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Array ( [id] => 3335 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3335.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The expert panel suggests that all recommendations, precautions, and prescriptions outlined in international guidelines applied to nonurgent cases should be followed also in urgent and emergency situations.(Expert consensus) [laiyuan] => 专家小组建议,非急诊病例中的所有抗凝相关推荐、预防措施及用药规范,同样适用于急危重症场景。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
专家小组建议,非急诊病例中的所有抗凝相关推荐、预防措施及用药规范,同样适用于急危重症场景。(专家共识)

The expert panel suggests that all recommendations, precautions, and prescriptions outlined in international guidelines applied to nonurgent cases should be followed also in urgent and emergency situations.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3336 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3336.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The multidisciplinary expert panel believes that performing peripheral blocks with infusion pressure monitoring techniques does not reduce occurrence of neurological complications in adult patients undergoing RA techniques.(Expert consensus) [laiyuan] => 多学科专家小组认为,在成年患者的区域麻醉操作中,实施外周神经阻滞时采用输注压力监测技术,无法降低神经并发症的发生率。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
多学科专家小组认为,在成年患者的区域麻醉操作中,实施外周神经阻滞时采用输注压力监测技术,无法降低神经并发症的发生率。(专家共识)

The multidisciplinary expert panel believes that performing peripheral blocks with infusion pressure monitoring techniques does not reduce occurrence of neurological complications in adult patients undergoing RA techniques.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3337 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3337.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The multidisciplinary expert panel suggests that performing single-shot peripheral regional anesthesia techniques, skin disinfection with 2% chlorhexidine in alcoholic solution, the use of a single-use probe cover, and a no-touch technique are sufficient to reduce the incidence of infections related to the technique itself.(Expert consensus) [laiyuan] => 对于实施单次外周区域麻醉的操作,建议采用2% 氯己定醇溶液进行皮肤消毒、使用一次性探头套、采取无接触操作技术,上述措施可以降低该操作相关的感染发生率。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对于实施单次外周区域麻醉的操作,建议采用2% 氯己定醇溶液进行皮肤消毒、使用一次性探头套、采取无接触操作技术,上述措施可以降低该操作相关的感染发生率。(专家共识)

The multidisciplinary expert panel suggests that performing single-shot peripheral regional anesthesia techniques, skin disinfection with 2% chlorhexidine in alcoholic solution, the use of a single-use probe cover, and a no-touch technique are sufficient to reduce the incidence of infections related to the technique itself.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3338 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3338.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The multidisciplinary expert panel suggests that patients undergoing subarachnoid and epidural anesthesia should always be clinically reassessed before discharge from the surgical ward. The evaluation should include oxygen saturation, blood pressure, and heart rate. Discharge should only occur after a regression of the sensory block of at least two dermatomes and, in any case, below the T12 dermatome. If intrathecal or epidural opioid is deemed appropriate, it is recommended that the patient's vital parameters be monitored for at least 30 min before discharge.(Expert consensus) [laiyuan] => 多学科专家小组建议,接受蛛网膜下腔阻滞和硬膜外阻滞的患者,出院前必须进行临床再评估,评估内容包括血氧饱和度、血压和心率;出院的前提为感觉阻滞至少消退 2 个皮节,且无论如何需消退至 T12 皮节以下。若患者使用了鞘内或硬膜外阿片类药物,出院前需对生命体征监测至少 30 分钟。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
多学科专家小组建议,接受蛛网膜下腔阻滞和硬膜外阻滞的患者,出院前必须进行临床再评估,评估内容包括血氧饱和度、血压和心率;出院的前提为感觉阻滞至少消退 2 个皮节,且无论如何需消退至 T12 皮节以下。若患者使用了鞘内或硬膜外阿片类药物,出院前需对生命体征监测至少 30 分钟。(专家共识)

The multidisciplinary expert panel suggests that patients undergoing subarachnoid and epidural anesthesia should always be clinically reassessed before discharge from the surgical ward. The evaluation should include oxygen saturation, blood pressure, and heart rate. Discharge should only occur after a regression of the sensory block of at least two dermatomes and, in any case, below the T12 dermatome. If intrathecal or epidural opioid is deemed appropriate, it is recommended that the patient's vital parameters be monitored for at least 30 min before discharge.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3339 [catid] => 293 [title] => Enhancing Safety in Regional Anesthesia: Guidelines from the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3339.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Vito Torrano [pdf] => [tjyjyw] => [lyyw] => The multidisciplinary expert panel suggests that patient monitoring should not be limited to the surgical ward (operating room and recovery room) but should be a continuous process within the hospital ward, as even severe complications such as neuraxial hematomas can manifest lately. Therefore, it is important to ensure careful neurological surveillance, closely monitoring patients with prolonged sensory and/or motor blocks beyond the expected duration or a recurrence of sensory and/or motor blocks after initial regression.(Expert consensus) [laiyuan] => 多学科专家小组建议,对患者的监测不应局限于手术区域(手术室和恢复室),而应在住院病房内持续进行;因严重并发症(如神经轴血肿)可能延迟出现。因此,需加强神经学监测,对感觉/运动阻滞持续时间超出预期、或感觉/运动阻滞消退后再次复发的患者进行密切监护。(专家共识) [znzldj] => B [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
多学科专家小组建议,对患者的监测不应局限于手术区域(手术室和恢复室),而应在住院病房内持续进行;因严重并发症(如神经轴血肿)可能延迟出现。因此,需加强神经学监测,对感觉/运动阻滞持续时间超出预期、或感觉/运动阻滞消退后再次复发的患者进行密切监护。(专家共识)

