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Array ( [id] => 2923 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2923.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => In case of predicted and previously experienced difficult airway, we recommend informing the patient adequately and obtaining consent for specific procedures (e. g. awake intubation), and an alert form should be given to the patient in case of future procedures requiring airway management. (1C) [laiyuan] => 在预测到和既往经历过困难气道的情况下,我们推荐充分告知患者并获得特定操作(如清醒气管插管)的同意,并且应向患者提供一份警示表,以备将来需要进行气道管理时使用。(证据质量:低,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
在预测到和既往经历过困难气道的情况下,我们推荐充分告知患者并获得特定操作(如清醒气管插管)的同意,并且应向患者提供一份警示表,以备将来需要进行气道管理时使用。(证据质量:低,推荐强度:强推荐)

In case of predicted and previously experienced difficult airway, we recommend informing the patient adequately and obtaining consent for specific procedures (e. g. awake intubation), and an alert form should be given to the patient in case of future procedures requiring airway management. (1C)

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

阅读
Array ( [id] => 2924 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2924.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => In patients with known chronic kidney disease (CKD), we recommend quantifying the estimated glomerular filtration rate (eGFR) and proteinuria before surgery for risk stratification regarding postoperative acute kidney injury (AKI) and worsening of CKD. (1C) [laiyuan] => 在已知慢性肾脏病(CKD)的患者中,我们推荐在术前估算肾小球滤过率(eGFR)和蛋白尿,以评估术后急性肾损伤(AKI)和CKD恶化的风险分层。(证据质量:低,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
在已知慢性肾脏病(CKD)的患者中,我们推荐在术前估算肾小球滤过率(eGFR)和蛋白尿,以评估术后急性肾损伤(AKI)和CKD恶化的风险分层。(证据质量:低,推荐强度:强推荐)

In patients with known chronic kidney disease (CKD), we recommend quantifying the estimated glomerular filtration rate (eGFR) and proteinuria before surgery for risk stratification regarding postoperative acute kidney injury (AKI) and worsening of CKD. (1C)

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

阅读
Array ( [id] => 2925 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2925.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => We suggest considering NT-Pro BNP testing combined with eGFR to add additional information on risk stratification for postoperative acute kidney injury (AKI) and worsening of CKD. (2C) [laiyuan] => 考虑将NT-Pro BNP检测与eGFR结合使用,为术后急性肾损伤(AKI)和CKD恶化的风险分层增加额外信息。(证据质量:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
考虑将NT-Pro BNP检测与eGFR结合使用,为术后急性肾损伤(AKI)和CKD恶化的风险分层增加额外信息。(证据质量:低,推荐强度:弱推荐)

We suggest considering NT-Pro BNP testing combined with eGFR to add additional information on risk stratification for postoperative acute kidney injury (AKI) and worsening of CKD. (2C)

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

阅读
Array ( [id] => 2926 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2926.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => In elective procedures, we suggest that the perioperative continuation of antithrombotic therapy should be weighed against the bleeding risk of surgery, patientrelated factors, and the specific antithrombotic medication. (2C) [laiyuan] => 择期手术中,我们建议术前是否继续抗血栓治疗应权衡手术的出血风险、患者相关因素和特定的抗血栓药物。(证据质量:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
择期手术中,我们建议术前是否继续抗血栓治疗应权衡手术的出血风险、患者相关因素和特定的抗血栓药物。(证据质量:低,推荐强度:弱推荐)

In elective procedures, we suggest that the perioperative continuation of antithrombotic therapy should be weighed against the bleeding risk of surgery, patientrelated factors, and the specific antithrombotic medication. (2C)

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

阅读
Array ( [id] => 2927 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2927.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => We recommend continuing antiplatelet therapy for 6 months after elective percutaneous intervention and 12 months after an urgent coronaryintervention. In the case of drug-coated balloon angioplasty, the duration of dual antiplatelet therapy could vary from a minimum of 1 month to a maximum of 12 months, depending on the status of the disease (stable vs. unstable, chronic vs. acute), the dimension of the occluded vessel, presence of in-stent restenosis, type of stenosed stent and bleeding risk. (1C) [laiyuan] => 择期经皮冠状动脉介入治疗后继续抗血小板治疗6个月,在紧急冠状动脉介入治疗后继续12个月。在药物涂层球囊血管成形术的情况下,双联抗血小板治疗的持续时间可能从最短1个月到最长12个月不等,具体取决于疾病状态(稳定与不稳定、慢性与急性)、闭塞血管尺寸、是否存在支架内再狭窄、支架内狭窄类型和出血风险。(证据质量:低,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
择期经皮冠状动脉介入治疗后继续抗血小板治疗6个月,在紧急冠状动脉介入治疗后继续12个月。在药物涂层球囊血管成形术的情况下,双联抗血小板治疗的持续时间可能从最短1个月到最长12个月不等,具体取决于疾病状态(稳定与不稳定、慢性与急性)、闭塞血管尺寸、是否存在支架内再狭窄、支架内狭窄类型和出血风险。(证据质量:低,推荐强度:强推荐)

