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Array ( [id] => 1226 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1226.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend i.v. iron in preference to oral iron. (Evidence level: high;Recommendation grade: weak) [laiyuan] => 我们推荐静脉补铁优于口服补铁。(证据级别:高;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
我们推荐静脉补铁优于口服补铁。(证据级别:高;推荐强度:弱推荐)

We recommend i.v. iron in preference to oral iron. (Evidence level: high;Recommendation grade: weak)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1227 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1227.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We suggest erythropoietin-stimulating agents if pre-operative anaemia is present and other causes (autoimmune, bone marrow dysfunction, nutritional deficiencies) have been excluded or treated. Evidence level: moderate;Recommendation grade: strong) [laiyuan] => 如果术前有贫血,并且排除了其他原因(自身免疫、骨髓功能障碍、营养缺乏),我们建议使用促红细胞生成素。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
如果术前有贫血,并且排除了其他原因(自身免疫、骨髓功能障碍、营养缺乏),我们建议使用促红细胞生成素。(证据级别:中;推荐强度:强推荐)

We suggest erythropoietin-stimulating agents if pre-operative anaemia is present and other causes (autoimmune, bone marrow dysfunction, nutritional deficiencies) have been excluded or treated. 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 European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1228 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1228.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend against pre-operative RBC transfusion to mask pre-operative mild-to-moderate anaemia. (Evidence level: high;Recommendation grade: weak) [laiyuan] => 我们不建议术前输血以掩盖术前轻度至中度贫血。(证据级别:高;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
我们不建议术前输血以掩盖术前轻度至中度贫血。(证据级别:高;推荐强度:弱推荐)

We recommend against pre-operative RBC transfusion to mask pre-operative mild-to-moderate anaemia. (Evidence level: high;Recommendation grade: weak)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1229 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1229.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We suggest that RBC transfusion can be considered in pre-operative anaemia, which could not be corrected by comprehensive haematological therapy. (Evidence level: moderate;Recommendation grade: weak) [laiyuan] => 我们建议,对于无法通过综合血液疗法纠正的术前贫血,可以考虑输注红细胞。(证据级别:中;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
我们建议,对于无法通过综合血液疗法纠正的术前贫血,可以考虑输注红细胞。(证据级别:中;推荐强度:弱推荐)

We suggest that RBC transfusion can be considered in pre-operative anaemia, which could not be corrected by comprehensive haematological therapy. (Evidence level: moderate;Recommendation grade: weak)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1230 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1230.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Early use of noninvasive haemoglobin (Hb) monitoring at indication for surgery/in the pre-anaesthesia clinic may speed up detection of pre-operative anaemia and correction. (Recommendation grade: weak) [laiyuan] => 在手术/麻醉门诊中尽早使用无创血红蛋白(Hb)监测可加快术前贫血的发现和纠正。(推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
在手术/麻醉门诊中尽早使用无创血红蛋白(Hb)监测可加快术前贫血的发现和纠正。(推荐强度:弱推荐)

Early use of noninvasive haemoglobin (Hb) monitoring at indication for surgery/in the pre-anaesthesia clinic may speed up detection of pre-operative anaemia and correction. (Recommendation grade: weak)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1231 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1231.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => If autologous blood donation is performed, we suggest concomitant treatment with iron and/or ESAs in order to avoid pre-operative anaemia and increased overall transfusion rates.(Evidence level: low;Recommendation grade: weak) [laiyuan] => 如果进行自体献血,我们建议同时进行铁和/或ESAs治疗,以避免术前贫血和增加总体输血率。(证据级别:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
如果进行自体献血,我们建议同时进行铁和/或ESAs治疗,以避免术前贫血和增加总体输血率。(证据级别:低;推荐强度:弱推荐)

If autologous blood donation is performed, we suggest concomitant treatment with iron and/or ESAs in order to avoid pre-operative anaemia and increased overall transfusion rates.(Evidence level: low;Recommendation grade: weak)

证据评价方法:GRADE

指南质量等级:B

年份:2023

国家:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1232 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1232.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend that aspirin for secondary prevention should be continued peri-operatively in most surgical settings, especially cardiac surgery. (Evidence level: low;Recommendation grade: strong) [laiyuan] => 对于大多数手术,尤其是心脏手术,推荐在围手术期继续使用阿司匹林进行二级预防。。(证据级别:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
对于大多数手术,尤其是心脏手术,推荐在围手术期继续使用阿司匹林进行二级预防。。(证据级别:低;推荐强度:强推荐)

We recommend that aspirin for secondary prevention should be continued peri-operatively in most surgical settings, especially cardiac surgery. (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:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1233 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1233.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We recommend that aspirin should be discontinued preoperatively when prescribed for primary prevention. (Evidence level: moderate;Recommendation grade: strong) [laiyuan] => 当阿司匹林用于一级预防时,推荐在术前停用。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
当阿司匹林用于一级预防时,推荐在术前停用。(证据级别:中;推荐强度:强推荐)

We recommend that aspirin should be discontinued preoperatively when prescribed for primary prevention. (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 European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1234 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1234.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Where aspirin withdrawal before surgery is considered,we recommend a time from last drug intake to intervention of 3 days, although for invasive procedures at high risk of bleeding, a longer interruption (5 days) could be considered. (Evidence level: low;Recommendation grade: strong) [laiyuan] => 如果考虑在术前停用阿司匹林,建议最后一次用药到手术的时间间隔为3日,对于出血风险高的有创操作,可以考虑更长的间隔时间(5日)。(证据级别:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
如果考虑在术前停用阿司匹林,建议最后一次用药到手术的时间间隔为3日,对于出血风险高的有创操作,可以考虑更长的间隔时间(5日)。(证据级别:低;推荐强度:强推荐)

Where aspirin withdrawal before surgery is considered,we recommend a time from last drug intake to intervention of 3 days, although for invasive procedures at high risk of bleeding, a longer interruption (5 days) could be considered. (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:the European Society of Anaesthesiology and Intens

阅读
Array ( [id] => 1235 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1235.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:26 [updatetime] => 2024-01-11 15:24:26 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients with risk factors for vascular complications naive of any antiplatelet treatment, we do not recommend initiating aspirin pre-operatively (except for carotid endarterectomy). (Evidence level: moderate;Recommendation grade: strong) [laiyuan] => 对于有血管并发症危险因素且既往未接受抗血小板治疗的患者,不建议术前开始服用阿司匹林(颈动脉内膜切除术除外)。(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957866 [_updatetime] => 1704957866 [_nrjc] => [_nrsh] => )
推荐意见
对于有血管并发症危险因素且既往未接受抗血小板治疗的患者,不建议术前开始服用阿司匹林(颈动脉内膜切除术除外)。(证据级别:中;推荐强度:强推荐)

In patients with risk factors for vascular complications naive of any antiplatelet treatment, we do not recommend initiating aspirin pre-operatively (except for carotid endarterectomy). (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 European Society of Anaesthesiology and Intens

阅读