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发表时间 阅读量
Array ( [id] => 667 [catid] => 78 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/667.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is recommended to adopt a "patient blood management" programme in the practice of cardiac surgery, and notably to detect and correct anaemia due to iron deficiency preoperatively, to reduce the perioperative need for blood transfusion.(GRADE 1+ STRONG AGREEMENT) [laiyuan] => 推荐在心脏手术实践中采用"患者血液管理"方案，特别是术前发现和纠正因缺铁引起的贫血，以减少围手术期输血需求。(GRADE 1+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
推荐在心脏手术实践中采用"患者血液管理"方案，特别是术前发现和纠正因缺铁引起的贫血，以减少围手术期输血需求。(GRADE 1+ STRONG AGREEMENT)

It is recommended to adopt a "patient blood management" programme in the practice of cardiac surgery, and notably to detect and correct anaemia due to iron deficiency preoperatively, to reduce the perioperative need for blood transfusion.(GRADE 1+ STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 668 [catid] => 78 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/668.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to use an intra- and postoperative haemodynamic optimisation strategy, including the systematic monitoring of stroke volume and taking into account the patients’ intra- and postoperative fluid balance, to decrease the occurrence of postoperative complications and length of stay in hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 建议采用术中和术后血流动力学优化方案，包括系统监测每搏输出量，考虑患者术中和术后液体平衡，以减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
建议采用术中和术后血流动力学优化方案，包括系统监测每搏输出量，考虑患者术中和术后液体平衡，以减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT)

It is probably recommended to use an intra- and postoperative haemodynamic optimisation strategy, including the systematic monitoring of stroke volume and taking into account the patients’ intra- and postoperative fluid balance, to decrease the occurrence of postoperative complications and length of stay in hospital.(GRADE 2+ STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 669 [catid] => 74 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/669.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is not recommended to perform presternal infiltration and/or to deliver local anaesthetic drugs through a presternal catheter to reduce the occurrence of postoperative complications.(GRADE 1- STRONG AGREEMENT) [laiyuan] => 不建议通过胸骨前导管进行胸骨前浸润和/或给予局部麻醉药物，以减少术后并发症的发生。(GRADE 1- STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
不建议通过胸骨前导管进行胸骨前浸润和/或给予局部麻醉药物，以减少术后并发症的发生。(GRADE 1- STRONG AGREEMENT)

It is not recommended to perform presternal infiltration and/or to deliver local anaesthetic drugs through a presternal catheter to reduce the occurrence of postoperative complications.(GRADE 1- STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 670 [catid] => 74 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/670.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to perform locoregional analgesia, favouring ultrasound-guided blocks of the chest wall, as a single or continuous injection, to improve analgesic management and reduce the occurrence of postoperative complications and length of stay in the critical care unit.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐进行区域镇痛，首选超声引导下单次或连续胸壁阻滞，以优化镇痛管理方案，减少术后并发症的发生和重症监护室停留时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
推荐进行区域镇痛，首选超声引导下单次或连续胸壁阻滞，以优化镇痛管理方案，减少术后并发症的发生和重症监护室停留时间。(GRADE 2+ STRONG AGREEMENT)

It is probably recommended to perform locoregional analgesia, favouring ultrasound-guided blocks of the chest wall, as a single or continuous injection, to improve analgesic management and reduce the occurrence of postoperative complications and length of stay in the critical care unit.(GRADE 2+ STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 671 [catid] => 74 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/671.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably not recommended to choose a volatile anaesthetic agent rather than an intravenous agent, to reduce the occurrence of postoperative complications and length of stay in hospital.(GRADE 2- STRONG AGREEMENT) [laiyuan] => 不建议选择挥发性麻醉药物替代静脉麻醉药物，以减少术后并发症的发生和住院时间。(GRADE 2- STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
不建议选择挥发性麻醉药物替代静脉麻醉药物，以减少术后并发症的发生和住院时间。(GRADE 2- STRONG AGREEMENT)

It is probably not recommended to choose a volatile anaesthetic agent rather than an intravenous agent, to reduce the occurrence of postoperative complications and length of stay in hospital.(GRADE 2- STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 672 [catid] => 73 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/672.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to limit the preoperative fasting to 6 h for solids and 2 h for clear liquids, and to drink a carbohydrate solution preoperatively, to reduce postoperative complications and the length of stay in the critical care unit.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐术前6h禁食固体食物，术前2h禁食清亮液体和碳水化合物溶液，以减少术后并发症和重症监护室的停留时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
推荐术前6h禁食固体食物，术前2h禁食清亮液体和碳水化合物溶液，以减少术后并发症和重症监护室的停留时间。(GRADE 2+ STRONG AGREEMENT)

