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Array ( [id] => 1019 [catid] => 299 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1019.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:43 [updatetime] => 2024-01-11 15:22:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => Opioids may be administered when indicated for the management of perioperative pain in patients who use cannabis with increased vigilance. ( Level of certainty: Moderate,GradeC) [laiyuan] => 阿片类药物可用于使用大麻并产生耐受患者围手术期疼痛的管理。( Level of certainty: Low,GradeC) [znzldj] => B [_inputtime] => 1704957763 [_updatetime] => 1704957763 [_nrjc] => [_nrsh] => )
推荐意见
阿片类药物可用于使用大麻并产生耐受患者围手术期疼痛的管理。( Level of certainty: Low,GradeC)

Opioids may be administered when indicated for the management of perioperative pain in patients who use cannabis with increased vigilance. ( 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

阅读
Array ( [id] => 1020 [catid] => 299 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1020.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:43 [updatetime] => 2024-01-11 15:22:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [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 adjusting postoperative opioid prescriptions in surgical patients who consume cannabinoids. ( Level of certainty: Moderate,GradeI) [laiyuan] => 对于使用大麻类药物的手术患者,没有足够的证据建议或反对调整术后阿片类药物处方。( Level of certainty: Low,GradeI [znzldj] => B [_inputtime] => 1704957763 [_updatetime] => 1704957763 [_nrjc] => [_nrsh] => )
推荐意见
对于使用大麻类药物的手术患者,没有足够的证据建议或反对调整术后阿片类药物处方。( Level of certainty: Low,GradeI

There is insufficient evidence to recom- mend for or against adjusting postoperative opioid prescriptions in surgical patients who consume cannabinoids. ( Level of certainty: Moderate,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

阅读
Array ( [id] => 1021 [catid] => 303 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1021.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:43 [updatetime] => 2024-01-11 15:22:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => Patients using cannabis should be counseled regarding the risk of CWS. Postoperatively , patients that consume cannabis routinely should be monitored for CWS using a validated and reliable scale. ( Level of certainty: Moderate,GradeC) [laiyuan] => 使用大麻的患者应被告知CWS的风险。术后应使用经过验证且可靠的量表对常规吸食大麻的患者进行CWS监测。( Level of certainty: Moderate,GradeC) [znzldj] => B [_inputtime] => 1704957763 [_updatetime] => 1704957763 [_nrjc] => [_nrsh] => )
推荐意见
使用大麻的患者应被告知CWS的风险。术后应使用经过验证且可靠的量表对常规吸食大麻的患者进行CWS监测。( Level of certainty: Moderate,GradeC)

Patients using cannabis should be counseled regarding the risk of CWS. Postoperatively , patients that consume cannabis routinely should be monitored for CWS using a validated and reliable scale. ( 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

阅读
Array ( [id] => 1022 [catid] => 303 [title] => ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1022.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:43 [updatetime] => 2024-01-11 15:22:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://guide.medlive.cn/guideline/27686 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => ASRA,American Society of Regional Anesthesia and P [pdf] => [tjyjyw] => [lyyw] => The expert panel came to the consensus that initiating a cannabinoid agonist such as dronabinol at a low dose is the best choice to treat severe CWS postoperatively . ( Level of certainty: Moderate,GradeC) [laiyuan] => 专家小组一致认为小剂量的大麻素激动剂如dronabinol是术后治疗重度CWS的最佳选择( Level of certainty: Moderate,GradeC) [znzldj] => B [_inputtime] => 1704957763 [_updatetime] => 1704957763 [_nrjc] => [_nrsh] => )
推荐意见
专家小组一致认为小剂量的大麻素激动剂如dronabinol是术后治疗重度CWS的最佳选择( Level of certainty: Moderate,GradeC)

The expert panel came to the consensus that initiating a cannabinoid agonist such as dronabinol at a low dose is the best choice to treat severe CWS postoperatively . ( 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

阅读
Array ( [id] => 1023 [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 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/1023.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:43 [updatetime] => 2024-01-11 15:22:43 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520188/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Use of end-tidal CO2 monitoring in intubated patients during CPR may help to predict the likelihood of return of spontaneous circulation and survival as well as guiding CPR, despite the lack of absolute cut-off values.(Evidence level:B;Recommendation grade:2). [laiyuan] => 在气管插管患者CPR过程中应用呼气末CO2监测有助于预测自主循环恢复和存活的可能性,并指导CPR,尽管目前尚缺乏绝对临界值。(证据级别:B;推荐强度:2) [znzldj] => B [_inputtime] => 1704957763 [_updatetime] => 1704957763 [_nrjc] => [_nrsh] => )
推荐意见
在气管插管患者CPR过程中应用呼气末CO2监测有助于预测自主循环恢复和存活的可能性,并指导CPR,尽管目前尚缺乏绝对临界值。(证据级别:B;推荐强度:2)

Use of end-tidal CO2 monitoring in intubated patients during CPR may help to predict the likelihood of return of spontaneous circulation and survival as well as guiding CPR, despite the lack of absolute cut-off values.(Evidence level:B;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

阅读
Array ( [id] => 983 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/983.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐监测术前基线血压值,尤其是手术当日基线血压水 平,用于确定围术期血压管理目标值(I,B) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
推荐监测术前基线血压值,尤其是手术当日基线血压水 平,用于确定围术期血压管理目标值(I,B)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
Array ( [id] => 984 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/984.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐围术期在诊断高血压之前行 24 h 动态血压监测, 以识别白大衣高压和隐匿性高血压(I,A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
推荐围术期在诊断高血压之前行 24 h 动态血压监测, 以识别白大衣高压和隐匿性高血压(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
Array ( [id] => 985 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/985.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐监测围术期 收缩压、收缩压、平均动脉压 和脉压值, 避免依赖单次血压水平指导术前血压管理(I,A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
推荐监测围术期 收缩压、收缩压、平均动脉压 和脉压值, 避免依赖单次血压水平指导术前血压管理(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
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推荐意见
高血压 1 级或 2 级患者无需推迟手术(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读
Array ( [id] => 987 [catid] => 191 [title] => 成人非心脏手术围术期血压评估与管理指南 [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/987.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:22:42 [updatetime] => 2024-01-11 15:22:42 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://kns.cnki.net/kcms2/article/abstract?v=VoBN4ANGQ4dtToq04Uwj9-rXfrpXggfczsFihVQPKFD5O0_vwUgfPYQWFowqdNr8yRvHfW5ab04jwDa8qrEHiMv7YiXlwYC79T74SvhwPXwIs06r7BKYhhwwjxzNaxsQiz8eSt54SUk=&uniplatform=NZKPT&flag=copy [demo_url] => [zjpjff] => [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => 中国老年医学学会医疗照护分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐收缩压高于 180 mmHg 和 / 或 舒张压高于 110 mmHg 可延迟择期手术(I,A) [znzldj] => B [_inputtime] => 1704957762 [_updatetime] => 1704957762 [_nrjc] => [_nrsh] => )
推荐意见
推荐收缩压高于 180 mmHg 和 / 或 舒张压高于 110 mmHg 可延迟择期手术(I,A)

证据评价方法:

指南质量等级:B

年份:2023

国家:中国老年医学学会医疗照护分会

阅读