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Array ( [id] => 1640 [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 [url] => https://www.anes-guide.com/show/1640.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00244&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => We recommend performing multiple tests to improve the positive-predictive and negative-predictive values of preprocedural airway assessment. (Evidence level:High;Recommendation grade:Strong) [laiyuan] => 我们建议进行多项测试以提高术前气道评估的阳性预测值和阴性预测值。(证据分级:高;推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
我们建议进行多项测试以提高术前气道评估的阳性预测值和阴性预测值。(证据分级:高;推荐强度:强推荐)

We recommend performing multiple tests to improve the positive-predictive and negative-predictive values of preprocedural airway assessment. (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:The European Journal of Anaesthesiology

阅读
Array ( [id] => 1641 [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 [url] => https://www.anes-guide.com/show/1641.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00245&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => We suggest using the minimum set of airway assessment tests that may vary among patients depending on specific underlying pathologies. (Evidence level:Low;Recommendation grade:weak). [laiyuan] => 我们建议使用最小的一组气道评估测试,可能因患者的具体基础病理而不同。(证据分级:低;推荐强度:弱推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
我们建议使用最小的一组气道评估测试,可能因患者的具体基础病理而不同。(证据分级:低;推荐强度:弱推荐)

We suggest using the minimum set of airway assessment tests that may vary among patients depending on specific underlying pathologies. (Evidence level:Low;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

阅读
Array ( [id] => 1642 [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 [url] => https://www.anes-guide.com/show/1642.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00246&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => For a comprehensive risk assessment, including the postanaesthesia care, the minimum set of airway assessment tests should include, apart from anatomical tests, the evaluation of physiology, environment, devices and the individual and team expertise. (Evidence level:Low;Recommendation grade:Strong). [laiyuan] => 对于包括麻醉后护理在内的全面风险评估,最低限度的气道评估测试应包括除解剖学测试外的生理、环境、设备以及个人和团队专业知识的评估。(证据分级:低;推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
对于包括麻醉后护理在内的全面风险评估,最低限度的气道评估测试应包括除解剖学测试外的生理、环境、设备以及个人和团队专业知识的评估。(证据分级:低;推荐强度:强推荐)

For a comprehensive risk assessment, including the postanaesthesia care, the minimum set of airway assessment tests should include, apart from anatomical tests, the evaluation of physiology, environment, devices and the individual and team expertise. (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

阅读
Array ( [id] => 1643 [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 [url] => https://www.anes-guide.com/show/1643.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00247&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => More evidence is required before recommendations can be made regarding the need for instrumental tests (e.g. ultrasound) for airway assessment. (Evidence level:very Low;Recommendation grade:weak) [laiyuan] => 需要更多的证据,才能就是否需要仪器测试(如超声)进行气道评估提出建议。(证据分级:极低;推荐强度:弱推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
需要更多的证据,才能就是否需要仪器测试(如超声)进行气道评估提出建议。(证据分级:极低;推荐强度:弱推荐)

More evidence is required before recommendations can be made regarding the need for instrumental tests (e.g. ultrasound) for airway assessment. (Evidence level:very Low;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

阅读
Array ( [id] => 1644 [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 [url] => https://www.anes-guide.com/show/1644.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00248&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => In case of predicted and previously experienced difficult airway, we recommend informing the patient adequately and obtaining consent for specific procedures (e.g. awake intubation), and an alert form should be given to the patient in case of future procedures requiring airway management. (Evidence level:Low;Recommendation grade:Strong) [laiyuan] => 在预测和先前经历困难气道的情况下,我们建议充分告知患者并获得特定程序(例如,清醒插管)的同意,并应在未来需要气道管理的程序中向患者发出警报。(证据分级:低;推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
在预测和先前经历困难气道的情况下,我们建议充分告知患者并获得特定程序(例如,清醒插管)的同意,并应在未来需要气道管理的程序中向患者发出警报。(证据分级:低;推荐强度:强推荐)

In case of predicted and previously experienced difficult airway, we recommend informing the patient adequately and obtaining consent for specific procedures (e.g. awake intubation), and an alert form should be given to the patient in case of future procedures requiring airway management. (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

阅读
Array ( [id] => 1645 [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 [url] => https://www.anes-guide.com/show/1645.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00249&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => In patients with known chronic kidney disease (CKD), we recommend quantifying the estimated glomerular filtration rate (eGFR) and proteinuria before surgery for risk stratification regarding postoperative acute kidney injury (AKI) and worsening of CKD. (Evidence level:Low;Recommendation grade:Strong) [laiyuan] => 在已知慢性肾脏病( chronic kidney disease,CKD )的患者中,我们建议术前量化估算的肾小球滤过率( e GFR )和蛋白尿,用于术后急性肾损伤( acute kidney injury,AKI )和CKD恶化的风险分层。(证据分级:低;推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
在已知慢性肾脏病( chronic kidney disease,CKD )的患者中,我们建议术前量化估算的肾小球滤过率( e GFR )和蛋白尿,用于术后急性肾损伤( acute kidney injury,AKI )和CKD恶化的风险分层。(证据分级:低;推荐强度:强推荐)

In patients with known chronic kidney disease (CKD), we recommend quantifying the estimated glomerular filtration rate (eGFR) and proteinuria before surgery for risk stratification regarding postoperative acute kidney injury (AKI) and worsening of CKD. (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

