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Array ( [id] => 504 [catid] => 247 [title] => Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/504.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:41 [updatetime] => 2024-01-11 15:12:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => CEVeAS分级 [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Italian Societies of Pediatric Surgery (SICP) and [pdf] => [tjyjyw] => [lyyw] => PONV prevention requests a multifactorial approach that includes pre-operative identification of risk factors (family history, age> 3yrs.Strabismus Repair and ORL surgery). In patients at risk prophylaxis is recommended (i.e.ondansetron 0.05 mg/kg + dexametason 0.015 mg/kg). (I A) [laiyuan] => PONV的预防需要多因素的方法,包括术前危险因素的识别(家族史,年龄>3岁,斜视修复和ORL手术)。对于有风险的患者,建议采取预防措施(即:昂丹司琼0.05 mg/kg +地塞米松0.015 mg/kg)。(证据等级:I ;推荐强度:A) [znzldj] => B [_inputtime] => 1704957161 [_updatetime] => 1704957161 [_nrjc] => [_nrsh] => )
推荐意见
PONV的预防需要多因素的方法,包括术前危险因素的识别(家族史,年龄>3岁,斜视修复和ORL手术)。对于有风险的患者,建议采取预防措施(即:昂丹司琼0.05 mg/kg +地塞米松0.015 mg/kg)。(证据等级:I ;推荐强度:A)

PONV prevention requests a multifactorial approach that includes pre-operative identification of risk factors (family history, age> 3yrs.Strabismus Repair and ORL surgery). In patients at risk prophylaxis is recommended (i.e.ondansetron 0.05 mg/kg + dexametason 0.015 mg/kg). (I A)

证据评价方法:CEVeAS分级

指南质量等级:B

年份:2018

国家:Italian Societies of Pediatric Surgery (SICP) and

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Array ( [id] => 505 [catid] => 238 [title] => Guidelines on pediatric day surgery of the Italian Societies of Pediatric Surgery (SICP) and Pediatric Anesthesiology (SARNePI) [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/505.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:41 [updatetime] => 2024-01-11 15:12:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => CEVeAS分级 [zjfj] => [tjqd] => [nianfen] => 2018 [guojia] => Italian Societies of Pediatric Surgery (SICP) and [pdf] => [tjyjyw] => [lyyw] => The administration of clear fluids up to two hours before induction is advised. This lower the residual gastric volume and raise pH. (I A) [laiyuan] => 建议在诱导前两小时服用清亮液体。这降低了胃残量,提高了pH值。(证据等级:I;推荐强度:A) [znzldj] => B [_inputtime] => 1704957161 [_updatetime] => 1704957161 [_nrjc] => [_nrsh] => )
推荐意见
建议在诱导前两小时服用清亮液体。这降低了胃残量,提高了pH值。(证据等级:I;推荐强度:A)

The administration of clear fluids up to two hours before induction is advised. This lower the residual gastric volume and raise pH. (I A)

证据评价方法:CEVeAS分级

指南质量等级:B

年份:2018

国家:Italian Societies of Pediatric Surgery (SICP) and

阅读
Array ( [id] => 455 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/455.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend a postoperative hemoglobin threshold for transfusion in stable acyanotic cardiac children of Hb 70 g/L, or 80 g/L in the presence of clinical signs suggestive of symptomatic anemia. (1B) [laiyuan] => 建议稳定型紫绀型心脏病患儿术后输血的血红蛋白阈值为Hb 70g/L,如果有临床症状提示症状性贫血,则为80g/L。(证据等级:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议稳定型紫绀型心脏病患儿术后输血的血红蛋白阈值为Hb 70g/L,如果有临床症状提示症状性贫血,则为80g/L。(证据等级:中;推荐强度:强推荐)

We recommend a postoperative hemoglobin threshold for transfusion in stable acyanotic cardiac children of Hb 70 g/L, or 80 g/L in the presence of clinical signs suggestive of symptomatic anemia. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 456 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/456.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest viscoelastic tests as an alternative to standard coagulation assays for intraoperative bleeding management. (2C) [laiyuan] => 建议将血栓弹力图作为术中出血管理标准凝血测定的替代方法。(证据等级:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议将血栓弹力图作为术中出血管理标准凝血测定的替代方法。(证据等级:低;推荐强度:弱推荐)

We suggest viscoelastic tests as an alternative to standard coagulation assays for intraoperative bleeding management. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 457 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/457.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest that intraoperative monitoring of hemostasis should be integrated into institutionspecific transfusion algorithms. (2C) [laiyuan] => 建议将术中止血监测纳入特定机构的输血算法。(证据等级:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议将术中止血监测纳入特定机构的输血算法。(证据等级:低;推荐强度:弱推荐)

We suggest that intraoperative monitoring of hemostasis should be integrated into institutionspecific transfusion algorithms. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 458 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/458.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => In the presence of excessive bleeding, we recommend the use of intraoperative monitoring of hemostasis to guide the administration of blood products. (1B) [laiyuan] => 在出血过多的情况下,建议使用术中止血监测来指导血液制品的使用。(证据等级:中;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
在出血过多的情况下,建议使用术中止血监测来指导血液制品的使用。(证据等级:中;推荐强度:强推荐)

In the presence of excessive bleeding, we recommend the use of intraoperative monitoring of hemostasis to guide the administration of blood products. (1B)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 459 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/459.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend the use of DTIs when heparin is contraindicated. (1C) [laiyuan] => 建议在肝素禁忌症时使用肠外直接凝血酶抑制剂(DTIs)。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议在肝素禁忌症时使用肠外直接凝血酶抑制剂(DTIs)。(证据等级:低;推荐强度:强推荐)

We recommend the use of DTIs when heparin is contraindicated. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 460 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/460.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest against the use of a protamine-to-heparin ratio of 1:1 or higher as protamine in excess could increase the risk of bleeding. (2C) [laiyuan] => 建议不要使用质胺与肝素的比例为 1:1 或更高,因为过量使用质胺会增加出血风险。(证据等级:低;推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议不要使用质胺与肝素的比例为 1:1 或更高,因为过量使用质胺会增加出血风险。(证据等级:低;推荐强度:弱推荐)

We suggest against the use of a protamine-to-heparin ratio of 1:1 or higher as protamine in excess could increase the risk of bleeding. (2C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 461 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/461.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend the dose of protamine should be calculated based on heparin concentration. (1C) [laiyuan] => 建议应根据肝素浓度计算质胺剂量。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议应根据肝素浓度计算质胺剂量。(证据等级:低;推荐强度:强推荐)

We recommend the dose of protamine should be calculated based on heparin concentration. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读
Array ( [id] => 462 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/462.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend fresh frozen plasma (10 mL/kg) or antithrombin supplementation in the presence of heparin resistance secondary to antithrombin deficiency. (1C) [laiyuan] => 如果因抗凝血酶缺乏导致肝素抵抗,推荐使用新鲜冰冻血浆(10mL/kg)或补充抗凝血酶。(证据等级:低;推荐强度:强推荐) [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
如果因抗凝血酶缺乏导致肝素抵抗,推荐使用新鲜冰冻血浆(10mL/kg)或补充抗凝血酶。(证据等级:低;推荐强度:强推荐)

We recommend fresh frozen plasma (10 mL/kg) or antithrombin supplementation in the presence of heparin resistance secondary to antithrombin deficiency. (1C)

证据评价方法:GRADE

指南质量等级:B

年份:2019

国家:the Network for the Advancement of Patient Blood M

阅读