Array
(
[id] => 1038
[catid] => 76
[title] => Cardiac arrest in the perioperative period: a consensus guideline for identification, treatment, and prevention from the European Society of Anaesthesiology and
Intensive Care and the European Society for Trauma and Emergency Surgery
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[wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520188/
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest the use of either resuscitative thoracotomy with cross-clamping of the descending aorta or resuscitative endovascular balloon occlusion of the aorta.(Evidence level:C;Recommendation grade:2).
[laiyuan] => 我们建议使用复苏性开胸并交叉夹闭降主动脉或复苏性血管内球囊阻断主动脉。(证据级别:C;推荐强度:2)
[znzldj] => B
[_inputtime] => 1704957763
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)
推荐意见
我们建议使用复苏性开胸并交叉夹闭降主动脉或复苏性血管内球囊阻断主动脉。(证据级别:C;推荐强度:2)
We suggest the use of either resuscitative thoracotomy with cross-clamping of the descending aorta or resuscitative endovascular balloon occlusion of the aorta.(Evidence level:C;Recommendation grade:2).
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] => 1010
[catid] => 130
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
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[tjqd] =>
[nianfen] => 2023
[guojia] => ASRA,American Society of Regional Anesthesia and P
[pdf] =>
[tjyjyw] =>
[lyyw] => Pregnant patients should be educated and
counseled about the risks of maternal cannabis use on the fetus/neonate. ( Level of certainty: Moderate,Grade A)
[laiyuan] => 对于孕妇使用大麻对胎儿/新生儿的风险,应进行教育和咨询。( Level of certainty: Moderate,Grade A)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于孕妇使用大麻对胎儿/新生儿的风险,应进行教育和咨询。( Level of certainty: Moderate,Grade A)
Pregnant patients should be educated and
counseled about the risks of maternal cannabis use on the fetus/neonate. ( Level of certainty: Moderate,Grade A)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
[id] => 1011
[catid] => 144
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
[thumb] =>
[keywords] =>
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[hits] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => ASRA,American Society of Regional Anesthesia and P
[pdf] =>
[tjyjyw] =>
[lyyw] => Cannabis use during pregnancy and immediate postpartum period should be discouraged. ( Level of certainty: Moderate,GradeB)
[laiyuan] => 应劝阻妊娠期和产后立即使用大麻。( Level of certainty: Moderate,Grade A)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应劝阻妊娠期和产后立即使用大麻。( Level of certainty: Moderate,Grade A)
Cannabis use during pregnancy and immediate postpartum period should be discouraged. ( Level of certainty: Moderate,GradeB)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
[id] => 1012
[catid] => 294
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
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[xzl] => 0
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[zjpjff] => GRADE
[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => ASRA,American Society of Regional Anesthesia and P
[pdf] =>
[tjyjyw] =>
[lyyw] => Consideration should be given to adjusting induction and maintenance doses of anesthetic agents based on clinical presentation and timing of the last consump-tion of cannabis in surgical and procedural patients. ( Level of certainty: Low,GradeC)
[laiyuan] => 应考虑根据外科和手术患者的临床表现和最后一次吸食大麻的时间调整麻醉药物的诱导和维持剂量。 ( Level of certainty: Low,GradeC)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应考虑根据外科和手术患者的临床表现和最后一次吸食大麻的时间调整麻醉药物的诱导和维持剂量。 ( Level of certainty: Low,GradeC)
Consideration should be given to adjusting induction and maintenance doses of anesthetic agents based on clinical presentation and timing of the last consump-tion of cannabis in surgical and procedural patients. ( Level of certainty: Low,GradeC)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
[id] => 1013
[catid] => 295
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
[thumb] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => ASRA,American Society of Regional Anesthesia and P
[pdf] =>
[tjyjyw] =>
[lyyw] => There is insufficient evidence to recom-mend for or against the use of intraoperative EEG monitoring in patients who have taken cannabinoids. ( Level of certainty: Low,GradeI)
[laiyuan] => 没有足够的证据建议或反对在服用大麻类药物的患者中使用术中脑电监测。( Level of certainty: Low,GradeI)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
没有足够的证据建议或反对在服用大麻类药物的患者中使用术中脑电监测。( Level of certainty: Low,GradeI)
There is insufficient evidence to recom-mend for or against the use of intraoperative EEG monitoring in patients who have taken cannabinoids. ( Level of certainty: Low,GradeI)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
[id] => 1014
[catid] => 295
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
[thumb] =>
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[guojia] => ASRA,American Society of Regional Anesthesia and P
[pdf] =>
[tjyjyw] =>
[lyyw] => Based on the studies reviewed, patients taking only oral cannabis do not need any adjustments in venti-latory settings. ( Level of certainty: Low,GradeC)