阅读
Array ( [id] => 1646 [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 [url] => https://www.anes-guide.com/show/1646.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00250&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => We suggest considering NT-Pro BNP testing combined with eGFR to add additional information on risk stratification for postoperative acute kidney injury (AKI) and worsening of CKD. (Evidence level:Low;Recommendation grade:weak) [laiyuan] => 我们建议考虑NT - Pro BNP检测联合e GFR,以增加术后急性肾损伤( acute kidney injury,AKI )和CKD恶化风险分层的额外信息。(证据分级:低;推荐强度:弱推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
我们建议考虑NT - Pro BNP检测联合e GFR,以增加术后急性肾损伤( acute kidney injury,AKI )和CKD恶化风险分层的额外信息。(证据分级:低;推荐强度:弱推荐)

We suggest considering NT-Pro BNP testing combined with eGFR to add additional information on risk stratification for postoperative acute kidney injury (AKI) and worsening of CKD. (Evidence level:Low;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

阅读
Array ( [id] => 1647 [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 [url] => https://www.anes-guide.com/show/1647.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00251&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => In elective procedures, we suggest that the perioperative continuation of antithrombotic therapy should be weighed against the bleeding risk of surgery, patient-related factors, and the specific antithrombotic medication. (Evidence level:Low;Recommendation grade:weak) [laiyuan] => 在择期手术中,我们建议围手术期继续抗栓治疗应权衡手术出血风险、患者相关因素和具体的抗栓药物。(证据分级:低;推荐强度:弱推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
在择期手术中,我们建议围手术期继续抗栓治疗应权衡手术出血风险、患者相关因素和具体的抗栓药物。(证据分级:低;推荐强度:弱推荐)

In elective procedures, we suggest that the perioperative continuation of antithrombotic therapy should be weighed against the bleeding risk of surgery, patient-related factors, and the specific antithrombotic medication. (Evidence level:Low;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

阅读
Array ( [id] => 1648 [catid] => 204 [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/1648.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00252&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => We recommend continuing antiplatelet therapy for 6 months after elective percutaneous intervention and 12 months after an urgent coronary intervention. In the case of drug-coated balloon angioplasty, the duration of dual antiplatelet therapy could vary from a minimum of 1 month to a maximum of 12 months, depending on the status of the disease (stable vs. unstable, chronic vs. acute), the dimension of the occluded vessel, presence of in-stent restenosis, type of stenosed stent and bleeding risk. (Evidence level:Low;Recommendation grade:Strong) [laiyuan] => 我们建议在择期经皮冠状动脉介入治疗术后6个月和紧急冠状动脉介入治疗术后12个月继续抗血小板治疗。在药物涂层球囊血管成形术的情况下,双联抗血小板治疗的持续时间可以从1个月到12个月不等,这取决于疾病状态(稳定、不稳定;慢性、急性)、闭塞血管的大小、是否存在支架内再狭窄、狭窄支架的类型和出血风险。(证据分级:低;推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
我们建议在择期经皮冠状动脉介入治疗术后6个月和紧急冠状动脉介入治疗术后12个月继续抗血小板治疗。在药物涂层球囊血管成形术的情况下,双联抗血小板治疗的持续时间可以从1个月到12个月不等,这取决于疾病状态(稳定、不稳定;慢性、急性)、闭塞血管的大小、是否存在支架内再狭窄、狭窄支架的类型和出血风险。(证据分级:低;推荐强度:强推荐)

We recommend continuing antiplatelet therapy for 6 months after elective percutaneous intervention and 12 months after an urgent coronary intervention. In the case of drug-coated balloon angioplasty, the duration of dual antiplatelet therapy could vary from a minimum of 1 month to a maximum of 12 months, depending on the status of the disease (stable vs. unstable, chronic vs. acute), the dimension of the occluded vessel, presence of in-stent restenosis, type of stenosed stent and bleeding risk. (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

阅读
Array ( [id] => 1649 [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 [url] => https://www.anes-guide.com/show/1649.html [link_id] => 0 [tableid] => 0 [inputip] => 39.144.210.1 [inputtime] => 2024-12-12 11:18:59 [updatetime] => 2024-12-12 11:18:59 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://journals.lww.com/ejanaesthesiology/pages/articleviewer.aspx?year=9900&issue=00000&article=00253&type=Fulltext [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => The European Journal of Anaesthesiology [pdf] => [tjyjyw] => [lyyw] => We recommend managing anticoagulant medication before an emergency/urgent procedure based on its pharmacokinetic characteristics, reversal agent availability, the patient's renal function and the likelihood of major bleeding (Evidence level:High;Recommendation grade:Strong) [laiyuan] => 我们建议根据抗凝药物的药代动力学特点、逆转剂的可获得性、患者的肾功能和严重出血的可能性,在紧急/紧急手术前管理抗凝药物。(证据分级:高;推荐强度:强推荐) [znzldj] => B级 [_inputtime] => 1733973539 [_updatetime] => 1733973539 [_nrjc] => [_nrsh] => )
推荐意见
我们建议根据抗凝药物的药代动力学特点、逆转剂的可获得性、患者的肾功能和严重出血的可能性,在紧急/紧急手术前管理抗凝药物。(证据分级:高;推荐强度:强推荐)

We recommend managing anticoagulant medication before an emergency/urgent procedure based on its pharmacokinetic characteristics, reversal agent availability, the patient's renal function and the likelihood of major bleeding (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:The European Journal of Anaesthesiology

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