We recommend continuing antiplatelet therapy for 6 months after elective percutaneous intervention and 12 months after an urgent coronaryintervention. In the case of drug-coated balloon angioplasty, the duration of dual antiplatelet therapy could vary from a minimum of 1 month to a maximum of 12 months, depending on the status of the disease (stable vs. unstable, chronic vs. acute), the dimension of the occluded vessel, presence of in-stent restenosis, type of stenosed stent and bleeding risk. (1C)

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

阅读
Array ( [id] => 2928 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2928.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => We recommend managing anticoagulant medication before an emergency/urgent procedure based on its pharmacokinetic characteristics, reversal agent availability, the patient’s renal function and the likelihood of major bleeding (1A) [laiyuan] => 在急诊/紧急手术前,根据抗凝药的药代动力学特性、拮抗剂的可及性、患者的肾功能和严重出血的可能性来管理抗凝药物。(证据质量:高,推荐强度:强推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
在急诊/紧急手术前,根据抗凝药的药代动力学特性、拮抗剂的可及性、患者的肾功能和严重出血的可能性来管理抗凝药物。(证据质量:高,推荐强度:强推荐)

We recommend managing anticoagulant medication before an emergency/urgent procedure based on its pharmacokinetic characteristics, reversal agent availability, the patient’s renal function and the likelihood of major bleeding (1A)

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

阅读
Array ( [id] => 2929 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2929.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => We suggest that the bleeding risk should be balanced with the thrombotic risk to assess the necessity of withdrawing the anticoagulant or antiplatelet therapy. (2C) [laiyuan] => 应平衡出血风险与血栓形成风险,以评估停用抗凝药或抗血小板治疗的必要性。(证据质量:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
应平衡出血风险与血栓形成风险,以评估停用抗凝药或抗血小板治疗的必要性。(证据质量:低,推荐强度:弱推荐)

We suggest that the bleeding risk should be balanced with the thrombotic risk to assess the necessity of withdrawing the anticoagulant or antiplatelet therapy. (2C)

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

阅读
Array ( [id] => 2930 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2930.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => Wesuggestthatpatientswithpreviouspercutaneouscoronaryintervention require a careful risk–benefitassessmenttomanageperioperative antiplatelettherapy.(2C) [laiyuan] => 既往接受过经皮冠状动脉介入治疗的患者需要进行仔细的风险-获益评估,以管理围术期抗血小板治疗。(证据质量:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
既往接受过经皮冠状动脉介入治疗的患者需要进行仔细的风险-获益评估,以管理围术期抗血小板治疗。(证据质量:低,推荐强度:弱推荐)

Wesuggestthatpatientswithpreviouspercutaneouscoronaryintervention require a careful risk–benefitassessmenttomanageperioperative antiplatelettherapy.(2C)

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

阅读
Array ( [id] => 2931 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2931.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => We suggest that the preoperative evaluation of patients undergoing noncardiac surgery should include an educational program for patients and their caregivers on the perioperative handling of their antithrombotic therapy. (2C) [laiyuan] => 我们建议,对接受非心脏手术的患者的术前评估应包括一项教育计划,旨在向患者及其照护者介绍围手术期处理其抗血栓治疗的相关知识。(证据质量:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
我们建议,对接受非心脏手术的患者的术前评估应包括一项教育计划,旨在向患者及其照护者介绍围手术期处理其抗血栓治疗的相关知识。(证据质量:低,推荐强度:弱推荐)

We suggest that the preoperative evaluation of patients undergoing noncardiac surgery should include an educational program for patients and their caregivers on the perioperative handling of their antithrombotic therapy. (2C)

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

阅读
Array ( [id] => 2932 [catid] => 191 [title] => Preoperative assessment of adults undergoing electivenoncardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => /show/2932.html [link_id] => 0 [tableid] => 0 [inputip] => 106.86.177.165 [inputtime] => 2026-04-14 11:41:45 [updatetime] => 2026-04-14 11:41:45 [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] => We suggest that the perioperative assessment of coagulation status should be implemented through thromboelastometry and thromboelastography in patients with cirrhosis and significant coagulopathy, as well as in a hypercoagulability state with tranexamic acid administration. (2C) [laiyuan] => 应通过血栓弹力测定法和血栓弹力图在肝硬化和显著凝血功能障碍的患者以及高凝状态患者(给予氨甲环酸)中实施凝血状态的围术期评估。(证据质量:低,推荐强度:弱推荐) [znzldj] => B [_inputtime] => 1776138105 [_updatetime] => 1776138105 [_nrjc] => [_nrsh] => )
推荐意见
应通过血栓弹力测定法和血栓弹力图在肝硬化和显著凝血功能障碍的患者以及高凝状态患者(给予氨甲环酸)中实施凝血状态的围术期评估。(证据质量:低,推荐强度:弱推荐)

We suggest that the perioperative assessment of coagulation status should be implemented through thromboelastometry and thromboelastography in patients with cirrhosis and significant coagulopathy, as well as in a hypercoagulability state with tranexamic acid administration. (2C)

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

阅读