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[id] => 593
[catid] => 298
[title] => Guidelines of the Polish Society of Anaesthesiology and Intensive Therapy regarding prevention of inadvertent intraoperative hypothermia
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[lyyw] => It is recommended to measure core temperature before anaesthesia in each case. (1A)
[laiyuan] => 建议在每次麻醉前测量核心体温。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957183
[_updatetime] => 1704957183
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)
推荐意见
建议在每次麻醉前测量核心体温。（证据级别：高；推荐强度：强推荐）
It is recommended to measure core temperature before anaesthesia in each case. (1A)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
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[pdf] =>
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[lyyw] => In the case of measurements from locations other than those recommended for core temperature measurements, it should be remembered to properly compare the reading with core temperature, except for the use of devices in which such reading changes are made automatically. (1A)
[laiyuan] => 如果不是在推荐的区域进行温度测量，应记住将读数与核心体温进行正确比较，除非使用可以自动校正读数的设备。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957183
[_updatetime] => 1704957183
[_nrjc] =>
[_nrsh] =>
)
推荐意见
如果不是在推荐的区域进行温度测量，应记住将读数与核心体温进行正确比较，除非使用可以自动校正读数的设备。（证据级别：高；推荐强度：强推荐）
In the case of measurements from locations other than those recommended for core temperature measurements, it should be remembered to properly compare the reading with core temperature, except for the use of devices in which such reading changes are made automatically. (1A)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
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[lyyw] => The preoperative assessment should identify relevant risk factors for intraoperative hypothermia and its possible consequences for an individual patient: ASA≥3; preoperative body temperature < 36°C; BMI; the extent of the procedure/the procedure over 1 hour; planned combination of general and block anaesthesia; anticipated blood loss above 500 mL. (1B)
[laiyuan] => 术前评估应确定术中低体温的相关危险因素及其对个别患者可能产生的后果:ASA≥3;术前体温< 36℃;身体质量指数;计划手术进程超过1小时;计划全麻联合阻滞麻醉;预计失血超过500ml。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957183
[_updatetime] => 1704957183
[_nrjc] =>
[_nrsh] =>
)
推荐意见
术前评估应确定术中低体温的相关危险因素及其对个别患者可能产生的后果:ASA≥3;术前体温< 36℃;身体质量指数;计划手术进程超过1小时;计划全麻联合阻滞麻醉;预计失血超过500ml。（证据级别：中；推荐强度：强推荐）
The preoperative assessment should identify relevant risk factors for intraoperative hypothermia and its possible consequences for an individual patient: ASA≥3; preoperative body temperature < 36°C; BMI; the extent of the procedure/the procedure over 1 hour; planned combination of general and block anaesthesia; anticipated blood loss above 500 mL. (1B)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
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[pdf] =>
[tjyjyw] =>
[lyyw] => It is recommended to use active methods of preventing skin heat loss since the induction of anaesthesia, e.g. forced-air warming systems or electric heating mattresses and blankets, when the anticipated duration of the procedure exceeds 60 minutes. (1A)
[laiyuan] => 当麻醉持续时间超过60分钟时，建议使用积极防止皮肤热损失，例如使用强制空气加热系统或电加热毯。（证据级别：高；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957183
[_updatetime] => 1704957183
[_nrjc] =>
[_nrsh] =>
)
推荐意见
当麻醉持续时间超过60分钟时，建议使用积极防止皮肤热损失，例如使用强制空气加热系统或电加热毯。（证据级别：高；推荐强度：强推荐）
It is recommended to use active methods of preventing skin heat loss since the induction of anaesthesia, e.g. forced-air warming systems or electric heating mattresses and blankets, when the anticipated duration of the procedure exceeds 60 minutes. (1A)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
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[pdf] =>
[tjyjyw] =>
[lyyw] => The time when a significant part of the body surface of the anesthetized patient is not covered in the period preceding draping should be kept to a minimum. (2A)
[laiyuan] => 在铺单之前，应尽量减少患者体表大面积未被覆盖的时间。（证据级别：高；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957183
[_updatetime] => 1704957183
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在铺单之前，应尽量减少患者体表大面积未被覆盖的时间。（证据级别：高；推荐强度：弱推荐）
The time when a significant part of the body surface of the anesthetized patient is not covered in the period preceding draping should be kept to a minimum. (2A)
证据评价方法：Oxford Centre of Evidence – Based Medicine (OCEBM)
指南质量等级：B
年份：2021
国家：Polish Society of Anaesthesiology and Intensive Th
Array
(
[id] => 541
[catid] => 191
[title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
[thumb] =>
[keywords] =>
[description] =>
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[author] => 系统管理员
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[guojia] => European Society of Cardiology
