Array
(
[id] => 1189
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
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[keywords] =>
[description] =>
[hits] => 4
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[author] => 系统管理员
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[wailian] => https://guide.medlive.cn/guideline/29530
[demo_url] =>
[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Following discharge from hospital, follow-up may be continued by the patient’s primary care physician. Information regarding PDPH diagnosis and/or inadvertent dural puncture should also be communicated to the patient’s primary care physician and other specialists with referrals to a pain or neurology specialist if indicated. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 出院后，患者的首诊医师可继续进行随访。关于PDPH诊断和/或意外硬脑膜穿刺的信息也应传达给患者的首诊医生和其他专科医师，如有需要，可转诊给疼痛专科医师或神经专科医师（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
出院后，患者的首诊医师可继续进行随访。关于PDPH诊断和/或意外硬脑膜穿刺的信息也应传达给患者的首诊医生和其他专科医师，如有需要，可转诊给疼痛专科医师或神经专科医师（证据级别：低；推荐强度：Grade C）
Following discharge from hospital, follow-up may be continued by the patient’s primary care physician. Information regarding PDPH diagnosis and/or inadvertent dural puncture should also be communicated to the patient’s primary care physician and other specialists with referrals to a pain or neurology specialist if indicated. (Evidence: Low Level of Certainty，Recommendation: Grade C)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
(
[id] => 1190
[catid] => 302
[title] => Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report
from a multisociety international working group
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[author] => 系统管理员
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[updatetime] => 2024-01-11 15:23:49
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[nrsh] => Array
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[demo_url] =>
[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Urgent neuroimaging and referral to an appropriate specialist should be performed for any PDPH patient with worsening symptoms despite an 硬膜外血补丁, new focal neurologic symptoms, or a change in the nature of headache. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
[laiyuan] => 对任何出现硬脊膜穿破后头痛 的患者，如果存在头痛加重、新的局灶神经症状或头痛性质改变，应立即进行神经影像学检查并转诊至合适的专科医师。（证据级别：中；推荐强度：Grade B）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对任何出现硬脊膜穿破后头痛 的患者，如果存在头痛加重、新的局灶神经症状或头痛性质改变，应立即进行神经影像学检查并转诊至合适的专科医师。（证据级别：中；推荐强度：Grade B）
Urgent neuroimaging and referral to an appropriate specialist should be performed for any PDPH patient with worsening symptoms despite an 硬膜外血补丁, new focal neurologic symptoms, or a change in the nature of headache. (Evidence: Moderate Level of Certainty，Recommendation: Grade B)
证据评价方法：the US Preventative Services Task Force (USPSTF)
指南质量等级：B
年份：2023
国家：the American Society of Regional Anesthesia and Pa
Array
(
[id] => 1191
[catid] => 290
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
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[nrsh] => Array
(
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is recommended to set up and apply a perioperative optimization program in order to reduce the length of hospital stay and the incidence of postoperative complications（Evidence level:1+；Recommendation grade:Strong）.
[laiyuan] => 建议将所有患者纳入围手术期优化计划，有助于降低术后并发症发生率和住院时间。（证据级别：1+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议将所有患者纳入围手术期优化计划，有助于降低术后并发症发生率和住院时间。（证据级别：1+；推荐强度：强推荐）
It is recommended to set up and apply a perioperative optimization program in order to reduce the length of hospital stay and the incidence 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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[id] => 1192
[catid] => 290
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
[thumb] =>
[keywords] =>
[description] =>
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[author] => 系统管理员
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is recommended to include all patients in a perioperative optimization program, particularly elderly, fragile or comorbid patients, for whom this type of management helps to reduce rates of postoperative complication and duration of hospital stay（Evidence level:1+；Recommendation grade:Strong）.
[laiyuan] => 建议将所有患者纳入围手术期优化方案，特别是老年人、体弱者或合并症患者，有助于减少术后并发症的发生率和住院时间。（证据级别：1+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议将所有患者纳入围手术期优化方案，特别是老年人、体弱者或合并症患者，有助于减少术后并发症的发生率和住院时间。（证据级别：1+；推荐强度：强推荐）
It is recommended to include all patients in a perioperative optimization program, particularly elderly, fragile or comorbid patients, for whom this type of management helps to reduce rates of postoperative complication and duration of hospital stay（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
(
[id] => 1193
[catid] => 290
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/1193.html
[link_id] => 0
[tableid] => 0
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[inputtime] => 2024-01-11 15:23:49
[updatetime] => 2024-01-11 15:23:49
[displayorder] => 0
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(
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[xzl] => 0
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is probably recommended to implement a prehabilitation program prior to surgery so as to reduce morbidity and postoperative length of hospital stay（Evidence level:2+；Recommendation grade:Strong）.
