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[catid] => 38
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
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[nianfen] => 2023
[guojia] => the International ERAS Society
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[lyyw] => Early tube feeding (within 24 h) should be initiated in patients in whom early oral nutrition cannot be started, and in whom oral intake will be inadequate (＜50% of caloric requirement) for more than 7 days. Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 对于不能开始早期经口营养的患者，以及经口摄入不足(<热量需求的50%)超过7天的患者，应开始早期管饲(24小时内)。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于不能开始早期经口营养的患者，以及经口摄入不足(<热量需求的50%)超过7天的患者，应开始早期管饲(24小时内)。（证据等级：中；推荐强度：强推荐）
Early tube feeding (within 24 h) should be initiated in patients in whom early oral nutrition cannot be started, and in whom oral intake will be inadequate (＜50% of caloric requirement) for more than 7 days. 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] => 1124
[catid] => 38
[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] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
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[tjyjyw] =>
[lyyw] => If enteral feeding is contraindicated, early parenteral nutrition is indicated to mitigate the period of inadequate oral/enteral intake. Enteral or oral nutrition may be reinitiated as gastrointestinal function recovers and/or contraindications end and replace parenteral nutrition when caloric needs can be safely met through oral/enteral routes.Level of evidence: Moderate；Recommendation grade: Weak
[laiyuan] => 如果禁忌肠内喂养，应及早进行肠外营养，以缓解口服/肠道摄入不足。当胃肠功能恢复和/或禁忌症终止后，可重新开始肠内或口服营养，并在通过口服/肠内途径可以安全地满足热量需求时取代肠外营养。（证据等级：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果禁忌肠内喂养，应及早进行肠外营养，以缓解口服/肠道摄入不足。当胃肠功能恢复和/或禁忌症终止后，可重新开始肠内或口服营养，并在通过口服/肠内途径可以安全地满足热量需求时取代肠外营养。（证据等级：中；推荐强度：弱推荐）
If enteral feeding is contraindicated, early parenteral nutrition is indicated to mitigate the period of inadequate oral/enteral intake. Enteral or oral nutrition may be reinitiated as gastrointestinal function recovers and/or contraindications end and replace parenteral nutrition when caloric needs can be safely met through oral/enteral routes.Level of evidence: Moderate；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] => 1125
[catid] => 38
[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] =>
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[tjqd] =>
[nianfen] => 2023
[guojia] => the International ERAS Society
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[tjyjyw] =>
[lyyw] => A multifaceted approach to minimizing postoperative ileus, including minimally invasive surgery, optimized fluid management, opioid-sparing analgesia, early mobilization, early postoperative food intake, laxative administration, and omission/early removal of nasogastric intubation, should be used.Level of evidence: Moderate；Recommendation grade: Strong
[laiyuan] => 应采用多模式的方法减少术后肠梗阻，包括微创手术、优化液体管理、非阿片类药物止痛、早期活动、术后早期进食、通便用药和不插管/早期拔除鼻胃插管。（证据等级：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应采用多模式的方法减少术后肠梗阻，包括微创手术、优化液体管理、非阿片类药物止痛、早期活动、术后早期进食、通便用药和不插管/早期拔除鼻胃插管。（证据等级：中；推荐强度：强推荐）
A multifaceted approach to minimizing postoperative ileus, including minimally invasive surgery, optimized fluid management, opioid-sparing analgesia, early mobilization, early postoperative food intake, laxative administration, and omission/early removal of nasogastric intubation, should be used.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] => 1126
[catid] => 38
[title] => Consensus Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations Part 2—Emergency Laparotomy: Intra-and Postoperative Care
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[pdf] =>
[tjyjyw] =>
[lyyw] => Patients should be assisted to mobilize as soon as possible after surgery. Level of evidence: Weak；Recommendation grade: Strong
[laiyuan] => 术后应尽快协助患者活动。（证据等级：弱；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
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)
推荐意见
术后应尽快协助患者活动。（证据等级：弱；推荐强度：强推荐）
Patients should be assisted to mobilize as soon as possible after surgery. Level of evidence: Weak；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
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[id] => 1127
[catid] => 191
[title] => ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation
[thumb] =>
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[author] => 系统管理员
[status] => 9
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => ESAIC
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest that routine measurement of preoperative cardiac troponins may be used to help evaluate the risk of some adverse outcomes prior to non-cardiac surgery. Level of evidence: Very low；Recommendation grade: Weak.
[laiyuan] => 我们建议术前常规测量心脏肌钙蛋白，以帮助评估非心脏手术前一些不良后果的风险。（证据等级：很低；推荐强度：弱推荐）
[znzldj] => A
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议术前常规测量心脏肌钙蛋白，以帮助评估非心脏手术前一些不良后果的风险。（证据等级：很低；推荐强度：弱推荐）
We suggest that routine measurement of preoperative cardiac troponins may be used to help evaluate the risk of some adverse outcomes prior to non-cardiac surgery. Level of evidence: Very low；Recommendation grade: Weak.