[pdf] =>
[tjyjyw] =>
[lyyw] => In patients aged≥70 years and scheduled to undergo intermediate- or high-risk NCS, frailty
screening should be considered using a validated
screening tool.(Evidence: Level B，Recommendation: Ⅱa)
[laiyuan] => 对于年龄≥70岁且计划接受中危或高危非心脏手术的患
者，应考虑使用经过验证的筛选工具。（证据级别：Level B ；推荐强度： Ⅱa）
[znzldj] => A
[_inputtime] => 1704957182
[_updatetime] => 1704957182
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于年龄≥70岁且计划接受中危或高危非心脏手术的患
者，应考虑使用经过验证的筛选工具。（证据级别：Level B ；推荐强度： Ⅱa）
In patients aged≥70 years and scheduled to undergo intermediate- or high-risk NCS, frailty
screening should be considered using a validated
screening tool.(Evidence: Level B，Recommendation: Ⅱa)
证据评价方法：LOE
指南质量等级：A
年份：2022
国家：European Society of Cardiology
Array
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[thumb] =>
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[guojia] => European Society of Cardiology
[pdf] =>
[tjyjyw] =>
[lyyw] => Adjusting risk assessments according to self-reported ability to climb two flights of stairs should be considered in patients referred for intermediate- or high-risk NCS.(Evidence: Level B，Recommendation: Ⅱa)
[laiyuan] => 对于中危或高危非心脏手术患者，应考虑根据自我报告的爬两层楼梯的能力调整风险评估。（证据级别：Level B ；推荐强度： Ⅱa）
[znzldj] => A
[_inputtime] => 1704957182
[_updatetime] => 1704957182
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于中危或高危非心脏手术患者，应考虑根据自我报告的爬两层楼梯的能力调整风险评估。（证据级别：Level B ；推荐强度： Ⅱa）
Adjusting risk assessments according to self-reported ability to climb two flights of stairs should be considered in patients referred for intermediate- or high-risk NCS.(Evidence: Level B，Recommendation: Ⅱa)
证据评价方法：LOE
指南质量等级：A
年份：2022
国家：European Society of Cardiology
Array
(
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[catid] => 191
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[thumb] =>
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[pdf] =>
[tjyjyw] =>
[lyyw] => In patients with symptomatic, monomorphic, and sustained VT associated with myocardial scar, recurring despite optimal medical therapy, ablation of arrhythmia is recommended before elective NCS.(Evidence: Level B，Recommendation: Class Ⅰ)
[laiyuan] => 在有症状、单形性和持续性室性心动过速伴心肌瘢痕(尽管采用最佳药物治疗，但仍复发)的患者，推荐在择期非心脏手术前进行心律失常消融。（证据级别：Level B ；推荐强度：Class Ⅰ）
[znzldj] => A
[_inputtime] => 1704957182
[_updatetime] => 1704957182
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在有症状、单形性和持续性室性心动过速伴心肌瘢痕(尽管采用最佳药物治疗，但仍复发)的患者，推荐在择期非心脏手术前进行心律失常消融。（证据级别：Level B ；推荐强度：Class Ⅰ）
In patients with symptomatic, monomorphic, and sustained VT associated with myocardial scar, recurring despite optimal medical therapy, ablation of arrhythmia is recommended before elective NCS.(Evidence: Level B，Recommendation: Class Ⅰ)
证据评价方法：LOE
指南质量等级：A
年份：2022
国家：European Society of Cardiology
Array
(
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[thumb] =>
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[pdf] =>
[tjyjyw] =>
[lyyw] => Clinical and echocardiographic evaluation (if not recently performed) is recommended in all patients with known or suspected VHD who are scheduled for elective intermediate- or high-risk NCS. (Evidence: Level C，Recommendation: Class Ⅰ)
[laiyuan] => 推荐对所有已知或疑似心脏瓣膜病且计划进行择期中危或高危非心脏手术的患者进行临床和超声心动图评价（如果最近未进行）。（证据级别：Level C ；推荐强度：Class Ⅰ）
[znzldj] => A
[_inputtime] => 1704957182
[_updatetime] => 1704957182
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐对所有已知或疑似心脏瓣膜病且计划进行择期中危或高危非心脏手术的患者进行临床和超声心动图评价（如果最近未进行）。（证据级别：Level C ；推荐强度：Class Ⅰ）
Clinical and echocardiographic evaluation (if not recently performed) is recommended in all patients with known or suspected VHD who are scheduled for elective intermediate- or high-risk NCS. (Evidence: Level C，Recommendation: Class Ⅰ)
证据评价方法：LOE
指南质量等级：A
年份：2022
国家：European Society of Cardiology
Array
(
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[thumb] =>
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[pdf] =>
[tjyjyw] =>
[lyyw] => It is recommended to perform pre-operative screening for hypertension-mediated organ damage and CV risk factors in newly diagnosed hypertensive patients who are scheduled for elective high-risk NCS. (Evidence: Level C ，Recommendation: Class Ⅰ)
[laiyuan] => 推荐对新诊断高血压患者，在拟行择期高危NCS术前进行高血压性器官损害和心血管危险因素的术前筛查。（证据级别：Level C ；推荐强度：Class Ⅰ）
[znzldj] => A
[_inputtime] => 1704957182
[_updatetime] => 1704957182
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐对新诊断高血压患者，在拟行择期高危NCS术前进行高血压性器官损害和心血管危险因素的术前筛查。（证据级别：Level C ；推荐强度：Class Ⅰ）
It is recommended to perform pre-operative screening for hypertension-mediated organ damage and CV risk factors in newly diagnosed hypertensive patients who are scheduled for elective high-risk NCS. (Evidence: Level C ，Recommendation: Class Ⅰ)
证据评价方法：LOE
指南质量等级：A
年份：2022
国家：European Society of Cardiology
