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Array ( [id] => 869 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/869.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => Patients with OSA may be at increased risk for adverse respiratory events from intravenous benzodiazepine sedation. Intravenous benzodiazepine sedation should be used with caution. (2B) [laiyuan] => 阻塞性呼吸睡眠暂停综合征患者可能因静脉注射苯二氮卓类镇静而增加不良呼吸事件的风险。应谨慎使用苯二氮卓类药物静脉镇静(证据级别:中;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
阻塞性呼吸睡眠暂停综合征患者可能因静脉注射苯二氮卓类镇静而增加不良呼吸事件的风险。应谨慎使用苯二氮卓类药物静脉镇静(证据级别:中;推荐强度:弱推荐)

Patients with OSA may be at increased risk for adverse respiratory events from intravenous benzodiazepine sedation. Intravenous benzodiazepine sedation should be used with caution. (2B)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 870 [catid] => 255 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/870.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => There is a lack of evidence to assess adverse effects of α-2 agonists in the population with OSA(Evidence level:C;Recommendation grade:No Recommendation). [laiyuan] => 缺乏证据评估α-2激动剂在阻塞性呼吸睡眠暂停综合征患者中的不良反应(证据级别:C;推荐强度:不推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
缺乏证据评估α-2激动剂在阻塞性呼吸睡眠暂停综合征患者中的不良反应(证据级别:C;推荐强度:不推荐)

There is a lack of evidence to assess adverse effects of α-2 agonists in the population with OSA(Evidence level:C;Recommendation grade:No Recommendation).

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 871 [catid] => 254 [title] => Society of Anesthesia and Sleep Medicine Guideline on Intraoperative Management of Adult Patients With Obstructive Sleep Apnea [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/871.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => The Society of Anesthesia and Sleep Medicine [pdf] => [tjyjyw] => [lyyw] => When applicable, regional anesthesia is preferable over general anesthesia in patients with OSA. (1B) [laiyuan] => 应用方面区域麻醉优于全身麻醉治疗阻塞性呼吸睡眠暂停综合征患者(证据级别:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
应用方面区域麻醉优于全身麻醉治疗阻塞性呼吸睡眠暂停综合征患者(证据级别:中;推荐强度:强推荐)

When applicable, regional anesthesia is preferable over general anesthesia in patients with OSA. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:The Society of Anesthesia and Sleep Medicine

阅读
Array ( [id] => 872 [catid] => 289 [title] => Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/872.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rapm.bmj.com/content/43/3/263.long [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => American Society of Regional Anesthesia and Pain M [pdf] => [tjyjyw] => [lyyw] => We suggest against the performance of neuraxial blocks in patients with a CrCl of less than 30mL/min. (2C) [laiyuan] => 建议不要对肌酐清除率<30ml/min的患者进行椎管内阻滞。(证据质量:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
建议不要对肌酐清除率<30ml/min的患者进行椎管内阻滞。(证据质量:低;推荐强度:弱推荐)

We suggest against the performance of neuraxial blocks in patients with a CrCl of less than 30mL/min. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:American Society of Regional Anesthesia and Pain M

阅读
Array ( [id] => 873 [catid] => 291 [title] => Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/873.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => American Society of Regional Anesthesia and Pain M [pdf] => [tjyjyw] => [lyyw] => The use of herbal medications does not create a level of risk that will interfere with the performance of neuraxial block. We recommend against the mandatory discontinuation of these medications or avoidance of regional anesthetic techniques in patients in whom these medications have been administered. (1C) [laiyuan] => 使用中草药不会对椎管内阻滞产生一定影响。建议不要强制患者停用这些药物或避免使用区域麻醉技术。(证据质量:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
使用中草药不会对椎管内阻滞产生一定影响。建议不要强制患者停用这些药物或避免使用区域麻醉技术。(证据质量:低;推荐强度:强推荐)

The use of herbal medications does not create a level of risk that will interfere with the performance of neuraxial block. We recommend against the mandatory discontinuation of these medications or avoidance of regional anesthetic techniques in patients in whom these medications have been administered. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:American Society of Regional Anesthesia and Pain M

