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Array ( [id] => 2944 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2944.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => A clear fluid diet for 24 h before any procedure should be considered in patients taking GLP-1 agonists. (CPS) [laiyuan] => 对于服用GLP-1激动剂的患者，应考虑在任何手术前24小时进行清流质饮食。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
对于服用GLP-1激动剂的患者，应考虑在任何手术前24小时进行清流质饮食。（临床实践声明）

A clear fluid diet for 24 h before any procedure should be considered in patients taking GLP-1 agonists. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2945 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2945.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => All patients taking GLP-1 agonists should be considered as at risk of having a full stomach despite a lack of gastrointestinal symptoms. (CPS) [laiyuan] => 所有服用GLP-1激动剂的患者，即使没有胃肠道症状，也应被视为存在饱胃风险。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
所有服用GLP-1激动剂的患者，即使没有胃肠道症状，也应被视为存在饱胃风险。（临床实践声明）

All patients taking GLP-1 agonists should be considered as at risk of having a full stomach despite a lack of gastrointestinal symptoms. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2946 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2946.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => Whenever possible, a gastric ultrasound should be performed. If gastric contents are found by ultrasound and these are considered as a high risk for aspiration, patient should be counselled about this risk before deciding to proceed with sedation/general anaesthesia. (CPS) [laiyuan] => 只要可能，应进行胃部超声检查。如果通过超声发现胃内容物且被认为有高误吸风险，在决定继续进行镇静/全身麻醉前，应向患者说明此风险。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
只要可能，应进行胃部超声检查。如果通过超声发现胃内容物且被认为有高误吸风险，在决定继续进行镇静/全身麻醉前，应向患者说明此风险。（临床实践声明）

Whenever possible, a gastric ultrasound should be performed. If gastric contents are found by ultrasound and these are considered as a high risk for aspiration, patient should be counselled about this risk before deciding to proceed with sedation/general anaesthesia. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2947 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2947.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => If the procedure is of such urgency that postponement is not desirable, endotracheal intubation by rapid sequence induction/intubation is advised. (CPS) [laiyuan] => 如果手术紧急程度高，不宜推迟，建议采用快速顺序诱导/插管进行气管插管。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
如果手术紧急程度高，不宜推迟，建议采用快速顺序诱导/插管进行气管插管。（临床实践声明）

If the procedure is of such urgency that postponement is not desirable, endotracheal intubation by rapid sequence induction/intubation is advised. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2948 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2948.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => SGLT2 inhibitors (SGLT2i) drugs should be withheld for 3 to 4 days before elective procedures to reduce the risk of euglycemic diabetic ketoacidosis. (CPS) [laiyuan] => SGLT2抑制剂（SGLT2i）药物应在择期手术前停用3至4天，以降低正常血糖值型糖尿病酮症酸中毒的风险。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
SGLT2抑制剂（SGLT2i）药物应在择期手术前停用3至4天，以降低正常血糖值型糖尿病酮症酸中毒的风险。（临床实践声明）

SGLT2 inhibitors (SGLT2i) drugs should be withheld for 3 to 4 days before elective procedures to reduce the risk of euglycemic diabetic ketoacidosis. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2949 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2949.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => Patients taking SGLT2i medications should consume clear fluids approximately 2 h before the procedure to keep regular hydration. (CPS) [laiyuan] => 服用SGLT2i药物的患者应在手术前约2小时饮用清流质，以保持正常水分。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
服用SGLT2i药物的患者应在手术前约2小时饮用清流质，以保持正常水分。（临床实践声明）

Patients taking SGLT2i medications should consume clear fluids approximately 2 h before the procedure to keep regular hydration. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2950 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2950.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => Euglycemic diabetic ketoacidosis should be suspected in this category of patients, and blood b-hydroxybutyrate is a functional confirmatory test. (CPS) [laiyuan] => 应在这类患者中怀疑血糖值型糖尿病酮症酸中毒，血液β-羟丁酸是一项有用的确认性检测。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
应在这类患者中怀疑血糖值型糖尿病酮症酸中毒，血液β-羟丁酸是一项有用的确认性检测。（临床实践声明）

