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Anesthesiology Dec 2019Commercial applications of artificial intelligence and machine learning have made remarkable progress recently, particularly in areas such as image recognition, natural... (Review)
Review
Commercial applications of artificial intelligence and machine learning have made remarkable progress recently, particularly in areas such as image recognition, natural speech processing, language translation, textual analysis, and self-learning. Progress had historically languished in these areas, such that these skills had come to seem ineffably bound to intelligence. However, these commercial advances have performed best at single-task applications in which imperfect outputs and occasional frank errors can be tolerated.The practice of anesthesiology is different. It embodies a requirement for high reliability, and a pressured cycle of interpretation, physical action, and response rather than any single cognitive act. This review covers the basics of what is meant by artificial intelligence and machine learning for the practicing anesthesiologist, describing how decision-making behaviors can emerge from simple equations. Relevant clinical questions are introduced to illustrate how machine learning might help solve them-perhaps bringing anesthesiology into an era of machine-assisted discovery.
Topics: Algorithms; Anesthesiology; Artificial Intelligence; Humans; Machine Learning
PubMed: 30973516
DOI: 10.1097/ALN.0000000000002694 -
BMC Anesthesiology Mar 2019
Topics: Anesthesiology; Animals; Humans; Organ Transplantation; Specialization
PubMed: 30832567
DOI: 10.1186/s12871-019-0704-z -
European Journal of Anaesthesiology Jan 2018: Procedural sedation and analgesia (PSA) has become a widespread practice given the increasing demand to relieve anxiety, discomfort and pain during invasive diagnostic... (Review)
Review
: Procedural sedation and analgesia (PSA) has become a widespread practice given the increasing demand to relieve anxiety, discomfort and pain during invasive diagnostic and therapeutic procedures. The role of, and credentialing required by, anaesthesiologists and practitioners performing PSA has been debated for years in different guidelines. For this reason, the European Society of Anaesthesiology (ESA) and the European Board of Anaesthesiology have created a taskforce of experts that has been assigned to create an evidence-based guideline and, whenever the evidence was weak, a consensus amongst experts on: the evaluation of adult patients undergoing PSA, the role and competences required for the clinicians to safely perform PSA, the commonly used drugs for PSA, the adverse events that PSA can lead to, the minimum monitoring requirements and post-procedure discharge criteria. A search of the literature from 2003 to 2016 was performed by a professional librarian and the retrieved articles were analysed to allow a critical appraisal according to the Grading of Recommendations Assessment, Development and Evaluation method. The Taskforce selected 2248 articles. Where there was insufficiently clear and concordant evidence on a topic, the Rand Appropriateness Method with three rounds of Delphi voting was used to obtain the highest level of consensus among the taskforce experts.These guidelines contain recommendations on PSA in the adult population. It does not address sedation performed in the ICU or in children and it does not aim to provide a legal statement on how PSA should be performed and by whom. The National Societies of Anaesthesiology and Ministries of Health should use this evidence-based document to help decision-making on how PSA should be performed in their countries. The final draft of the document was available to ESA members via the website for 4 weeks with the facility for them to upload their comments. Comments and suggestions of individual members and national Societies were considered and the guidelines were amended accordingly. The ESA guidelines Committee and ESA board finally approved and ratified it before publication.
Topics: Adult; Analgesia; Anesthesiology; Conscious Sedation; Europe; Humans; Pain Management; Practice Guidelines as Topic; Societies, Medical
PubMed: 28877145
DOI: 10.1097/EJA.0000000000000683 -
Current Opinion in Anaesthesiology Jun 2018
Topics: Anesthesiologists; Anesthesiology; Burnout, Professional; Humans; Internship and Residency; Patient Care Team; Professional Misconduct; Time Factors
PubMed: 29543616
DOI: 10.1097/ACO.0000000000000597 -
Anesthesiology Clinics Jun 2018Health care in general and anesthesia in particular have seen dramatic changes in the economic landscape. It is vital if anesthesia groups wish to survive and prosper in... (Review)
Review
Health care in general and anesthesia in particular have seen dramatic changes in the economic landscape. It is vital if anesthesia groups wish to survive and prosper in this new environment to understand the changes occurring in health care and be flexible and proactive in taking on these challenges. More than ever anesthesia groups must be good corporate citizens and seek ways in which to enhance their value to the organization, whether in the operating room or out of operating room locations, and be a proactive partner with the hospital.
Topics: Anesthesia; Anesthesiology; Costs and Cost Analysis; Humans; Operating Rooms; United States
PubMed: 29759285
DOI: 10.1016/j.anclin.2018.02.001 -
Anesthesia and Analgesia Jun 2019
Topics: Anesthesia, Dental; Anesthesiology
PubMed: 31094830
DOI: 10.1213/ANE.0000000000004170 -
Anaesthesia and Intensive Care Nov 2018
Topics: Anesthesia, