翻译：钮阳 徐州医科大学2024级硕士研究生
审校：赵林林 徐医附院麻醉科
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《European Jouranl Of Anaesthesiology》2024年7月刊，第41卷第7卷
《European Jouranl Of Anaesthesiology》2024年8月刊，第41卷第8卷
《European Jouranl Of Anaesthesiology》2024年9月刊，第41卷第9卷
《European Jouranl Of Anaesthesiology》2024年10月刊，第41卷第10卷
《European Jouranl Of Anaesthesiology》2024年11月刊，第41卷第11卷Artificial intelligence in obstetric anaesthesia: How the next decade may unfold1.A survey and analysis of peri-operative quality indicators promoted by National Societies of Anaesthesiologists in Europe: The EQUIP project欧洲国家麻醉医生协会推动的围术期质量指标调查与分析：EQUIP项目To capture preventable peri-operative patient harm and guide improvement initiatives, many quality indicators (QIs) have been developed. Several National Anaesthesiologists Societies (NAS) in Europe have implemented quality indicators. To date, the definitions, validity and dissemination of such quality indicators, and their comparability with validated published indicators are unknown.背景：为了捕获可预防的围手术期患者伤害并指导改进措施，已经开发了许多质量指标（QIs）。欧洲的几个国家麻醉医生协会（NAS）已经实施了质量指标。迄今为止，尚不清楚这种质量指标的定义、有效性和传播，以及它们与已公布的有效指标的可比性。The aim of this study was to identify all quality indicators promoted by NAS in Europe, to assess their characteristics and to compare them with published validated quality indicators.本研究的目的是确定NAS在欧洲推广的所有质量指标，评估其特征，并将其与已发表的经过验证的质量指标进行比较。A cross-sectional study with mixed methods analysis. Using a survey questionnaire, representatives of 37 NAS were asked if their society provided quality indicators to their members and, if so, to provide the list, definitions and details of quality indicators.Characteristics of reported quality indicators were analysed.设计：采用混合方法分析的横断面研究。通过问卷调查，37个国家科学院的代表被问及他们的学会是否向其成员提供质量指标，如果有，提供质量指标的清单、定义和细节。The 37 NAS affiliated with the European Society of Anaesthesiology and Intensive Care (ESAIC) at the time. Data collection, translations: March 2018 to February 2020.当时隶属于欧洲麻醉与重症监护学会（ESAIC）的37家NAS。数据收集、分析了报告质量指标的特点。Representatives of all 37 NAS completed the surveyOnly 12 (32%) of the 37 NAS had made a set of quality indicators available to their members.Data collection was mandatory in six (16.2%) of the 37 countries. We identified 163 individual quality indicators, which were most commonly descriptive (60.1%), anaesthesia-specific (50.3%) and related to intra-operative care (21.5%). They often measured structures (41.7%) and aspects of safety (35.6%), appropriateness (20.9%) and prevention (16.6%). Patient-centred care (3.7%) was not well covered. Only 11.7% of QIs corresponded to published validated or well established quality indicator sets.结果 37家NAS中只有12家（32%）向其成员提供了一套质量指标。37个国家中有6个（16.2%）是强制性数据收集。我们确定了163个个体质量指标，其中最常见的是描述性（60.1%），麻醉特异性（50.3%）和术中治疗相关（21.5%）。他们经常测量结构（41.7%）、安全性（35.6%）、适当性（20.9%）和预防性（16.6%）。以患者为中心的治疗3.7%）没有得到很好的覆盖。只有11.7%的质量指标符合已发表的、经过验证的或建立良好的质量指标集。Few NAS in Europe promoted peri-operative quality indicators. Most of them differed from published sets of validated indicators and were often related to the structural dimension of quality. There is a need to establish a European-wide comprehensive core set of usable and validated quality indicators to monitor the quality of peri-operative care.结论 欧洲的NAS很少能提高围术期质量指标。其中大多数不同于已发表的经验证的指标集，往往与质量的结构维度有关。有必要建立一套全欧洲范围的综合核心可用和有效的质量指标来监测围手术期治疗的质量。2. Pre-operative triAge proCedure to streaMline elective surgicAl patieNts (PACMAN) improves efficiency by selecting patients eligible for phone consultation: A retrospective cohort study一项回顾性队列研究：通过选择符合电话咨询条件的患者，简化择期手术患者的术前分诊程序（PACMAN）提高了效率Pre-operative screening is a high volume task consuming time and resource. Streamlining patient flow by gathering information in advance reduces costs, optimises resources and diminishes patient burden whilst maintaining safety of care.