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Array ( [id] => 3255 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3255.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => HFNO or low-flow nasal oxygen can be beneficial in increasing the time to desaturation in paediatric patients (1–12 years). Strength of recommendation: 2a, Level of evidence: B-R [laiyuan] => 高流量鼻导管氧疗(HFNO)或低流量鼻氧有助于延长1至12岁儿科患者的去饱和时间。(证据等级:随机对照研究,推荐强度:中等推荐) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
高流量鼻导管氧疗(HFNO)或低流量鼻氧有助于延长1至12岁儿科患者的去饱和时间。(证据等级:随机对照研究,推荐强度:中等推荐)

HFNO or low-flow nasal oxygen can be beneficial in increasing the time to desaturation in paediatric patients (1–12 years). Strength of recommendation: 2a, Level of evidence: B-R

证据评价方法:AHC

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3256 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3256.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => Delphi [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => A nasal flow of 1–2 L/Kg/min (using a HFNO cannula) should be used for apnoeic oxygenation (during attempts at intubation) in paediatric patients (1–12 years). [laiyuan] => 对于1至12岁的儿科患者,在插管期间进行无呼吸氧合时,应使用1–2 L/kg/min的鼻导管流量(使用高流量鼻导管)(专家共识:92%) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
对于1至12岁的儿科患者,在插管期间进行无呼吸氧合时,应使用1–2 L/kg/min的鼻导管流量(使用高流量鼻导管)(专家共识:92%)

A nasal flow of 1–2 L/Kg/min (using a HFNO cannula) should be used for apnoeic oxygenation (during attempts at intubation) in paediatric patients (1–12 years).

证据评价方法:Delphi

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3257 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3257.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Videolaryngoscopy is not beneficial in enhancing the success rate of intubation compared to direct laryngoscopy despite improving the glottic view. Strength of recommendation: Class 3 (benefit=risk), Level of evidence: B-R [laiyuan] => 与直接喉镜相比,视频喉镜虽能改善声门暴露,但无助于提高插管成功率。(证据等级:随机对照研究,推荐强度:不推荐) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
与直接喉镜相比,视频喉镜虽能改善声门暴露,但无助于提高插管成功率。(证据等级:随机对照研究,推荐强度:不推荐)

Videolaryngoscopy is not beneficial in enhancing the success rate of intubation compared to direct laryngoscopy despite improving the glottic view. Strength of recommendation: Class 3 (benefit=risk), Level of evidence: B-R

证据评价方法:AHC

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3258 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3258.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Neuromuscular blockade may be considered to improve face mask ventilation in the paediatric population (1–12 years). Strength of recommendation – Class 2b, Level of evidence: B-NR [laiyuan] => 可考虑使用神经肌肉阻滞剂改善1至12岁儿科患者的面罩通气。(证据等级:非随机对照研究,推荐强度:弱推荐) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
可考虑使用神经肌肉阻滞剂改善1至12岁儿科患者的面罩通气。(证据等级:非随机对照研究,推荐强度:弱推荐)

Neuromuscular blockade may be considered to improve face mask ventilation in the paediatric population (1–12 years). Strength of recommendation – Class 2b, Level of evidence: B-NR

证据评价方法:AHC

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3259 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3259.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => Delphi [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => A maximum of two attempts at SGA insertion should be permitted to limit airway management-related complications in paediatric patients [laiyuan] => 在儿科患者中,声门上气道装置(SGA)的插入尝试次数应限制在两次以内,以减少气道管理相关并发症(专家共识:87%) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
在儿科患者中,声门上气道装置(SGA)的插入尝试次数应限制在两次以内,以减少气道管理相关并发症(专家共识:87%)

A maximum of two attempts at SGA insertion should be permitted to limit airway management-related complications in paediatric patients

证据评价方法:Delphi

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3260 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3260.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Two-handed mask may be considered improve face mask ventilation in the paediatric population (1–12 years). Strength of recommendation – class 2b, Level of evidence: B-R [laiyuan] => 对于1至12岁的儿科患者,可考虑使用双手托下颌面罩通气以改善面罩通气效果。(证据等级:随机对照研究,推荐强度:弱推荐) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
对于1至12岁的儿科患者,可考虑使用双手托下颌面罩通气以改善面罩通气效果。(证据等级:随机对照研究,推荐强度:弱推荐)

Two-handed mask may be considered improve face mask ventilation in the paediatric population (1–12 years). Strength of recommendation – class 2b, Level of evidence: B-R