Euglycemic diabetic ketoacidosis should be suspected in this category of patients, and blood b-hydroxybutyrate is a functional confirmatory test. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2951 [catid] => 192 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2951.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://www.ipubmed.cn/Archive/Detail/41663031 [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => the European Society ofAnaesthesiology and Intensi [pdf] => [tjyjyw] => [lyyw] => If a patient taking SGLT2i drugs did not discontinue the medication in time, dehydration caused by bowel preparation for endoscopy can increase the ketonelevels, and the patient should be adequately hydrated before leaving the hospital. (CPS) [laiyuan] => 如果服用SGLT2i药物的患者未能及时停药，为内窥镜检查做肠道准备引起的脱水会增加酮体水平，患者在离开医院前应充分补液。（临床实践声明） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
如果服用SGLT2i药物的患者未能及时停药，为内窥镜检查做肠道准备引起的脱水会增加酮体水平，患者在离开医院前应充分补液。（临床实践声明）

If a patient taking SGLT2i drugs did not discontinue the medication in time, dehydration caused by bowel preparation for endoscopy can increase the ketonelevels, and the patient should be adequately hydrated before leaving the hospital. (CPS)

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：the European Society ofAnaesthesiology and Intensi

来源 Preoperative assessment of adults undergoing electivenoncardiac surgery
原文链接
阅读
Array ( [id] => 2952 [catid] => 191 [title] => Guidelines for anaesthesia of adults with congenital heart disease in non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2952.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Société Française d’Anesthésie et de Réanimation [pdf] => [tjyjyw] => [lyyw] => Experts suggest using a composite scoring system to assess the perioperative risk of adult patients with congenital heart disease undergoing non-cardiac surgery. This score integrates three dimensions: CHD risk grade (mild/intermediate/severe), the patient's physiological status (Grade A/B/C/D, refer to Table 3) and surgical procedure risk (low/intermediate/high, refer to Table 5). Surgery with peripheral locoregional anaesthesia is classified as low composite risk regardless of the cardiac condition. [laiyuan] => 专家建议采用复合评分系统评估成人先心病患者非心脏手术的围手术期风险，该评分整合先心病风险等级（轻度 / 中度 / 重度）、患者生理状态（A/B/C/D 四级，参考 Table3）、手术操作风险（低 / 中 / 高，参考 Table5） 三大维度；外周区域阻滞手术无论心脏病情如何，均判定为低复合风险。（证据等级：强推荐） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
专家建议采用复合评分系统评估成人先心病患者非心脏手术的围手术期风险，该评分整合先心病风险等级（轻度 / 中度 / 重度）、患者生理状态（A/B/C/D 四级，参考 Table3）、手术操作风险（低 / 中 / 高，参考 Table5） 三大维度；外周区域阻滞手术无论心脏病情如何，均判定为低复合风险。（证据等级：强推荐）

Experts suggest using a composite scoring system to assess the perioperative risk of adult patients with congenital heart disease undergoing non-cardiac surgery. This score integrates three dimensions: CHD risk grade (mild/intermediate/severe), the patient's physiological status (Grade A/B/C/D, refer to Table 3) and surgical procedure risk (low/intermediate/high, refer to Table 5). Surgery with peripheral locoregional anaesthesia is classified as low composite risk regardless of the cardiac condition.

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：Société Française d’Anesthésie et de Réanimation

来源 Guidelines for anaesthesia of adults with congenital heart disease in non-cardiac surgery
阅读
Array ( [id] => 2953 [catid] => 191 [title] => Guidelines for anaesthesia of adults with congenital heart disease in non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2953.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:46 [updatetime] => 2026-04-14 11:41:46 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2025 [guojia] => Société Française d’Anesthésie et de Réanimation [pdf] => [tjyjyw] => [lyyw] => Experts suggest that adult patients with congenital heart disease (ACHD) at intermediate or high composite risk should receive diagnosis and treatment in a specialized congenital heart disease center to reduce the incidence of perioperative complications [laiyuan] => 专家建议中、高复合风险的成人先心病（ACHD）患者，应在先心病专科中心接受诊疗，以降低围手术期并发症发生率。（证据等级：强推荐） [znzldj] => B [_inputtime] => 1776138106 [_updatetime] => 1776138106 [_nrjc] => [_nrsh] => )
推荐意见
专家建议中、高复合风险的成人先心病（ACHD）患者，应在先心病专科中心接受诊疗，以降低围手术期并发症发生率。（证据等级：强推荐）

Experts suggest that adult patients with congenital heart disease (ACHD) at intermediate or high composite risk should receive diagnosis and treatment in a specialized congenital heart disease center to reduce the incidence of perioperative complications

证据评价方法：GRADE

指南质量等级：B

年份：2025

国家：Société Française d’Anesthésie et de Réanimation

来源 Guidelines for anaesthesia of adults with congenital heart disease in non-cardiac surgery
阅读

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