Array
(
[id] => 1146
[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
[status] => 9
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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] => A prophylactic EBP is not recommended as routine as there is insufficient evidence to support its effectiveness in preventing PDPH. (Evidence: Low Level of Certainty，Recommendation: Grade C)
[laiyuan] => 不推荐常规预防性血补丁，因为目前没有足够的证据支持其在预防硬脊膜穿破后头痛的有效性。（证据级别：低；推荐强度：Grade C）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐常规预防性血补丁，因为目前没有足够的证据支持其在预防硬脊膜穿破后头痛的有效性。（证据级别：低；推荐强度：Grade C）
A prophylactic EBP is not recommended as routine as there is insufficient evidence to support its effectiveness in preventing PDPH. (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] => 1147
[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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[zjpjff] => the US Preventative Services Task Force (USPSTF)
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the American Society of Regional Anesthesia and Pa
[pdf] =>
[tjyjyw] =>
[lyyw] => Bed rest is not routinely recommended as prophylaxis against PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade D)
[laiyuan] => 不建议常规卧床休息作为预防硬脊膜穿破后头痛的策略。（证据级别：中；推荐强度：Grade D）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不建议常规卧床休息作为预防硬脊膜穿破后头痛的策略。（证据级别：中；推荐强度：Grade D）
Bed rest is not routinely recommended as prophylaxis against PDPH. (Evidence: Moderate Level of Certainty，Recommendation: Grade D)
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] => 1148
[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] =>
[uid] => 1
[author] => 系统管理员
[status] => 9
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[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:47
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[xzl] => 0
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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] => Routine injection of any substance intrathecally or epidurally to prevent PDPH is not recommended. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 不推荐常规鞘内或硬膜外注射任何物质预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
不推荐常规鞘内或硬膜外注射任何物质预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
Routine injection of any substance intrathecally or epidurally to prevent PDPH is not recommended. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1149
[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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[link_id] => 0
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[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
(
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[xzl] => 0
[dzl] => 0
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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] => There is insufficient evidence to recommend routine systemic drug administration for PDPH prophylaxis. (Evidence: Low Level of Certainty，Recommendation: Grade I)
[laiyuan] => 目前没有足够的证据推荐常规使用全身药物来预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
[znzldj] => B
[_inputtime] => 1704957827
[_updatetime] => 1704957827
[_nrjc] =>
[_nrsh] =>
)
推荐意见
目前没有足够的证据推荐常规使用全身药物来预防硬脊膜穿破后头痛。（证据级别：低；推荐强度：Grade I）
There is insufficient evidence to recommend routine systemic drug administration for PDPH prophylaxis. (Evidence: Low Level of Certainty，Recommendation: Grade I)
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] => 1117
[catid] => 35
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
[hits] => 11
[uid] => 1
[author] => 系统管理员
[status] => 9
[url] => /show/1117.html
[link_id] => 0
[tableid] => 0
[inputip] => 14.105.95.222
[inputtime] => 2024-01-11 15:23:33
[updatetime] => 2024-01-11 15:23:33
[displayorder] => 0
[nrjc] => Array
(
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[nrsh] => Array
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[xzl] => 0
[dzl] => 1
[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241558/
[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => The use of wound catheters and/or local abdominal wall blocks and catheters should be considered to reduce postoperative opioid demand but may have variable efficacy.Level of evidence: Low；Recommendation grade: Weak
[laiyuan] => 应考虑使用伤口导管和/或局部腹壁阻滞和导管来减少术后阿片类药物的需求，但可能有不同的效果（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应考虑使用伤口导管和/或局部腹壁阻滞和导管来减少术后阿片类药物的需求，但可能有不同的效果（证据级别：低；推荐强度：弱推荐）
The use of wound catheters and/or local abdominal wall blocks and catheters should be considered to reduce postoperative opioid demand but may have variable efficacy.Level of evidence: Low；Recommendation grade: Weak
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1118
[catid] => 35
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
[hits] => 3
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[author] => 系统管理员
[status] => 9
[url] => /show/1118.html
[link_id] => 0
[tableid] => 0
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[inputtime] => 2024-01-11 15:23:33
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Thoracic epidural analgesia and spinal anesthesia should be used only after assessment for sepsis and abnormal coagulation. Hypotension necessitates appropriate monitoring, volume, and vasopressor therapy. Level of evidence: Low；Recommendation grade: Weak
[laiyuan] => 胸段硬膜外镇痛和腰麻应在评估脓毒症和凝血功能异常后方可应用。低血压需要适当的监测、容量补充和升压治疗。（证据级别：低；推荐强度：弱推推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