It is probably recommended to limit the preoperative fasting to 6 h for solids and 2 h for clear liquids, and to drink a carbohydrate solution preoperatively, to reduce postoperative complications and the length of stay in the critical care unit.(GRADE 2+ STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 673 [catid] => 72 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/673.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably not recommended to initiate a treatment with a statin before cardiac surgery, in the absence of prior treatment, to reduce the occurrence of postoperative complications and decrease the length of stay in hospital.(GRADE 2- STRONG AGREEMENT) [laiyuan] => 对于术前未使用他汀类药物的患者，不建议在心脏手术前开始他汀类药物治疗，以减少术后并发症的发生和缩短住院时间。(GRADE 2- STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
对于术前未使用他汀类药物的患者，不建议在心脏手术前开始他汀类药物治疗，以减少术后并发症的发生和缩短住院时间。(GRADE 2- STRONG AGREEMENT)

It is probably not recommended to initiate a treatment with a statin before cardiac surgery, in the absence of prior treatment, to reduce the occurrence of postoperative complications and decrease the length of stay in hospital.(GRADE 2- STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 674 [catid] => 72 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/674.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is recommended to implement a perioperative strategy to prevent postoperative atrial fibrillation by perioperative maintenance or early postoperative introduction of antiarrhythmic drugs, to reduce the risk of postoperative stroke and the length of stay in hospital. In the absence of contraindications, beta-blockers should be used as the first-line therapy.(GRADE 1+ STRONG AGREEMENT) [laiyuan] => 推荐通过围手术期管理或术后早期使用抗心律失常药物等策略预防术后心房颤动的发生，以降低术后卒中风险和缩短住院时间。在无禁忌证的情况下，β受体阻滞剂应作为一线治疗药物。(GRADE 1+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
推荐通过围手术期管理或术后早期使用抗心律失常药物等策略预防术后心房颤动的发生，以降低术后卒中风险和缩短住院时间。在无禁忌证的情况下，β受体阻滞剂应作为一线治疗药物。(GRADE 1+ STRONG AGREEMENT)

It is recommended to implement a perioperative strategy to prevent postoperative atrial fibrillation by perioperative maintenance or early postoperative introduction of antiarrhythmic drugs, to reduce the risk of postoperative stroke and the length of stay in hospital. In the absence of contraindications, beta-blockers should be used as the first-line therapy.(GRADE 1+ STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 675 [catid] => 71 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/675.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to have a preoperative glycated haemoglobin (HbA1c) level of less than 3 months in patients with diabetes or metabolic syndrome, and to promote a dedicated diabetic approach in case of HbA1c level > 8%, to improve glycaemic control as early as possible before surgery (and if necessary, postponing surgery according to its degree of emergency) and reduce the occurrence of postoperative complications and length of stay in hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 对于糖尿病或代谢综合征患者，术前3个月内检测糖化血红蛋白(HbA1c)水平，如果 HbA1c水平>8%，则推荐应用专门的糖尿病治疗方案，以便在术前尽早控制血糖（必要时根据紧急程度推迟手术），减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
对于糖尿病或代谢综合征患者，术前3个月内检测糖化血红蛋白(HbA1c)水平，如果 HbA1c水平>8%，则推荐应用专门的糖尿病治疗方案，以便在术前尽早控制血糖（必要时根据紧急程度推迟手术），减少术后并发症的发生和住院时间。(GRADE 2+ STRONG AGREEMENT)

It is probably recommended to have a preoperative glycated haemoglobin (HbA1c) level of less than 3 months in patients with diabetes or metabolic syndrome, and to promote a dedicated diabetic approach in case of HbA1c level > 8%, to improve glycaemic control as early as possible before surgery (and if necessary, postponing surgery according to its degree of emergency) and reduce the occurrence of postoperative complications and length of stay in hospital.(GRADE 2+ STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读
Array ( [id] => 676 [catid] => 70 [title] => Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/676.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:24 [updatetime] => 2024-01-11 15:13:24 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => French Society of Anaesthesia and Intensive Care M [pdf] => [tjyjyw] => [lyyw] => It is probably recommended to include patients in an ERACS programme to reduce the duration of postoperative mechanical ventilation and length of stay in the intensive care unit and hospital.(GRADE 2+ STRONG AGREEMENT) [laiyuan] => 推荐将患者纳入ERACS方案，以减少术后机械通气时间、重症监护病房住院时间和住院时间。(GRADE 2+ STRONG AGREEMENT) [znzldj] => B [_inputtime] => 1704957204 [_updatetime] => 1704957204 [_nrjc] => [_nrsh] => )
推荐意见
推荐将患者纳入ERACS方案，以减少术后机械通气时间、重症监护病房住院时间和住院时间。(GRADE 2+ STRONG AGREEMENT)

It is probably recommended to include patients in an ERACS programme to reduce the duration of postoperative mechanical ventilation and length of stay in the intensive care unit and hospital.(GRADE 2+ STRONG AGREEMENT)

证据评价方法：GRADE

指南质量等级：B

年份：2022

国家：French Society of Anaesthesia and Intensive Care M

来源 Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump
阅读

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