翻译：张恒睿 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
《Regional Anesthesia & Pain Medicine》2024年10月刊，第49卷第10期
《Regional Anesthesia & Pain Medicine》2024年9月刊，第49卷第9期
《Regional Anesthesia & Pain Medicine》2024年8月刊，第49卷第8期
《Regional Anesthesia & Pain Medicine》2024年7月刊，第49卷第7期
《Regional Anesthesia & Pain Medicine 》2024年6月刊，第49卷第6期
《Regional Anesthesia & Pain Medicine 》2024年5月刊，第49卷第5期
《Regional Anesthesia & Pain Medicine 》2024年4月刊，第49卷第4期
《Regional Anesthesia & Pain Medicine 》2024年3月刊，第49卷第3期
《Regional Anesthesia & Pain Medicine 》2024年2月刊，第49卷第2期
《Regional Anesthesia & Pain Medicine 》2024年1月刊，第49卷第1期
Special articles
特别文章
1.Addition of dexamethasone to prolong peripheral nerve blocks: a ChatGPT-created narrative review
添加地塞米松以延长外周神经阻滞时间：ChatGPT 创建的叙述性综述
Abstract
摘要
Chat Generative Pre-trained Transformer (ChatGPT), an artificial intelligence chatbot, produces detailed responses and human-like coherent answers, and has been used in the clinical and academic medicine. To evaluate its accuracy in regional anesthesia topics, we produced a ChatGPT review on the addition of dexamethasone to prolong peripheral nerve blocks. A group of experts in regional anesthesia and pain medicine were invited to help shape the topic to be studied, refine the questions entered in to the ChatGPT program, vet the manuscript for accuracy, and create a commentary on the article. Although ChatGPT produced an adequate summary of the topic for a general medical or lay audience, the review that were created appeared to be inadequate for a subspecialty audience as the expert authors. Major concerns raised by the authors included the poor search methodology, poor organization/lack of flow, inaccuracies/omissions of text or references, and lack of novelty. At this time, we do not believe ChatGPT is able to replace human experts and is extremely limited in providing original, creative solutions/ideas and interpreting data for a subspecialty medical review article.
人工智能聊天机器人 Chat Generative Pre-trained Transformer（ChatGPT）可生成详细的回复和类似人类的连贯答案，已被用于临床和学术医学领域。为了评估其在区域麻醉主题方面的准确性，我们制作了一篇关于添加地塞米松以延长外周神经阻滞时间的 ChatGPT 评论。我们邀请了一组区域麻醉和疼痛医学专家来帮助确定要研究的主题，完善输入 ChatGPT 程序的问题，审核稿件的准确性，并为文章撰写评论。虽然 ChatGPT 为普通医学或非专业受众提供了充分的主题摘要，但作为专家作者，所创建的评论似乎并不适合亚专业受众。作者提出的主要问题包括：检索方法不当、组织不力/缺乏流程、文本或参考文献不准确/遗漏以及缺乏新意。目前，我们认为 ChatGPT 无法取代人类专家，在为亚专科医学综述文章提供原创性、创造性解决方案/想法和解释数据方面也极为有限。
2.Standardizing nomenclature in regional anesthesia: an ASRA-ESRA Delphi consensus study of upper and lower limb nerve blocks
区域麻醉术语标准化：ASRA-ESRA 上肢和下肢神经阻滞德尔菲共识研究
Abstract
摘要
Background 背景
Inconsistent nomenclature and anatomical descriptions of regional anesthetic techniques hinder scientific communication and engender confusion; this in turn has implications for research, education and clinical implementation of regional anesthesia. Having produced standardized nomenclature for abdominal wall, paraspinal and chest wall regional anesthetic techniques, we aimed to similarly do so for upper and lower limb peripheral nerve blocks.
区域麻醉技术的术语和解剖学描述不一致会妨碍科学交流并造成混乱；这反过来又会影响区域麻醉的研究、教育和临床实施。在对腹壁、脊柱旁和胸壁区域麻醉技术进行标准化命名后，我们的目标是对上肢和下肢周围神经阻滞进行类似的命名。
Methods方法
We performed a three-round Delphi international consensus study to generate standardized names and anatomical descriptions of upper and lower limb regional anesthetic techniques. A long list of names and anatomical description of blocks of upper and lower extremities was produced by the members of the steering committee. Subsequently, two rounds of anonymized voting and commenting were followed by a third virtual round table to secure consensus for items that remained outstanding after the first and second rounds. As with previous methodology, strong consensus was defined as ≥75% agreement and weak consensus as 50%–74% agreement.