胸段硬膜外镇痛和腰麻应在评估脓毒症和凝血功能异常后方可应用。低血压需要适当的监测、容量补充和升压治疗。（证据级别：低；推荐强度：弱推推荐）
Thoracic epidural analgesia and spinal anesthesia should be used only after assessment for sepsis and abnormal coagulation. Hypotension necessitates appropriate monitoring, volume, and vasopressor therapy. Level of evidence: Low；Recommendation grade: Weak
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1119
[catid] => 39
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
[hits] => 5
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[author] => 系统管理员
[status] => 9
[url] => /show/1119.html
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[inputtime] => 2024-01-11 15:23:33
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[demo_url] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => A multidisciplinary discussion at the end of surgery should be used to assess suitability for endotracheal extubation as the risk of postoperative pulmonary complications and reintubation is high.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 手术结束时应通过多学科讨论来评估是否适合拔管，因为术后肺部并发症和再次插管的风险较高（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
手术结束时应通过多学科讨论来评估是否适合拔管，因为术后肺部并发症和再次插管的风险较高（证据等级：中；推荐强度：强推荐）
A multidisciplinary discussion at the end of surgery should be used to assess suitability for endotracheal extubation as the risk of postoperative pulmonary complications and reintubation is high.Level of evidence: Moderate；Recommendation grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1120
[catid] => 39
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
[hits] => 1
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[status] => 9
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients who have undergone EL and show evidence of hypoxemia should receive CPAP pressure or NIPPV (technique based on local expertise) rather than standard oxygen therapy, if the risk of pulmonary aspiration is considered to be low. This should occur in an environment where staff are skilled in these techniques, continuous physiological monitoring is available, and arterial blood gases can be sampled.Level of evidence: High；Recommendation: Strong
[laiyuan] => 对于接受EL并有低氧血症证据的患者，如果认为肺吸入风险低，则应接受CPAP加压或NIPPV(基于当地专业知识的技术)，而不是标准氧疗。这应在工作人员熟练掌握这些技术、有连续的生理监测和动脉血气采样的环境中进行（证据级别：高；推荐强度：强推推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于接受EL并有低氧血症证据的患者，如果认为肺吸入风险低，则应接受CPAP加压或NIPPV(基于当地专业知识的技术)，而不是标准氧疗。这应在工作人员熟练掌握这些技术、有连续的生理监测和动脉血气采样的环境中进行（证据级别：高；推荐强度：强推推荐）
Patients who have undergone EL and show evidence of hypoxemia should receive CPAP pressure or NIPPV (technique based on local expertise) rather than standard oxygen therapy, if the risk of pulmonary aspiration is considered to be low. This should occur in an environment where staff are skilled in these techniques, continuous physiological monitoring is available, and arterial blood gases can be sampled.Level of evidence: High；Recommendation: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
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[id] => 1121
[catid] => 39
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Health systems should establish protocols for determining the appropriate location for postoperative care based on a validated preoperative risk score,impact of the surgical procedure, ongoing physiological instability, and continuing supportive and therapeutic requirements.Level of evidence: Moderate；Recommendation Grade: Strong
[laiyuan] => 卫生系统应根据确认的术前风险评分、手术过程的影响、持续的生理不稳定性以及持续的支持和治疗要求，建立确定合适的术后护理地点的方案。（证据等级：中；推荐等强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
卫生系统应根据确认的术前风险评分、手术过程的影响、持续的生理不稳定性以及持续的支持和治疗要求，建立确定合适的术后护理地点的方案。（证据等级：中；推荐等强度：强推荐）
Health systems should establish protocols for determining the appropriate location for postoperative care based on a validated preoperative risk score,impact of the surgical procedure, ongoing physiological instability, and continuing supportive and therapeutic requirements.Level of evidence: Moderate；Recommendation Grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
Array
(
[id] => 1122
[catid] => 36
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[status] => 9
[url] => /show/1122.html
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[inputtime] => 2024-01-11 15:23:33
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(
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[demo_url] =>
[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients over 65 years of age should receive regular postoperative delirium screening. At-risk patients should be managed with non-pharmaceutical interventions such as regular orientation, sleep hygiene approaches and cognitive stimulation to prevent delirium, and medication triggers minimized. Level of Evidence: High；Recommendation Grade: Strong
[laiyuan] => 65岁以上的患者应定期接受术后精神障碍筛查。应对高危患者进行非药物干预，如定期定向、睡眠卫生方法和认知刺激，以防止精神错乱，并尽量减少药物触发。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
65岁以上的患者应定期接受术后精神障碍筛查。应对高危患者进行非药物干预，如定期定向、睡眠卫生方法和认知刺激，以防止精神错乱，并尽量减少药物触发。（证据级别：高；推荐强度：强推荐）
Patients over 65 years of age should receive regular postoperative delirium screening. At-risk patients should be managed with non-pharmaceutical interventions such as regular orientation, sleep hygiene approaches and cognitive stimulation to prevent delirium, and medication triggers minimized. Level of Evidence: High；Recommendation Grade: Strong
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the International ERAS Society
