Array
(
[id] => 422
[catid] => 143
[title] => European Society of Gynaecological Oncology guidelines for the peri-operative management of advanced ovarian cancer patients undergoing debulking surgery
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[tjyjyw] =>
[lyyw] => High protein diet/immunonutrition and oral nutritional supplements may be considered in early feeding. (III, C)
[laiyuan] => 在早期喂养中可以考虑高蛋白饮食/免疫营养和口服营养补充剂。（证据等级：III；推荐强度：C）
[znzldj] => B
[_inputtime] => 1704957158
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)
推荐意见
在早期喂养中可以考虑高蛋白饮食/免疫营养和口服营养补充剂。（证据等级：III；推荐强度：C）
High protein diet/immunonutrition and oral nutritional supplements may be considered in early feeding. (III, C)
证据评价方法：Infectious Diseases Society of America–United Stat
指南质量等级：B
年份：2021
国家：European Society of Gynaecological Oncology
Array
(
[id] => 423
[catid] => 143
[title] => European Society of Gynaecological Oncology guidelines for the peri-operative management of advanced ovarian cancer patients undergoing debulking surgery
[thumb] =>
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[lyyw] => Early oral feeding adapted to patients’ habits and tolerances is recommended within the first 24 hours after ovarian cancer surgery. (II, A)
[laiyuan] => 推荐在卵巢癌手术后24小时内根据患者的习惯和耐受性进行早期口服喂养。（证据等级：II；推荐强度：A）
[znzldj] => B
[_inputtime] => 1704957158
[_updatetime] => 1704957158
[_nrjc] =>
[_nrsh] =>
)
推荐意见
推荐在卵巢癌手术后24小时内根据患者的习惯和耐受性进行早期口服喂养。（证据等级：II；推荐强度：A）
Early oral feeding adapted to patients’ habits and tolerances is recommended within the first 24 hours after ovarian cancer surgery. (II, A)
证据评价方法：Infectious Diseases Society of America–United Stat
指南质量等级：B
年份：2021
国家：European Society of Gynaecological Oncology
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[pdf] =>
[tjyjyw] =>
[lyyw] => Patients with severe thrombophilia and previous venous thromboembolism are already receiving long- term anticoagulation and should be managed with bridging in accordance with the instructions above. (V, B)
[laiyuan] => 严重血栓形成和既往静脉血栓栓塞的患者已经接受了长期抗凝治疗，应按照上述指导进行桥接治疗。（证据等级：V；推荐强度：B）
[znzldj] => B
[_inputtime] => 1704957158
[_updatetime] => 1704957158
[_nrjc] =>
[_nrsh] =>
)
推荐意见
严重血栓形成和既往静脉血栓栓塞的患者已经接受了长期抗凝治疗，应按照上述指导进行桥接治疗。（证据等级：V；推荐强度：B）
Patients with severe thrombophilia and previous venous thromboembolism are already receiving long- term anticoagulation and should be managed with bridging in accordance with the instructions above. (V, B)
证据评价方法：Infectious Diseases Society of America–United Stat
指南质量等级：B
年份：2021
国家：European Society of Gynaecological Oncology
Array
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[guojia] => European Society of Gynaecological Oncology
[pdf] =>
[tjyjyw] =>
[lyyw] => Patients undergoing cytoreductive surgery for ovarian cancer with a previous venous thromboembolism who are no longer receiving anticoagulation, and patients with non- severe thrombophilia without previous venous thromboembolism, should receive pre- operative (evening before surgery) and prolonged post- operative thromboprophylaxis for 28 days with low molecular weight heparin at prophylactic doses, similar to routine patients without thrombophilia or previous thrombosis. (V, C)
[laiyuan] => 既往有静脉血栓栓塞且不再接受抗凝治疗的卵巢癌细胞减少手术患者，以及既往无静脉血栓栓塞的非严重血栓患者，应术前(术前晚上)和术后延长28天的低分子肝素预防剂量，与无血栓栓塞或既往血栓形成的常规患者类似。（证据等级：V；推荐强度：C）
[znzldj] => B
[_inputtime] => 1704957158
[_updatetime] => 1704957158
[_nrjc] =>
[_nrsh] =>
)
推荐意见
既往有静脉血栓栓塞且不再接受抗凝治疗的卵巢癌细胞减少手术患者，以及既往无静脉血栓栓塞的非严重血栓患者，应术前(术前晚上)和术后延长28天的低分子肝素预防剂量，与无血栓栓塞或既往血栓形成的常规患者类似。（证据等级：V；推荐强度：C）
Patients undergoing cytoreductive surgery for ovarian cancer with a previous venous thromboembolism who are no longer receiving anticoagulation, and patients with non- severe thrombophilia without previous venous thromboembolism, should receive pre- operative (evening before surgery) and prolonged post- operative thromboprophylaxis for 28 days with low molecular weight heparin at prophylactic doses, similar to routine patients without thrombophilia or previous thrombosis. (V, C)
证据评价方法：Infectious Diseases Society of America–United Stat
指南质量等级：B
年份：2021
国家：European Society of Gynaecological Oncology
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[pdf] =>
[tjyjyw] =>
[lyyw] => Therapeutic doses of low molecular weight heparin should not be resumed sooner than 48 hours after surger. (III, A)
[laiyuan] => 在手术后48小时内不应恢复治疗剂量的低分子肝素。（证据等级：III；推荐强度：A）
[znzldj] => B
[_inputtime] => 1704957158
[_updatetime] => 1704957158
[_nrjc] =>
[_nrsh] =>
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推荐意见
在手术后48小时内不应恢复治疗剂量的低分子肝素。（证据等级：III；推荐强度：A）
Therapeutic doses of low molecular weight heparin should not be resumed sooner than 48 hours after surger. (III, A)
证据评价方法：Infectious Diseases Society of America–United Stat
指南质量等级：B
年份：2021
国家：European Society of Gynaecological Oncology
Array
(
[id] => 372
[catid] => 238
