2017年国际麻醉领域指南回顾

Updates of guidelines in anesthesiology： annual review in 2017

背景 麻醉学发展日新月异，麻醉指南的更新与发布有助于推动临床麻醉工作。 目的 介绍2017年国际麻醉领域内多部指南及共识。 内容 对非心脏手术患者围手术期心血管风险评估和管理、手术前禁食及降低误吸风险的药物使用、贫血与铁缺乏患者围手术期管理、术后谵妄防治、成人心脏手术患者血液管理等国内外近20部指南或共识的概况、要点予以介绍。 趋向 及时追踪掌握国际麻醉领域内指南或共识，有助于规范临床麻醉实践，保证临床麻醉安全实施。

Background With the rapid progress in anesthesiology, the update of guidelines in anesthesia is of great help to promote the quality of clinical anesthesia. Objective To review the guidelines and consensus published in 2017. Content This review summarizes guidelines and consensus covering perioperative cardiac risk assessment and management for patients undergoing noncardiac surgery, preoperative fasting, peri-operative management of anaemia and iron deficiency, postoperative delirium, and blood management for adult cardiac surgery, and highlights main points. Trend Anesthesiologists should track and be familiar with the latest guidelines in the field, which will help standardize clinical practice in anesthesia and improve the quality and safety of healthcare.