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[lyyw] => In patients chronically treated with aspirin for secondary prevention of cardiovascular events, except those patients with coronary stents, aspirin may be interrupted for procedures with a very high bleeding risk. （Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 在长期接受阿司匹林用于心血管事件二级预防的患者中（除外置入冠状动脉支架），对于出血风险非常高的手术，可能中断使用阿司匹林。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
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推荐意见
在长期接受阿司匹林用于心血管事件二级预防的患者中（除外置入冠状动脉支架），对于出血风险非常高的手术，可能中断使用阿司匹林。（证据级别：中；推荐强度：强推荐）
In patients chronically treated with aspirin for secondary prevention of cardiovascular events, except those patients with coronary stents, aspirin may be interrupted for procedures with a very high bleeding risk. （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
Array
(
[id] => 1237
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[lyyw] => In patients chronically treated with aspirin for secondary prevention of cardiovascular events, aspirin must be maintained during and after low and moderate bleeding risk procedures.（Evidence level: moderate；Recommendation grade: strong）
[laiyuan] => 对于长期接受阿司匹林用于心血管事件二级预防的患者，在中低出血风险的手术期间和之后必须继续使用阿司匹林。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于长期接受阿司匹林用于心血管事件二级预防的患者，在中低出血风险的手术期间和之后必须继续使用阿司匹林。（证据级别：中；推荐强度：强推荐）
In patients chronically treated with aspirin for secondary prevention of cardiovascular events, aspirin must be maintained during and after low and moderate bleeding risk procedures.（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
Array
(
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[lyyw] => Timing of first administration and dose of postoperative anticoagulants, along with resumption of aspirin, after the procedure must be carefully discussed to mitigate postoperative bleeding complications. （Evidence level: low；Recommendation grade: weak）
[laiyuan] => 术后首次使用抗凝剂的时间和剂量，以及术后恢复使用阿司匹林，必须仔细讨论，以减少术后出血并发症。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术后首次使用抗凝剂的时间和剂量，以及术后恢复使用阿司匹林，必须仔细讨论，以减少术后出血并发症。（证据级别：低；推荐强度：弱推荐）
Timing of first administration and dose of postoperative anticoagulants, along with resumption of aspirin, after the procedure must be carefully discussed to mitigate postoperative bleeding complications. （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
Array
(
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[tjyjyw] =>
[lyyw] => For intra-operative or postoperative bleeding, for example, in neurosurgery, supposedly related to aspirin, we suggest that platelet transfusion be considered (dose: 0.7 per 10 kg body weight in adults). （Evidence level: low；Recommendation grade: weak）
[laiyuan] => 对于可能与阿司匹林相关的术中或术后出血(如神经外科手术)，推荐考虑输注血小板（剂量：0.7×10^11/10kg）。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于可能与阿司匹林相关的术中或术后出血(如神经外科手术)，推荐考虑输注血小板（剂量：0.7×10^11/10kg）。（证据级别：低；推荐强度：弱推荐）
For intra-operative or postoperative bleeding, for example, in neurosurgery, supposedly related to aspirin, we suggest that platelet transfusion be considered (dose: 0.7 per 10 kg body weight in adults). （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
Array
(
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend that aspirin be continued for at least 4 weeks after bare metal stent (BMS) implantation and for 3 to 12 months after drug-eluting stent (DES) implantation, unless the risk of life-threatening surgical bleeding on aspirin is unacceptably high. （Evidence level: high；Recommendation grade: strong）
[laiyuan] => 建议在裸金属支架置入后继续服用阿司匹林至少4周，在药物洗脱支架置入后继续服用3 ~12个月，除非服用阿司匹林导致致命性手术出血的风险非常高。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957866
[_updatetime] => 1704957866
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在裸金属支架置入后继续服用阿司匹林至少4周，在药物洗脱支架置入后继续服用3 ~12个月，除非服用阿司匹林导致致命性手术出血的风险非常高。（证据级别：高；推荐强度：强推荐）
We recommend that aspirin be continued for at least 4 weeks after bare metal stent (BMS) implantation and for 3 to 12 months after drug-eluting stent (DES) implantation, unless the risk of life-threatening surgical bleeding on aspirin is unacceptably high. （Evidence level: high；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
Array
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[catid] => 295
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
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[lyyw] => It is probably recommended to closely monitor depth of anaesthesia, particularly in patients at risk due to comorbidities or to the operation itself, the objective being to reduce neurocognitive postoperative complications（Evidence level:2+；Recommendation grade:Strong）.
