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人工智能在麻醉中的应用:一项系统综述。

Applications of artificial intelligence in anesthesia: A systematic review.

作者信息

Kambale Monika, Jadhav Sammita

机构信息

Symbiosis Institute of Health Sciences, Pune, Maharashtra, India.

出版信息

Saudi J Anaesth. 2024 Apr-Jun;18(2):249-256. doi: 10.4103/sja.sja_955_23. Epub 2024 Mar 14.

Abstract

This review article examines the utility of artificial intelligence (AI) in anesthesia, with a focus on recent developments and future directions in the field. A total of 19,300 articles were available on the given topic after searching in the above mentioned databases, and after choosing the custom range of years from 2015 to 2023 as an inclusion component, only 12,100 remained. 5,720 articles remained after eliminating non-full text. Eighteen papers were identified to meet the inclusion criteria for the review after applying the inclusion and exclusion criteria. The applications of AI in anesthesia after studying the articles were in favor of the use of AI as it enhanced or equaled human judgment in drug dose decision and reduced mortality by early detection. Two studies tried to formulate prediction models, current techniques, and limitations of AI; ten studies are mainly focused on pain and complications such as hypotension, with a P value of <0.05; three studies tried to formulate patient outcomes with the help of AI; and three studies are mainly focusing on how drug dose delivery is calculated (median: 1.1% ± 0.5) safely and given to the patients with applications of AI. In conclusion, the use of AI in anesthesia has the potential to revolutionize the field and improve patient outcomes. AI algorithms can accurately predict patient outcomes and anesthesia dosing, as well as monitor patients during surgery in real time. These technologies can help anesthesiologists make more informed decisions, increase efficiency, and reduce costs. However, the implementation of AI in anesthesia also presents challenges, such as the need to address issues of bias and privacy. As the field continues to evolve, it will be important to carefully consider the ethical implications of AI in anesthesia and ensure that these technologies are used in a responsible and transparent manner.

摘要

这篇综述文章探讨了人工智能(AI)在麻醉领域的效用,重点关注该领域的最新进展和未来方向。在上述数据库中搜索后,关于给定主题共有19300篇文章,在选择2015年至2023年的自定义年份范围作为纳入部分后,仅剩下12100篇。剔除非全文后还剩下5720篇文章。在应用纳入和排除标准后,确定有18篇论文符合该综述的纳入标准。在研究这些文章后发现,人工智能在麻醉中的应用有利于其使用,因为它在药物剂量决策方面增强或等同于人类判断,并通过早期检测降低了死亡率。两项研究试图制定人工智能的预测模型、当前技术和局限性;十项研究主要关注疼痛和诸如低血压等并发症,P值<0.05;三项研究试图借助人工智能制定患者预后;三项研究主要关注如何在人工智能应用中安全地计算(中位数:1.1%±0.5)并给患者给药。总之,人工智能在麻醉中的应用有可能彻底改变该领域并改善患者预后。人工智能算法可以准确预测患者预后和麻醉剂量,以及在手术期间实时监测患者。这些技术可以帮助麻醉医生做出更明智的决策,提高效率并降低成本。然而,人工智能在麻醉中的实施也带来了挑战,例如需要解决偏差和隐私问题。随着该领域的不断发展,仔细考虑人工智能在麻醉中的伦理影响并确保以负责任和透明的方式使用这些技术将非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/806f/11033896/c6e357b3ec58/SJA-18-249-g001.jpg

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