阅读
Array ( [id] => 874 [catid] => 291 [title] => Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/874.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => American Society of Regional Anesthesia and Pain M [pdf] => [tjyjyw] => [lyyw] => Based on the elimination half-life, we suggest that neuraxial techniques be avoided for 3 hours after discontinuation of cangrelor. (2C) [laiyuan] => 根据消除半衰期,建议在停用康瑞洛后 3 小时内避免进行椎管内阻滞操作。(证据质量:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
根据消除半衰期,建议在停用康瑞洛后 3 小时内避免进行椎管内阻滞操作。(证据质量:低;推荐强度:弱推荐)

Based on the elimination half-life, we suggest that neuraxial techniques be avoided for 3 hours after discontinuation of cangrelor. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:American Society of Regional Anesthesia and Pain M

阅读
Array ( [id] => 875 [catid] => 291 [title] => Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/875.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => American Society of Regional Anesthesia and Pain M [pdf] => [tjyjyw] => [lyyw] => Based on the elimination half-life, we suggest discontinuing extended-release dipyridamole for 24 hours prior to neuraxial block. Aspirin may be continued perioperatively. (2C) [laiyuan] => 根据消除半衰期,建议在椎管内阻滞前 24 小时内停用缓释双嘧达莫。围术期可继续使用阿司匹林。(证据质量:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
根据消除半衰期,建议在椎管内阻滞前 24 小时内停用缓释双嘧达莫。围术期可继续使用阿司匹林。(证据质量:低;推荐强度:弱推荐)

Based on the elimination half-life, we suggest discontinuing extended-release dipyridamole for 24 hours prior to neuraxial block. Aspirin may be continued perioperatively. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:American Society of Regional Anesthesia and Pain M

阅读
Array ( [id] => 876 [catid] => 291 [title] => Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/876.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => American Society of Regional Anesthesia and Pain M [pdf] => [tjyjyw] => [lyyw] => Based on the elimination half-life, we suggest that neuraxial techniques be avoided for 2 days after discontinuation of cilostazol. (2C) [laiyuan] => 根据西洛他唑的消除半衰期,建议在停用西洛他唑 2 天内避免使用椎管内阻滞技术。(证据质量:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
根据西洛他唑的消除半衰期,建议在停用西洛他唑 2 天内避免使用椎管内阻滞技术。(证据质量:低;推荐强度:弱推荐)

Based on the elimination half-life, we suggest that neuraxial techniques be avoided for 2 days after discontinuation of cilostazol. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:American Society of Regional Anesthesia and Pain M

阅读
Array ( [id] => 877 [catid] => 291 [title] => Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/877.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => American Society of Regional Anesthesia and Pain M [pdf] => [tjyjyw] => [lyyw] => Ticagrelor therapy may be resumed immediately after needle placement/catheter removal, provided a loading dose of the drugs is not administered. If a loading dose is administered, we suggest a time interval of 6 hours between catheter removal and administration. (2C) [laiyuan] => 在没有使用负荷剂量药物的情况下,针头置入/导管拔出后可立即恢复替卡格雷治疗。如果使用了负荷剂量药物,建议拔除导管和给药之间应间隔 6 小时。(证据质量:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
在没有使用负荷剂量药物的情况下,针头置入/导管拔出后可立即恢复替卡格雷治疗。如果使用了负荷剂量药物,建议拔除导管和给药之间应间隔 6 小时。(证据质量:低;推荐强度:弱推荐)

Ticagrelor therapy may be resumed immediately after needle placement/catheter removal, provided a loading dose of the drugs is not administered. If a loading dose is administered, we suggest a time interval of 6 hours between catheter removal and administration. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:American Society of Regional Anesthesia and Pain M

阅读
Array ( [id] => 878 [catid] => 291 [title] => Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/878.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:14:16 [updatetime] => 2024-01-11 15:14:16 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => American Society of Regional Anesthesia and Pain M [pdf] => [tjyjyw] => [lyyw] => Neuraxialcatheters should not be maintained with ticagrelor because of the rapid onset. (2C) [laiyuan] => 替卡格雷起效迅速,使用时不应保留椎管内导管。(证据质量:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957256 [_updatetime] => 1704957256 [_nrjc] => [_nrsh] => )
推荐意见
替卡格雷起效迅速,使用时不应保留椎管内导管。(证据质量:低;推荐强度:弱推荐)

Neuraxialcatheters should not be maintained with ticagrelor because of the rapid onset. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2018

国家:American Society of Regional Anesthesia and Pain M

阅读