疗应采用多学科协作的方法。（证据分级：低；推荐强度：强推荐）
We recommend that patients with haemophilia, von Willebrand disease and factor X deficiency should be managed with a coordinated, multidisciplinary approach to their care. (Evidence level:Low；Recommendation grade:Strong)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：The European Journal of Anaesthesiology
Array
(
[id] => 1656
[catid] => 201
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend using frailty testing as an effective tool for predicting postoperative outcomes, especially for assessing the risk of delirium. (Evidence level:Low；Recommendation grade:Strong)
[laiyuan] => 我们建议将衰弱测试作为预测术后结局的有效工具，尤其是用于评估谵妄的风险。（证据分级：低；推荐强度：强推荐）
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议将衰弱测试作为预测术后结局的有效工具，尤其是用于评估谵妄的风险。（证据分级：低；推荐强度：强推荐）
We recommend using frailty testing as an effective tool for predicting postoperative outcomes, especially for assessing the risk of delirium. (Evidence level:Low；Recommendation grade:Strong)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：The European Journal of Anaesthesiology
Array
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[id] => 1657
[catid] => 201
[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[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 an evaluation from a geriatrician to improve the cognitive, nutritional and comorbidity status by delaying surgery (time-sensitive or elective procedures) whenever possible. (Evidence level:Low；Recommendation grade:Strong)
[laiyuan] => 如果术前麻醉体格检查显示存在衰弱表型，我们建议使用临床衰弱量表。我们应该征求老年病学家的评估，通过尽可能推迟手术(时间敏感或择期手术)来改善认知、营养和共病状态。（证据分级：低；推荐强度：强推荐）
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果术前麻醉体格检查显示存在衰弱表型，我们建议使用临床衰弱量表。我们应该征求老年病学家的评估，通过尽可能推迟手术(时间敏感或择期手术)来改善认知、营养和共病状态。（证据分级：低；推荐强度：强推荐）
We recommend using the Clinical Frailty Scale if the preoperative anaesthesia physical examination reveals the presence of a frailty phenotype. We should ask for an evaluation from a geriatrician to improve the cognitive, nutritional and comorbidity status by delaying surgery (time-sensitive or elective procedures) whenever possible. (Evidence level:Low；Recommendation grade:Strong)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：The European Journal of Anaesthesiology
Array
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[title] => Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
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[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend using the Clinical Frailty Scale because of its high feasibility and predictive values. (Evidence level:Low；Recommendation grade:Strong)
[laiyuan] => 我们推荐使用临床衰弱量表，因为它具有较高的可行性和预测价值。（证据分级：低；推荐强度：强推荐）
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们推荐使用临床衰弱量表，因为它具有较高的可行性和预测价值。（证据分级：低；推荐强度：强推荐）
We recommend using the Clinical Frailty Scale because of its high feasibility and predictive values. (Evidence level:Low；Recommendation grade:Strong)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：The European Journal of Anaesthesiology
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[wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00263&type=Fulltext
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2024
[guojia] => The European Journal of Anaesthesiology
[pdf] =>
[tjyjyw] =>
[lyyw] => The role of prehabilitation should be established in noncardiac surgery patients. (Evidence level:moderate；Recommendation grade:weak)
[laiyuan] => 应确立预康复在非心脏手术患者中的作用。（证据分级：中；推荐强度：弱推荐）
[znzldj] => B级
[_inputtime] => 1733973540
[_updatetime] => 1733973540
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应确立预康复在非心脏手术患者中的作用。（证据分级：中；推荐强度：弱推荐）
The role of prehabilitation should be established in noncardiac surgery patients. (Evidence level:moderate；Recommendation grade:weak)
证据评价方法：GRADE
指南质量等级：B级
年份：2024
国家：The European Journal of Anaesthesiology
