翻译：史晨阳 徐医麻醉2024级硕士研究生
审校：赵林林 徐医附院麻醉科
《Indian Journal of anaesthesia》2024年8月刊，第68卷第8期
《Indian Journal of anaesthesia》2024年9月刊，第68卷第9期
《Indian Journal of Anaesthesia》2024年10月刊，第68卷第10期
《Indian Journal of Anaesthesia》2024年11月刊，第68卷第11期
Guest Editorial
1.Gene expression signature of neuropathic pain: Unveiling compassion through pain genetics and genome-wide mRNA profiles
神经性疼痛的基因表达特征：通过疼痛遗传学和全基因组 mRNA 图谱揭示同情
IJA Infographic
1.ERAS- Challenges and Opportunities: IJA Infographics
加速康复外科- 挑战与机遇：IJA 信息图表
Systematic Review and Meta-Analysis
1.Hypotension prediction index for minimising intraoperative hypotension: A systematic review and meta-analysis of randomised controlled trials
减少术中低血压的低血压预测指数：随机对照试验的系统综述和荟萃分析
Review Article
1.Challenges and opportunities in enhanced recovery after surgery programs: An overview
加速康复外科计划的挑战与机遇：概述
Original Article
1.Adductor canal block (ACB) plus infiltration of the posterior capsule of the knee (iPACK) block versus 4-in-1 block in an arthroscopic anterior cruciate ligament (ACL) repair: A randomised study
关节镜前交叉韧带(ACL)修复术中收肌管阻滞(ACB)加膝关节后囊间隙浸润 (iPACK) 阻滞与4合1（隐神经、闭孔神经、股内侧神经和坐骨神经）阻滞的对比：随机研究
Background and Aims:
Anterior cruciate ligament (ACL) repair is a common sports-related surgery requiring early rehabilitation. Injection between the popliteal artery and the capsule of the knee (iPACK) provides analgesia to the posterior knee and, when combined with adductor canal block (ACB), can provide complete analgesia for knee surgery. A 4-in-1 block, a single injection, has been studied for analgesia in TKR but not ACL repair. This study was done with the objective of comparing the postoperative analgesia of iPACK + ACB versus 4-in-1 block in ACL repair.
背景和目的：
前交叉韧带（ACL）修复是一种常见的运动相关手术，需要早期康复。在腘动脉和膝关节囊之间进行注射（iPACK），为膝关节后侧提供镇痛，并与内收肌管阻滞（ACB）联合使用，可为膝关节手术提供完全镇痛。4合1阻滞，单次注射，已被研究用于全膝关节置换术（TKR）的镇痛，但未用于ACL修复。本研究的目的是比较iPACK + ACB与4合1阻滞在ACL修复中的术后镇痛效果。
Methods:
The study was conducted on 184 participants undergoing ACL repair in the age group of 18–70 years. Patients were randomly allocated to iPACK +ACB or 4-in-1 block. After the preoperative and intraoperative protocol, a guided nerve block was performed. The duration of motor blockade of spinal anaesthesia and pain scores were monitored using the visual analogue scale (VAS), and the time for first rescue analgesia was noted at 3, 6, 12, 24, and 36 hours. An independent sample t-test was used to find the association of all quantitative variables, and a Chi-square test was used to find the association of categorical variables with both groups of patients (P < 0.05).
研究方法
研究对象为 184 名接受前交叉韧带修复手术的患者，年龄在 18-70 岁之间。患者被随机分配到 iPACK +ACB 或4合1阻滞。术前和术中方案结束后，进行引导下神经阻滞。使用视觉模拟量表（VAS）监测腰麻运动阻滞的持续时间和疼痛评分，并在3、6、12、24 和 36 小时记录首次补救镇痛的时间。采用独立样本 t 检验来发现所有定量变量之间的联系，采用卡方检验找出两组患者的分类变量之间的联系（P < 0.05）。
Results:
VAS scores were statistically similar between the two groups at 3, 6, 12, and 24 hours but were significantly less at 36 hours in group B (P < 0.001). The time to perform the regional block was lower in group B, a single injection technique (P < 0.001). None of the patients showed muscle weakness in the postoperative period and could cooperate reasonably with physiotherapy.
结果：
两组在 3、6、12 和 24 小时内的 VAS 评分在统计学上相似，但 B 组在36 小时内的评分明显较低（P < 0.001）。采用单次注射技术的B组进行区域阻滞的时间更短（P < 0.001）。没有一名患者在术后出现肌肉无力，并能合理配合物理治疗。
Conclusion:
The 4-in-1 block provides non-inferior analgesia compared to the established iPACK plus ACB for arthroscopic ACL surgery.
结论：
在关节镜 ACL手术中，4合1阻滞的镇痛效果优于iPACK+ACB。
2.Comparison of analgesic efficacy of ultrasound-guided external oblique intercostal plane block and subcostal transversus abdominis plane block in patients undergoing upper abdominal surgery: A randomised clinical study
上腹部手术患者在超声引导下腹外斜肌肋间肌平面阻滞与肋下腹横肌平面阻滞的镇痛效果比较：随机临床研究
Background and Aims:
Upper abdominal surgeries are associated with severe postoperative pain. External oblique intercostal (EOI) block blocks both anterior and lateral cutaneous branches of intercostal nerves. We compared the postoperative analgesic efficacy of unilateral EOI block with conventional unilateral subcostal transversus abdominis plane (TAP) block.