证据评价方法:AHC

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3261 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3261.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => Delphi [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Administration of CPAP may improve mask ventilation when difficulty in mask ventilation is encountered in paediatric patients (1–12 years) [laiyuan] => 当在1至12岁儿科患者中遇到面罩通气困难时,使用持续气道正压通气(CPAP)可改善通气效果。(专家共识:100%) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
当在1至12岁儿科患者中遇到面罩通气困难时,使用持续气道正压通气(CPAP)可改善通气效果。(专家共识:100%)

Administration of CPAP may improve mask ventilation when difficulty in mask ventilation is encountered in paediatric patients (1–12 years)

证据评价方法:Delphi

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3262 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3262.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => Delphi [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => A maximum of 2 + 1 attempts (additional attempt should only be done by an anaesthesiologist with experience in paediatric airway management) at tracheal intubation should be permitted to limit airway management-related complications in paediatric patients. [laiyuan] => 为限制儿科患者气道管理相关并发症,气管插管尝试次数应限制在2+1次以内(额外尝试仅应由具备儿科气道管理经验的麻醉医生执行)(专家共识:91%) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
为限制儿科患者气道管理相关并发症,气管插管尝试次数应限制在2+1次以内(额外尝试仅应由具备儿科气道管理经验的麻醉医生执行)(专家共识:91%)

A maximum of 2 + 1 attempts (additional attempt should only be done by an anaesthesiologist with experience in paediatric airway management) at tracheal intubation should be permitted to limit airway management-related complications in paediatric patients.

证据评价方法:Delphi

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3263 [catid] => 239 [title] => All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3263.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:49 [updatetime] => 2026-04-14 11:42:49 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pmc.ncbi.nlm.nih.gov/articles/PMC12643152/ [demo_url] => [zjpjff] => AHC [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => All India Difficult Airway Association (AIDAA)  [pdf] => [tjyjyw] => [lyyw] => Whenever experienced surgical help is available, tracheostomy may be considered as the preferred technique in situations of complete ventilation failure in paediatric patients (1–12 years). Strength of recommendation: 2b, Level of evidence: C-LD [laiyuan] => 在有经验的外科帮助可用时,对于完全无法通气的儿科患者(1-12岁),可考虑将气管切开作为首选技术。(证据等级:有限数据,推荐强度:弱推荐) [znzldj] => A [_inputtime] => 1776138169 [_updatetime] => 1776138169 [_nrjc] => [_nrsh] => )
推荐意见
在有经验的外科帮助可用时,对于完全无法通气的儿科患者(1-12岁),可考虑将气管切开作为首选技术。(证据等级:有限数据,推荐强度:弱推荐)

Whenever experienced surgical help is available, tracheostomy may be considered as the preferred technique in situations of complete ventilation failure in paediatric patients (1–12 years). Strength of recommendation: 2b, Level of evidence: C-LD

证据评价方法:AHC

指南质量等级:A

年份:2025

国家:All India Difficult Airway Association (AIDAA) 

阅读
Array ( [id] => 3076 [catid] => 299 [title] => 成人术后疼痛管理临床实践指南 (2025 版) [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/3076.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:42:19 [updatetime] => 2026-04-14 11:42:19 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://rs.yiigle.com/cmaid/1581400 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2024 [guojia] => 中华医学会麻醉学分会 [pdf] => [tjyjyw] => [lyyw] => [laiyuan] => 对于术后恶心呕吐(PONV)低、中风险患者,推荐预防性使用 5 - 羟色胺 3(5-HT₃)受体拮抗剂(证据等级:高,推荐强度:强推荐)、糖皮质激素(证据等级:高,推荐强度:强推荐)、多巴胺受体拮抗剂(证据等级:中,推荐强度:强推荐)以及神经激肽 1 受体拮抗剂(证据等级:高,推荐强度:强推荐)药物中的 1 或 2 种;对高风险患者,推荐复合使用 2~3 种以上药物(证据等级:高,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138139 [_updatetime] => 1776138139 [_nrjc] => [_nrsh] => )
推荐意见
对于术后恶心呕吐(PONV)低、中风险患者,推荐预防性使用 5 - 羟色胺 3(5-HT₃)受体拮抗剂(证据等级:高,推荐强度:强推荐)、糖皮质激素(证据等级:高,推荐强度:强推荐)、多巴胺受体拮抗剂(证据等级:中,推荐强度:强推荐)以及神经激肽 1 受体拮抗剂(证据等级:高,推荐强度:强推荐)药物中的 1 或 2 种;对高风险患者,推荐复合使用 2~3 种以上药物(证据等级:高,推荐强度:强推荐)

证据评价方法:GRADE

指南质量等级:B

年份:2024

国家:中华医学会麻醉学分会

阅读