[title] => Pre-operative fasting in children A guideline from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
[keywords] =>
[description] =>
[hits] =>
[uid] => 1
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[guojia] => European Society of Anaesthesiology and Intensive
[pdf] =>
[tjyjyw] =>
[lyyw] => Gum chewing does not increase gastric fluid volume enough to increase the risk of aspiration, but children should be questioned about the presence of gum in their mouth before anaesthesia induction and, if still present, asked to spit it. (2C)
[laiyuan] => 咀嚼口香糖不会增加胃液容量，不足以增加吸入风险，但在麻醉诱导前应询问儿童口中是否有口香糖，如果仍有，应要求其吐出。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957157
[_updatetime] => 1704957157
[_nrjc] =>
[_nrsh] =>
)
推荐意见
咀嚼口香糖不会增加胃液容量，不足以增加吸入风险，但在麻醉诱导前应询问儿童口中是否有口香糖，如果仍有，应要求其吐出。（证据等级：低；推荐强度：弱推荐）
Gum chewing does not increase gastric fluid volume enough to increase the risk of aspiration, but children should be questioned about the presence of gum in their mouth before anaesthesia induction and, if still present, asked to spit it. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2022
国家：European Society of Anaesthesiology and Intensive
Array
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[catid] => 238
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[lyyw] => Children on enteral tube or gastrostomy feeding should be fasted before anaesthesia according to the same guidelines as other children and according to the consistency and caloric content of the food administered (clear fluid, milk, thick semi-solid fluid). (2C)
[laiyuan] => 使用肠内管饲或胃造口术喂养的儿童在麻醉前应按照与其他儿童相同的指导原则并根据所喂食食物的粘稠度和热量（透明液体、牛奶、粘稠的半固体液体）禁食。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957157
[_updatetime] => 1704957157
[_nrjc] =>
[_nrsh] =>
)
推荐意见
使用肠内管饲或胃造口术喂养的儿童在麻醉前应按照与其他儿童相同的指导原则并根据所喂食食物的粘稠度和热量（透明液体、牛奶、粘稠的半固体液体）禁食。（证据等级：低；推荐强度：弱推荐）
Children on enteral tube or gastrostomy feeding should be fasted before anaesthesia according to the same guidelines as other children and according to the consistency and caloric content of the food administered (clear fluid, milk, thick semi-solid fluid). (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2022
国家：European Society of Anaesthesiology and Intensive
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[tjyjyw] =>
[lyyw] => Ultrasound assessment of gastric contents and volume may be used in children scheduled for elective surgery when fasting instructions have not been applied, and in children undergoing emergency surgery. (2C)
[laiyuan] => 在没有禁食指导的情况下，可对计划接受择期手术的儿童和接受急诊手术的儿童进行胃内容物和胃容量的超声波评估。（证据等级：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957157
[_updatetime] => 1704957157
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在没有禁食指导的情况下，可对计划接受择期手术的儿童和接受急诊手术的儿童进行胃内容物和胃容量的超声波评估。（证据等级：低；推荐强度：弱推荐）
Ultrasound assessment of gastric contents and volume may be used in children scheduled for elective surgery when fasting instructions have not been applied, and in children undergoing emergency surgery. (2C)
证据评价方法：GRADE
指南质量等级：B
年份：2022
国家：European Society of Anaesthesiology and Intensive
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[lyyw] => Cross-sectional area (CSA) of the antrum can be used as the surrogate parameter of choice for gastric content. Sonographic images of the antrum can most reliably be taken in right lateral decubitus position, using a defined protocol. (2B)
[laiyuan] => 胃窦横截面积（CSA）可作为胃内容物的代用参数。采用右侧卧位并按照规定的方案拍摄胃窦超声图像最为可靠。（证据等级：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957157
[_updatetime] => 1704957157
[_nrjc] =>
[_nrsh] =>
)
推荐意见
胃窦横截面积（CSA）可作为胃内容物的代用参数。采用右侧卧位并按照规定的方案拍摄胃窦超声图像最为可靠。（证据等级：中；推荐强度：弱推荐）
Cross-sectional area (CSA) of the antrum can be used as the surrogate parameter of choice for gastric content. Sonographic images of the antrum can most reliably be taken in right lateral decubitus position, using a defined protocol. (2B)
证据评价方法：GRADE
指南质量等级：B
年份：2022
国家：European Society of Anaesthesiology and Intensive
Array
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[pdf] =>
[tjyjyw] =>
[lyyw] => Qualitative grading systems are preferred over calculating gastric volumes. A trained examiner can use qualitative interpretation of sonographic imaging to differentiate solids from fluids as well as larger volumes from smaller ones. (2B)
[laiyuan] => 定性分级系统优于计算胃容量。训练有素的检查员可以通过对声像图的定性分析来区分固体和液体，以及大体积和小体积。（证据等级：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957157
[_updatetime] => 1704957157
[_nrjc] =>
[_nrsh] =>
)
推荐意见
定性分级系统优于计算胃容量。训练有素的检查员可以通过对声像图的定性分析来区分固体和液体，以及大体积和小体积。（证据等级：中；推荐强度：弱推荐）
Qualitative grading systems are preferred over calculating gastric volumes. A trained examiner can use qualitative interpretation of sonographic imaging to differentiate solids from fluids as well as larger volumes from smaller ones. (2B)
证据评价方法：GRADE
指南质量等级：B
年份：2022
国家：European Society of Anaesthesiology and Intensive