[laiyuan] => 建议在手术前实施预康复计划，以减少发病率和术后住院时间。（证据级别：2+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议在手术前实施预康复计划，以减少发病率和术后住院时间。（证据级别：2+；推荐强度：强推荐）
It is probably recommended to implement a prehabilitation program prior to surgery so as to reduce morbidity and postoperative length of hospital stay（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
(
[id] => 1194
[catid] => 292
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/1194.html
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[inputtime] => 2024-01-11 15:23:49
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[xzl] => 0
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[wailian] => https://pubmed.ncbi.nlm.nih.gov/37295649/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => For solids, it is recommended to limit the duration of preoperative fasting to six hours and to encourage intake of clear fluids (water, tea or coffee with or without sugar, fruit juice without pulp up until two hours before the operation, the objectives being to reduce preoperative anxiety and length of hospital stay（Evidence level:1+；Recommendation grade:Strong）.
[laiyuan] => 对于固体食物，建议将术前禁食时间限制为6小时，并鼓励在手术前2小时前摄入透明液体（水、含糖或不含糖的茶或咖啡、不含果肉的果汁），目的是减少术前焦虑和住院时间。（证据级别：1+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于固体食物，建议将术前禁食时间限制为6小时，并鼓励在手术前2小时前摄入透明液体（水、含糖或不含糖的茶或咖啡、不含果肉的果汁），目的是减少术前焦虑和住院时间。（证据级别：1+；推荐强度：强推荐）
For solids, it is recommended to limit the duration of preoperative fasting to six hours and to encourage intake of clear fluids (water, tea or coffee with or without sugar, fruit juice without pulp up until two hours before the operation, the objectives being to reduce preoperative anxiety and length of hospital stay（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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[xzl] => 0
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is not recommended to systematically prescribe sedative premedication before an intervention in view of reducing the occurrence of postoperative complications（Evidence level:1-；Recommendation grade:Strong）.
[laiyuan] => 不建议为了减少术后并发症而开具镇静药作为常规术前用药。（证据级别：1-；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不建议为了减少术后并发症而开具镇静药作为常规术前用药。（证据级别：1-；推荐强度：强推荐）
It is not recommended to systematically prescribe sedative premedication before an intervention in view of reducing the 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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[catid] => 303
[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
[thumb] =>
[keywords] =>
[description] =>
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is probably recommended to admit patients on the day of their operation so as to reduce the length of hospital stay without modifying the occurrence of complications.
GRADE 2+ (Accord fort)
[laiyuan] => 建议患者在手术当天入院，以减少住院时间，同时不减少并发症的发生。
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议患者在手术当天入院，以减少住院时间，同时不减少并发症的发生。
It is probably recommended to admit patients on the day of their operation so as to reduce the length of hospital stay without modifying the occurrence of complications.
GRADE 2+ (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
Array
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[title] => Guidelines on perioperative optimization protocol for the adult patient
2023
[thumb] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is probably recommended to implement a patient blood management program in order to reduce the length of stay and the occurrence of postoperative complications（Evidence level:2+；Recommendation grade:Strong）.
[laiyuan] => 建议对病人施行血液管理方案，以减少住院时间和术后并发症的发生。（证据级别：2+；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议对病人施行血液管理方案，以减少住院时间和术后并发症的发生。（证据级别：2+；推荐强度：强推荐）
It is probably recommended to implement a patient blood management program in order to reduce the length of stay and the occurrence of 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] =>
[nianfen] => 2023
[guojia] => The French Society of Anesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => It is not recommended to privilege a given modality of general anaesthesia (intravenous vs. inhaled; with vs. without opiates) in view of reducing length of stay and postoperative complications（Evidence level:1-；Recommendation grade:Strong）.
[laiyuan] => 不建议优先考虑特定一种全身麻醉方法（吸入VS全凭静脉麻醉、阿片vs无阿片），以减少住院时间和术后并发症。（证据级别：1-；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957829
[_updatetime] => 1704957829
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不建议优先考虑特定一种全身麻醉方法（吸入VS全凭静脉麻醉、阿片vs无阿片），以减少住院时间和术后并发症。（证据级别：1-；推荐强度：强推荐）
It is not recommended to privilege a given modality of general anaesthesia (intravenous vs. inhaled; with vs. without opiates) in view of reducing length of stay and 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