The multidisciplinary expert panel suggests that patient monitoring should not be limited to the surgical ward (operating room and recovery room) but should be a continuous process within the hospital ward, as even severe complications such as neuraxial hematomas can manifest lately. Therefore, it is important to ensure careful neurological surveillance, closely monitoring patients with prolonged sensory and/or motor blocks beyond the expected duration or a recurrence of sensory and/or motor blocks after initial regression.(Expert consensus)

证据评价方法:GRADE

指南质量等级:B

年份:2025

国家:Vito Torrano

阅读
Array ( [id] => 3340 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3340.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 推荐在术前严格评估术后恶心呕吐的潜在危险因素:女性(强推荐,高质量证据)、非吸烟者(强推荐,中等质量证据)、术后恶心呕吐史或晕动病史(强推荐,高质量证据)、成人<50岁(强推荐,高质量证据);儿童从3岁开始随年龄增长逐渐增加,并于5~9岁达到峰值(良好实践声明);包括N2O在内的吸入麻醉药、阿片类药物、新斯的明(相较于舒更葡糖钠)(强推荐,中等质量证据);全身麻醉较区域麻醉风险更高( 强推荐,高质量证据);腹腔镜手术、妇科手术、胃肠道手术、耳鼻喉手术和开颅手术等(弱推荐,低质量证据);手术时间(弱推荐,高质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
推荐在术前严格评估术后恶心呕吐的潜在危险因素:女性(强推荐,高质量证据)、非吸烟者(强推荐,中等质量证据)、术后恶心呕吐史或晕动病史(强推荐,高质量证据)、成人<50岁(强推荐,高质量证据);儿童从3岁开始随年龄增长逐渐增加,并于5~9岁达到峰值(良好实践声明);包括N2O在内的吸入麻醉药、阿片类药物、新斯的明(相较于舒更葡糖钠)(强推荐,中等质量证据);全身麻醉较区域麻醉风险更高( 强推荐,高质量证据);腹腔镜手术、妇科手术、胃肠道手术、耳鼻喉手术和开颅手术等(弱推荐,低质量证据);手术时间(弱推荐,高质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3341 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3341.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议使用简化Apfel 评分对成人患者进行风险分级,并采取相应预防措施(良好实践声明) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
建议使用简化Apfel 评分对成人患者进行风险分级,并采取相应预防措施(良好实践声明)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3342 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3342.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 建议使用儿童术后呕吐预测评分对儿童患者进行风险分级,并采取相应预防措施(良好实践声明) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
建议使用儿童术后呕吐预测评分对儿童患者进行风险分级,并采取相应预防措施(良好实践声明)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3343 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3343.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对预计术中或术后存在中重度疼痛的患者(排除凝血功能障碍、穿刺部位感染及局部麻醉药过敏),建议使用全身麻醉联合外周神经阻滞,作为减少阿片类药物用量的措施,以降低术后恶心呕吐发生率(弱推荐,中等质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对预计术中或术后存在中重度疼痛的患者(排除凝血功能障碍、穿刺部位感染及局部麻醉药过敏),建议使用全身麻醉联合外周神经阻滞,作为减少阿片类药物用量的措施,以降低术后恶心呕吐发生率(弱推荐,中等质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

阅读
Array ( [id] => 3344 [catid] => 301 [title] => 术后恶心呕吐诊疗指南(2025版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3344.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:43:18 [updatetime] => 2026-04-14 11:43:18 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/40361224 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对预计术中或术后存在中重度疼痛的成人非心脏重大手术患者(排除凝血功能障碍、严重脊柱畸形及血流动力学不稳定),建议使用全身麻醉联合硬膜外麻醉,作为减少阿片类药物用量的措施,以降低 术后恶心呕吐发生率(弱推荐,低质量证据) [znzldj] => A [_inputtime] => 1776138198 [_updatetime] => 1776138198 [_nrjc] => [_nrsh] => )
推荐意见
对预计术中或术后存在中重度疼痛的成人非心脏重大手术患者(排除凝血功能障碍、严重脊柱畸形及血流动力学不稳定),建议使用全身麻醉联合硬膜外麻醉,作为减少阿片类药物用量的措施,以降低 术后恶心呕吐发生率(弱推荐,低质量证据)

证据评价方法:GRADE

指南质量等级:A

年份:2025

国家:中华医学会麻醉学分会

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