我们进行了三轮德尔菲国际共识研究，以产生上肢和下肢区域麻醉技术的标准化名称和解剖描述。指导委员会成员制定了一份长长的上下肢阻滞名称和解剖描述清单。随后，进行了两轮匿名投票和评论，并举行了第三次虚拟圆桌会议，以确保就第一轮和第二轮后仍未达成共识的项目达成共识。与以往的方法一样，强共识的定义是≥75%的一致意见，弱共识的定义是 50%-74%的一致意见。
Results结果
A total of 94, 91 and 65 collaborators participated in the first, second and third rounds, respectively. We achieved strong consensus for 38 names and 33 anatomical descriptions, and weak consensus for five anatomical descriptions. We agreed on a template for naming peripheral nerve blocks based on the name of the nerve and the anatomical location of the blockade and identified several areas for future research.
共有 94、91 和 65 名合作者分别参加了第一、第二和第三轮评选。我们就 38 个名称和 33 个解剖描述达成了较强的共识，就 5 个解剖描述达成了较弱的共识。我们就基于神经名称和阻滞解剖位置的周围神经阻滞命名模板达成了共识，并确定了未来研究的几个领域。
Conclusions结论
We achieved consensus on nomenclature and anatomical descriptions of regional anesthetic techniques for upper and lower limb nerve blocks, and recommend using this framework in clinical and academic practice. This should improve research, teaching and learning of regional anesthesia to eventually improve patient care.
我们就上肢和下肢神经阻滞区域麻醉技术的命名和解剖学描述达成了共识，并建议在临床和学术实践中使用这一框架。这将改善区域麻醉的研究、教学和学习，最终改善患者护理。
Chronic and interventional pain
慢性和介入性疼痛
1.Impact of psychosocial factors on the success of neuromodulation treatment for patients with persistent pain
心理社会因素对持续性疼痛患者神经调控治疗成功的影响
Regional anesthesia and acute pain
区域麻醉和急性疼痛
1.Validation of a novel point-of-care ultrasound method to assess diaphragmatic excursion
验证评估横膈膜偏移的新型即时超声波方法
2.Effect of anterior quadratus lumborum block with ropivacaine on the immune response after laparoscopic surgery in colon cancer: a substudy of a randomized clinical trial
罗哌卡因前路腰方肌阻滞对结肠癌腹腔镜手术后免疫反应的影响：随机临床试验的子研究
3.Association of thoracic epidural analgesia and hospital length of stay for patients undergoing thoracotomy: a retrospective cohort analysis
胸段硬膜外镇痛与胸廓切开术患者住院时间的关系：回顾性队列分析
Basic science
基础科学
1.GFAP palmitoylcation mediated by ZDHHC23 in spinal astrocytes contributes to the development of neuropathic pain
脊髓星形胶质细胞中由 ZDHHC23 介导的 GFAP 棕榈酰化有助于神经病理性疼痛的发展
Infographic
信息图
1.Perioperative considerations for patients exposed to hallucinogens: an infographic
接触致幻剂患者的围手术期注意事项：信息图表
Education
教育
1.Neuraxial pathology and regional anesthesia: an education guide to decision-making
椎管内病理学和区域麻醉：决策教育指南
Brief technical report
简要技术报告
1.Real-time ultrasound-guided mid-thoracic epidural access using a novel paramedian cross (PX) view and drip infusion technique: a brief technical report
使用新型胸骨旁交叉（PX）视图和滴注技术进行实时超声引导的中胸硬膜外通路：简要技术报告
Research reports
研究报告
1.Assessing sensory hypersensitivity in interventional pain patients: a pilot study
评估介入性疼痛患者的感觉过敏症：一项试点研究
2.Primary spoken language and regional anaesthesia use in total joint arthroplasty
全关节置换术中的主要口语和区域麻醉使用情况
Letters
书信
1.Letter: Precision in nomenclature: blocks and injections
信：术语的精确性：阻滞和注射
2.Letter: Opioid prescribing to US military members
信函：为美国军人开具阿片类药物处方
3.Letter: Negative trials as a compass
信：负面试验是指南针
4.Letter: Subsartorial canal catheter: a reliable catheter placement technique for continuous proximal adductor canal block
信：腱膜下管导管：连续内收肌近端阻滞的可靠导管置入技术
5.Letter: Are human nerve fascicles truly impenetrable?
信：人类神经束真的坚不可摧吗？