术前筛查是一项耗费时间和资源的大工作量任务。通过提前收集信息简化患者流程可以降低成本，优化资源，减轻患者负担，同时保持治疗安全。To evaluate whether ‘Pre-operative triAge proCedure to streaMline elective surgicAl patieNts’ (PACMAN) is able to improve pre-operative screening by selecting patients eligible for evaluation by telephone目的通过电话筛选符合条件的择期手术患者，评价“术前分流程序以简化择期手术患者”（PACMAN）是否能够改善术前筛查A single-centre, retrospective, observational cohort analysis.A tertiary medical teaching hospital in ‘s-Hertogenbosch, The Netherlands.位于荷兰s-Hertogenbosch的三级医学教学医院。Adults scheduled for clinical interventions under procedural sedation and all types of elective medium or low risk surgery with anaesthetic guidance were eligible. Patients answered a questionnaire to calculate the PACMAN score. This score combined with risk factors related to surgery determines suitability for phone consultation (PhC) or the need for an in-person consultation (in-PC).患者和方法：在麻醉指导下，在程序性镇静和所有类型的选择性中、低风险手术下进行临床干预的成人均符合条件。患者通过回答问卷来计算PACMAN评分。该评分与手术相关的风险因素相结合，决定了是否适合电话咨询（PhC）或是否需要面对面咨询（in-PC）。Evaluation of standard care.Primary outcome was the reduction in number of in-PCs. Secondary outcomes included reliability of PACMAN, peri-operative patient outcomes and cost-effectiveness.主要结局指标：主要结局指标为住院患者数量的减少。次要结局包括PACMAN的可靠性、围手术期患者结局和成本效益。Of 965 patients triaged by PACMAN, 705 (73.1%) were identified as suitable for a PhC. Of those, 688 (97.6%) were classified American Society of Anesthesiologists Physical Status (ASAPS) I to II or III with stable comorbidities. Of the 260 in-PC patients, 47.4% were classified ASAPS III with unstable comorbidities or ASA-PS IV. The overall incidence of unanticipated adverse peri-operative events was 1.3%. Finally, implementation of PACMAN led to a 20% increase in pre-operative department efficiency due to better deployment of personnel and resources.结果 在965例经PACMAN筛选的患者中，有705例（73.1%）被确定为适合进行PhC。其中688例（97.6%）被美国麻醉医生身体状况协会（ASAPS）分类为I至II或III级，并伴有稳定的合并症。在260例pc患者中，47.4%的患者被分类为ASAPS III并伴有不稳定合并症或ASA-PS IV。意外不良围手术期事件的总发生率为1.3%。最后，PACMAN的实施使术前科室效率提高了20%，人员和资源得到了更好的配置。Implementation of PACMAN resulted in a 73.1% reduction in pre-operative in-PCs at our hospital. Given the increasing pressure on healthcare systems globally, we suggest developing further optimisation and integration of smart triage solutions into the pre-operative process.结论 PACMAN的实施使我院pc术前发生率降低了73.1%。鉴于全球医疗保健系统的压力越来越大，我们建议进一步优化和整合智能分诊解决方案到术前过程中。3.Transcutaneous electrical nerve stimulation and catheter-related bladder discomfort following transurethral resection of bladder tumour: A randomised controlled trial经尿道膀胱肿瘤切除术后经皮神经电刺激和导管相关性膀胱不适：一项随机对照试验4.Mean arterial pressure versus cardiac index for haemodynamic management and myocardial injury after hepatopancreatic surgery: A randomised controlled trial肝胰手术后血流动力学管理和心肌损伤的平均动脉压与心脏指数：一项随机对照试验1.Pain management after laparoscopic cholecystectomy: A systematic review and procedurespecific postoperative pain management (PROSPECT) recommendations腹腔镜胆囊切除术后的疼痛管理：一项系统综述和特定手术的术后疼痛管理（PROSPECT）建议2.Intravenous lidocaine for postoperative analgesia management in paediatrics: A systematic review with meta-analysis of published studies静脉注射利多卡因用于儿科术后镇痛管理：对已发表研究的系统回顾和荟萃分析Short scientific reports and correspondence1. Diagnostic value of lung ultrasound, clinical examination, and colourflow Doppler compared with fiberoptic bronchoscopy to predict appropriate lung exclusion in thoracic surgery: A cohort study肺超声、临床检查和彩色多普勒与纤维支气管镜比较预测胸外科手术中肺排除的诊断价值：一项队列研究2. Commentary on the ANNEXA-I trial from the guideline group of the European Society of Anaesthesiology and Intensive Care (ESAIC) on the reversal of direct oral anticoagulants in patients with life threatening bleeding欧洲麻醉与重症监护学会（ESAIC）指导小组对危及生命的出血患者逆转直接口服抗凝剂的附录a - i试验的评论 Cottrell and Patel's neuroanesthesia
