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[lyyw] => We recommend patients with hepatic encephalopathy or chronic liver disease with American Society of Anesthesiologists(ASA) grade 4 or more who are undergoing endoscopy should have this undertaken with anaesthetic support.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 推荐患有肝性脑病或美国麻醉医师协会（ASA）4级或以上慢性肝病的患者在接受内窥镜检查时，应在麻醉支持下进行。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
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)
推荐意见
推荐患有肝性脑病或美国麻醉医师协会（ASA）4级或以上慢性肝病的患者在接受内窥镜检查时，应在麻醉支持下进行。（证据等级：低；推荐强度：强推荐）
We recommend patients with hepatic encephalopathy or chronic liver disease with American Society of Anesthesiologists(ASA) grade 4 or more who are undergoing endoscopy should have this undertaken with anaesthetic support.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
Array
(
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[title] => British Society of Gastroenterology guidelines on sedation in gastrointestinal endoscopy
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[lyyw] => We recommend adjunctive non-invasive ventilation and high-flow oxygen in patients with chronic progressive neuromyopathic disorders and severely impaired respiratory function (forced vital capacity <50% predicted) undergoing endoscopy with conscious sedation.（Evidence level: Moderate；Recommendation grade:Strong).
[laiyuan] => 对于呼吸功能严重受损(用力肺活量<50%预计值)的慢性进行性神经肌病患者，我们建议在清醒镇静下接受内镜检查，并给予辅助无创通气和高流量氧疗。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于呼吸功能严重受损(用力肺活量<50%预计值)的慢性进行性神经肌病患者，我们建议在清醒镇静下接受内镜检查，并给予辅助无创通气和高流量氧疗。（证据等级：中；推荐强度：强推荐）
We recommend adjunctive non-invasive ventilation and high-flow oxygen in patients with chronic progressive neuromyopathic disorders and severely impaired respiratory function (forced vital capacity <50% predicted) undergoing endoscopy with conscious sedation.（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：British Society of Gastroenterology
Array
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[lyyw] => We recommend that patients with renal impairment (estimated glomerular filtration rate <30 ml/min/1.73 m2) under_x005fgoing endoscopy with sedation should have their doses of opioids or benzodiazepines reduced.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 推荐肾功能受损（估计肾小球滤过率<30 ml/min/1.73 m2）患者在接受内窥镜检查时，应减少阿片类药物或苯二氮卓类药物的剂量。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐肾功能受损（估计肾小球滤过率<30 ml/min/1.73 m2）患者在接受内窥镜检查时，应减少阿片类药物或苯二氮卓类药物的剂量。（证据等级：低；推荐强度：强推荐）
We recommend that patients with renal impairment (estimated glomerular filtration rate <30 ml/min/1.73 m2) under_x005fgoing endoscopy with sedation should have their doses of opioids or benzodiazepines reduced.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[lyyw] => We recommend the use of adjunctive non-invasive ventilation (NIV) and high-flow oxygen in patients with respiratory failure undergoing endoscopy.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 推荐对接受内窥镜检查的呼吸衰竭患者辅助使用无创通气（NIV）和高流量氧气。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐对接受内窥镜检查的呼吸衰竭患者辅助使用无创通气（NIV）和高流量氧气。（证据等级：低；推荐强度：强推荐）
We recommend the use of adjunctive non-invasive ventilation (NIV) and high-flow oxygen in patients with respiratory failure undergoing endoscopy.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We recommend that sedation providers should be aware of the actions and interactions of sedative agents in pregnant women, including the increased risk of aspiration.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 我们建议镇静医师应了解镇静药物对孕妇的作用和相互作用，包括增加误吸的风险。。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议镇静医师应了解镇静药物对孕妇的作用和相互作用，包括增加误吸的风险。。（证据等级：低；推荐强度：强推荐）
We recommend that sedation providers should be aware of the actions and interactions of sedative agents in pregnant women, including the increased risk of aspiration.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
Array
(
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[lyyw] => The use of diazepam in the first trimester has been associated with congenital malformations, whereas no associations have been reported for midazolam. We recommend single doses of midazolam for endoscopic procedures during pregnancy if clinically necessary.
（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 在妊娠早期使用地西泮与先天性畸形相关，而未报告使用咪达唑仑与先天性畸形相关。如果临床需要，我们推荐单剂量咪达唑仑用于妊娠期内镜操作。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在妊娠早期使用地西泮与先天性畸形相关，而未报告使用咪达唑仑与先天性畸形相关。如果临床需要，我们推荐单剂量咪达唑仑用于妊娠期内镜操作。（证据等级：低；推荐强度：强推荐）
The use of diazepam in the first trimester has been associated with congenital malformations, whereas no associations have been reported for midazolam. We recommend single doses of midazolam for endoscopic procedures during pregnancy if clinically necessary.
（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
Array
(
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[guojia] => British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We recommend that fentanyl, propofol and nitrous oxide (Entonox) can safely be used in pregnancy.（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 推荐在妊娠期可以安全使用芬太尼、异丙酚和氧化亚氮（Entonox）。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐在妊娠期可以安全使用芬太尼、异丙酚和氧化亚氮（Entonox）。（证据等级：低；推荐强度：强推荐）
We recommend that fentanyl, propofol and nitrous oxide (Entonox) can safely be used in pregnancy.（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
Array
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[tjyjyw] =>
[lyyw] => We recommend that breast feeding does not need to
be suspended after a single intravenous dose of midazolam, fentanyl or pethidine (or when used in combination), or after administration of propofol.
（Evidence level: Low；Recommendation grade:Strong).
[laiyuan] => 推荐在单次静脉注射咪达唑仑、芬太尼或哌替啶(或联用时)或给予丙泊酚后不需要暂停母乳喂养。（证据等级：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐在单次静脉注射咪达唑仑、芬太尼或哌替啶(或联用时)或给予丙泊酚后不需要暂停母乳喂养。（证据等级：低；推荐强度：强推荐）
We recommend that breast feeding does not need to
be suspended after a single intravenous dose of midazolam, fentanyl or pethidine (or when used in combination), or after administration of propofol.
（Evidence level: Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We recommend that young patients undergoing endos copy should participate in a structured transition programme, including education around the choice of sedative agents.（Evidence level: Very Low；Recommendation grade:Strong).
[laiyuan] => 推荐接受内窥镜检查的年轻患者应参加结构化的过渡计划，包括有关镇静剂选择的教育。（证据等级：极低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐接受内窥镜检查的年轻患者应参加结构化的过渡计划，包括有关镇静剂选择的教育。（证据等级：极低；推荐强度：强推荐）
We recommend that young patients undergoing endos copy should participate in a structured transition programme, including education around the choice of sedative agents.（Evidence level: Very Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
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[tjqd] =>
[nianfen] => 2023
[guojia] => British Society of Gastroenterology
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[tjyjyw] =>
[lyyw] => We recommend that information about the risks and benefits of endoscopy with sedation should be tailored to the individual young person.（Evidence level: Very Low；Recommendation grade:Strong).
[laiyuan] => 关于镇静内镜检查的风险和获益信息应针对个体年轻人进行定制。（证据等级：极低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957765
[_updatetime] => 1704957765
[_nrjc] =>
[_nrsh] =>
)
推荐意见
关于镇静内镜检查的风险和获益信息应针对个体年轻人进行定制。（证据等级：极低；推荐强度：强推荐）
We recommend that information about the risks and benefits of endoscopy with sedation should be tailored to the individual young person.（Evidence level: Very Low；Recommendation grade:Strong).
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：British Society of Gastroenterology