[laiyuan] => 建议密切监测麻醉深度，特别是对有合并症或手术本身风险的患者，目的是减少术后神经认知并发症（证据级别：2+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议密切监测麻醉深度，特别是对有合并症或手术本身风险的患者，目的是减少术后神经认知并发症（证据级别：2+；推荐强度：强推荐）
It is probably recommended to closely monitor depth of anaesthesia, particularly in patients at risk due to comorbidities or to the operation itself, the objective being to reduce neurocognitive postoperative complications（Evidence level:2+；Recommendation grade:Strong）.
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：The French Society of Anesthesiology and Intensive
Array
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[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
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[tjqd] =>
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[tjyjyw] =>
[lyyw] => It is recommended to combat perioperative hypothermia so as to reduce occurrence of postoperative complications（Evidence level:1+；Recommendation grade:Strong）.
[laiyuan] => 建议避免围手术期低温，以减少术后并发症的发生。（证据级别：1+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议避免围手术期低温，以减少术后并发症的发生。（证据级别：1+；推荐强度：强推荐）
It is recommended to combat perioperative hypothermia so as to reduce occurrence of postoperative complications（Evidence level:1+；Recommendation grade:Strong）.
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：The French Society of Anesthesiology and Intensive
Array
(
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2023
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[tjqd] =>
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[guojia] => The French Society of Anesthesiology and Intensive
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[tjyjyw] =>
[lyyw] => It is recommended to set up a protocol for prevention of postoperative nausea and vomiting in view of facilitating postoperative rehabilitation（Evidence level:1+；Recommendation grade:Strong）.
[laiyuan] => 为加快术后康复，建议制定术后恶心呕吐预防方案。（证据级别：1+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
为加快术后康复，建议制定术后恶心呕吐预防方案。（证据级别：1+；推荐强度：强推荐）
It is recommended to set up a protocol for prevention of postoperative nausea and vomiting in view of facilitating postoperative rehabilitation（Evidence level:1+；Recommendation grade:Strong）.
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：The French Society of Anesthesiology and Intensive
Array
(
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2023
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[tjyjyw] =>
[lyyw] => It is recommended to administer intravenous dexamethasone at a dose of 4 or 8 mg in general anaesthesia so as to reduce postoperative complications, particularly postoperative nausea and vomiting（Evidence level:1+；Recommendation grade:Strong）.
[laiyuan] => 建议全身麻醉时静脉注射4或8毫克地塞米松，以减少术后并发症，特别是对于术后恶心和呕吐。（证据级别：1+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议全身麻醉时静脉注射4或8毫克地塞米松，以减少术后并发症，特别是对于术后恶心和呕吐。（证据级别：1+；推荐强度：强推荐）
It is recommended to administer intravenous dexamethasone at a dose of 4 or 8 mg in general anaesthesia so as to reduce postoperative complications, particularly postoperative nausea and vomiting（Evidence level:1+；Recommendation grade:Strong）.
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：The French Society of Anesthesiology and Intensive
Array
(
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2023
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[tjyjyw] =>
[lyyw] => It is recommended to perioperatively administer tranexamic acid in major surgery and/or in the event of haemorrhagic risk, the objective being to reduce haemorrhagic complications and/or perioperative and postoperative transfusion.
GRADE 1+ (Accord Fort)
[laiyuan] => 建议在大手术和/或有出血风险的情况下，在围手术期使用氨甲环酸，目的是减少出血并发症和/或围手术期和术后输血。
[znzldj] => B
[_inputtime] => 1704957830
[_updatetime] => 1704957830
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在大手术和/或有出血风险的情况下，在围手术期使用氨甲环酸，目的是减少出血并发症和/或围手术期和术后输血。
It is recommended to perioperatively administer tranexamic acid in major surgery and/or in the event of haemorrhagic risk, the objective being to reduce haemorrhagic complications and/or perioperative and postoperative transfusion.
GRADE 1+ (Accord Fort)
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：The French Society of Anesthesiology and Intensive