证据评价方法：GRADE
指南质量等级：A
年份：2023
国家：ESAIC
Array
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[catid] => 191
[title] => ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation
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[tjqd] =>
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[guojia] => ESAIC
[pdf] =>
[tjyjyw] =>
[lyyw] => The routine addition of preoperative cardiac troponins to clinical risk scores for the prediction of postoperative events should only be used in the context of clinical research. Level of evidence: Very low；Recommendation grade:No recommendation
[laiyuan] => 术前常规添加心脏肌钙蛋白到临床风险评分中以预测术后事件，这种方法只能用于临床研究。（证据等级：很低；推荐强度：不推荐）
[znzldj] => A
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前常规添加心脏肌钙蛋白到临床风险评分中以预测术后事件，这种方法只能用于临床研究。（证据等级：很低；推荐强度：不推荐）
The routine addition of preoperative cardiac troponins to clinical risk scores for the prediction of postoperative events should only be used in the context of clinical research. Level of evidence: Very low；Recommendation grade:No recommendation
证据评价方法：GRADE
指南质量等级：A
年份：2023
国家：ESAIC
Array
(
[id] => 1129
[catid] => 191
[title] => ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation
[thumb] =>
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[tjqd] =>
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[guojia] => ESAIC
[pdf] =>
[tjyjyw] =>
[lyyw] => The use of preoperative cardiac troponin-enhanced management to improve outcomes should only be used in the context of clinical research. Level of evidence:No data；Recommendation grade: No recommendation.
[laiyuan] => 常规将术前心肌肌钙蛋白添加到临床风险评分中以预测术后事件只应在临床研究的背景下使用。（证据等级：无数据；推荐强度：不推荐）
[znzldj] => A
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
常规将术前心肌肌钙蛋白添加到临床风险评分中以预测术后事件只应在临床研究的背景下使用。（证据等级：无数据；推荐强度：不推荐）
The use of preoperative cardiac troponin-enhanced management to improve outcomes should only be used in the context of clinical research. Level of evidence:No data；Recommendation grade: No recommendation.
证据评价方法：GRADE
指南质量等级：A
年份：2023
国家：ESAIC
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[lyyw] => We suggest that routine and combined measurement of pre- and postoperative cardiac troponins may be used to help evaluate the risk of some adverse outcomes after non-cardiac surgery. Level of evidence: Moderate；Recommendation grade:Weak.
[laiyuan] => 我们建议常规或联合测定术前和术后的心肌肌钙蛋白可能有助于评估非心脏手术后一些不良结局的风险。（证据等级：中等；推荐强度：弱推荐）
[znzldj] => A
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议常规或联合测定术前和术后的心肌肌钙蛋白可能有助于评估非心脏手术后一些不良结局的风险。（证据等级：中等；推荐强度：弱推荐）
We suggest that routine and combined measurement of pre- and postoperative cardiac troponins may be used to help evaluate the risk of some adverse outcomes after non-cardiac surgery. Level of evidence: Moderate；Recommendation grade:Weak.
证据评价方法：GRADE
指南质量等级：A
年份：2023
国家：ESAIC
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[lyyw] => Routine combined pre- and postoperative measurement of cardiac troponins in addition to clinical risk scores may be considered for the prediction of some postoperative events. Level of evidence:Very low；Recommendation grade:Weak.
[laiyuan] => 除临床风险评分外，常规术前和术后联合测量心肌肌钙蛋白可用于预测一些术后事件。（证据等级：很低；推荐强度：弱推荐）
[znzldj] => A
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
除临床风险评分外，常规术前和术后联合测量心肌肌钙蛋白可用于预测一些术后事件。（证据等级：很低；推荐强度：弱推荐）
Routine combined pre- and postoperative measurement of cardiac troponins in addition to clinical risk scores may be considered for the prediction of some postoperative events. Level of evidence:Very low；Recommendation grade:Weak.
证据评价方法：GRADE
指南质量等级：A
年份：2023
国家：ESAIC
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[lyyw] => We suggest that routine measurement postoperative cardiac troponins may be used to evaluate the risk of adverse outcomes after non-cardiac surgery. The higher the concentration, the higher the risk of 30-day mortality.Level of evidence: Moderate；Recommendation grade:Weak.
[laiyuan] => 我们建议术后常规测量心肌肌钙蛋白可用于评估非心脏手术后不良后果的风险。浓度越高，30天死亡率越高。（证据等级：中等；推荐强度：弱推荐）
[znzldj] => A
[_inputtime] => 1704957813
[_updatetime] => 1704957813
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议术后常规测量心肌肌钙蛋白可用于评估非心脏手术后不良后果的风险。浓度越高，30天死亡率越高。（证据等级：中等；推荐强度：弱推荐）
We suggest that routine measurement postoperative cardiac troponins may be used to evaluate the risk of adverse outcomes after non-cardiac surgery. The higher the concentration, the higher the risk of 30-day mortality.Level of evidence: Moderate；Recommendation grade:Weak.
证据评价方法：GRADE
指南质量等级：A
年份：2023
国家：ESAIC