[laiyuan] => 根据综述的研究,仅口服大麻的患者不需要任何通气设置的调整。( Level of certainty: Low,GradeC)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
根据综述的研究,仅口服大麻的患者不需要任何通气设置的调整。( Level of certainty: Low,GradeC)
Based on the studies reviewed, patients taking only oral cannabis do not need any adjustments in venti-latory settings. ( Level of certainty: Low,GradeC)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
[id] => 1015
[catid] => 295
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
[thumb] =>
[keywords] =>
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[pdf] =>
[tjyjyw] =>
[lyyw] => Adjustment of ventilatory settings should
be considered since obstructive lung disease- like patterns may be associated with chronic cannabis consumption by inhalation, particularly in patients with comorbid conditions that are asso-ciated with an increased risk of pulmonary pathology .( Level of certainty: Low,GradeC)
[laiyuan] => 应考虑调整通气设置,因为阻塞性肺疾病样模式可能与长期吸入大麻相关,特别是在有与肺部病理风险增加相关的合并症的患者中( Level of certainty: Low,GradeC)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
应考虑调整通气设置,因为阻塞性肺疾病样模式可能与长期吸入大麻相关,特别是在有与肺部病理风险增加相关的合并症的患者中( Level of certainty: Low,GradeC)
Adjustment of ventilatory settings should
be considered since obstructive lung disease- like patterns may be associated with chronic cannabis consumption by inhalation, particularly in patients with comorbid conditions that are asso-ciated with an increased risk of pulmonary pathology .( Level of certainty: Low,GradeC)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
[id] => 1016
[catid] => 303
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
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[guojia] => ASRA,American Society of Regional Anesthesia and P
[pdf] =>
[tjyjyw] =>
[lyyw] => Evidence is insufficient to guide ventilation settings following acute cannabis use via inhalation. ( Level of certainty: Low,GradeI)
[laiyuan] => 没有足够的证据来指导急性吸入大麻后的通气设置。( Level of certainty: Low,GradeI)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
没有足够的证据来指导急性吸入大麻后的通气设置。( Level of certainty: Low,GradeI)
Evidence is insufficient to guide ventilation settings following acute cannabis use via inhalation. ( Level of certainty: Low,GradeI)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
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cannabis and cannabinoids
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[tjyjyw] =>
[lyyw] => Based on the currently available evidence, we do not recommend the routine use of additional postoperative monitoring for cardiac or neurological adverse events. However, we do recommend increased vigilance given that cardiac and neurovascular events do frequently occur in the postoperative period. ( Level of certainty: Moderate,GradeC)
[laiyuan] => 基于目前的证据,我们不建议常规使用额外的术后心脏或神经不良事件监测。然而,鉴于心脏和神经血管事件在术后期间确实经常发生,我们建议提高警惕。 ( Level of certainty: Moderate,GradeC)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
基于目前的证据,我们不建议常规使用额外的术后心脏或神经不良事件监测。然而,鉴于心脏和神经血管事件在术后期间确实经常发生,我们建议提高警惕。 ( Level of certainty: Moderate,GradeC)
Based on the currently available evidence, we do not recommend the routine use of additional postoperative monitoring for cardiac or neurological adverse events. However, we do recommend increased vigilance given that cardiac and neurovascular events do frequently occur in the postoperative period. ( Level of certainty: Moderate,GradeC)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P
Array
(
[id] => 1018
[catid] => 299
[title] => ASRA Pain Medicine consensus guidelines on the
management of the perioperative patient on
cannabis and cannabinoids
[thumb] =>
[keywords] =>
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[zjfj] =>
[tjqd] =>
[nianfen] => 2023
[guojia] => ASRA,American Society of Regional Anesthesia and P
[pdf] =>
[tjyjyw] =>
[lyyw] => Based on the currently available evidence, we recommend using multimodal analgesia incor-porating regional analgesia if appropriate and using opioids as rescue medication. Patients may need additional follow- up for adequacy of analgesia and the need for adjusting postoperative pain medications accordingly . ( Level of certainty: Low,GradeC)
[laiyuan] => 基于现有的证据,我们建议酌情采用包括区域镇痛的多模式镇痛,并使用阿片类药物作为补救用药。患者可能需要额外的随访以确定镇痛是否充分,并需要相应地调整术后镇痛药物。 ( Level of certainty: Moderate,GradeC)
[znzldj] => B
[_inputtime] => 1704957763
[_updatetime] => 1704957763
[_nrjc] =>
[_nrsh] =>
)
推荐意见
基于现有的证据,我们建议酌情采用包括区域镇痛的多模式镇痛,并使用阿片类药物作为补救用药。患者可能需要额外的随访以确定镇痛是否充分,并需要相应地调整术后镇痛药物。 ( Level of certainty: Moderate,GradeC)
Based on the currently available evidence, we recommend using multimodal analgesia incor-porating regional analgesia if appropriate and using opioids as rescue medication. Patients may need additional follow- up for adequacy of analgesia and the need for adjusting postoperative pain medications accordingly . ( Level of certainty: Low,GradeC)
证据评价方法:GRADE
指南质量等级:B
年份:2023
国家:ASRA,American Society of Regional Anesthesia and P