背景和目的：
上腹部手术会带来剧烈的术后疼痛。腹外斜肌肋间肌（EOI）阻滞可阻滞肋间神经的前侧和外侧皮支。我们比较了单侧 EOI 阻滞与传统的单侧肋下腹横肌平面 (TAP) 阻滞的术后镇痛效果。
Methods:
Fifty American Society of Anesthesiologists (ASA) I/II patients scheduled for upper abdominal surgery via subcostal incision were randomly assigned to receive either EOI block (Group E) or subcostal TAP block (Group T) with 25 mL of 0.2% ropivacaine. Postoperatively, these patients received intravenous (IV) fentanyl through a patient-controlled analgesia (PCA) pump with settings of demand-only mode. The primary outcome was the time to activation of PCA postoperatively. Secondary outcomes were 24-hour opioid consumption, pain scores (at 30 minutes and at 1, 2, 4, 6, 12, and 24 hours), patient satisfaction scores (48 hours), and block-related complications. Unpaired t-test and Mann-Whitney U test were used for analysis. A P value less than 0.05 was considered to be statistically significant.
方法：
将 50 名计划通过肋下切口进行上腹部手术的ASA I/II级的患者随机分配到 EOI 阻滞（E 组）或使用 25 mL 0.2% 罗哌卡因的肋下 TAP 阻滞（T 组）。术后，这些患者通过患者自控镇痛（PCA）泵接受芬太尼静脉注射（IV），并设置为需求模式。主要结果是术后启动 PCA 的时间。次要结果为 24 小时阿片类药物消耗量、疼痛评分（30 分钟以及 1、2、4、6、12 和 24 小时）、患者满意度评分（48 小时）以及阻滞相关并发症。分析采用非配对 t 检验和 Mann-Whitney U 检验。P 值＜0.05 即为具有统计学意义。
Results:
Patients in Group E had an increased mean time of activation of PCA [610.28 [standard deviation (SD): 118.95)] minutes vs 409.68 (SD: 101.36) minutes] (P = 0.001). The 24-hour postoperative mean fentanyl consumption was 102.40 (SD: 25.70) μg in Group E versus 123.20 (SD: 34.38) μg in Group T (P = 0.019). Patients in Group E had better satisfaction scores (P < 0.001). Pain scores were better at 30 minutes and 6 hours.
结果：E 组患者的 PCA 平均激活时间更长[610.28 [标准差（SD）：118.95]分钟 vs 409.68 (SD: 101.36) 分钟]（P = 0.001）。(P = 0.001). E组术后24小时平均芬太尼用量为102.40（SD：25.70）μg，而T组为123.20（SD：34.38）μg（P = 0.019）。E组患者的满意度评分更高（P < 0.001）。30分钟和6小时后的疼痛评分更好。
Conclusion:
EOI block provides effective postoperative analgesia in upper abdominal surgeries as it prolongs the duration of PCA activation with a better patient satisfaction score.
结论：EOI阻滞可为上腹部手术提供有效的术后镇痛，因为它能延长PCA激活的持续时间，并能提高患者的满意度。
3.Comparison of target concentration of propofol during three phases of live donor liver transplant surgery using a target-controlled infusion of propofol total intravenous anaesthesia - A prospective, observational pilot study
使用靶控输注丙泊酚全静脉麻醉的活体肝移植手术三个阶段的丙泊酚目标浓度比较 - 一项前瞻性观察试验研究
4.Predicting the depth of insertion of central venous catheters using a bronchoscopy-based carinal measurement technique or the Peres’ formula-based method in adults undergoing cardiac surgery: A randomised comparative double-blind study
在接受心脏手术的成人中，使用基于支气管镜的心尖测量技术或基于Peres公式的方法预测中心静脉导管的插入深度：随机比较双盲研究
5.Efficacy and safety of a generic remifentanil formulation versus fentanyl and Ultiva during general anaesthesia: A phase III, prospective, multi-centric, observer-blind, randomised controlled trial
通用瑞芬太尼配方与芬太尼和 Ultiva 在全身麻醉期间的疗效和安全性对比：前瞻性、多中心、观察盲、随机对照 III 期试验
6.Comparison of Adequacy of Anaesthesia (AoA) monitors with CONOX® monitor regarding sevoflurane consumption during routine general anaesthesia: A randomised clinical trial
麻醉充分性（AoA）监测仪与 CONOX® 监测仪在常规全身麻醉期间七氟醚消耗量方面的比较：随机临床试验
7.Evaluating the predictive efficacy of the El-Ganzouri risk index for difficult laryngoscopy and intubation with King Vision™ video laryngoscope: A prospective cohort study
评估 El-Ganzouri 风险指数对使用 King Vision™ 视频喉镜进行困难喉镜检查和插管的预测效果：前瞻性队列研究
8.Evaluation of efficacy of two bag-mask ventilation techniques by novice airway providers: Two-handed CE versus dominant-hand CE–non-dominant-hand thenar eminence techniques – A randomised controlled trial
评估气道提供新手使用两种气囊-面罩通气技术的效果：双手CE与惯用手CE-非惯用手鱼际（TE）技术的对比 - 随机对照试验
Special Article
1.Optimising artificial intelligence ultrasound tools in anaesthesiology and perioperative medicine: The next frontier for advanced technology application
优化麻醉学和围手术期医学中的人工智能超声工具：先进技术应用的下一个前沿
Commentary
1.Post-publication appraisal of randomisation reporting in IJA - Are we hitting the bull’s eye?
IJA 中随机化报告的出版后评估--我们击中靶心了吗？
Letter to Editor
1.Left ventricular dysfunction following intravenous dexmedetomidine
静脉注射右美托咪定后出现的左心室功能障碍
2.Needle in a haystack: Utilising point-of-care airway ultrasound for localisation of retained blade fragments post-emergency cricothyroidotomy
大海捞针 利用床旁即时超声定位紧急环甲膜切开术后残留的刀片碎片
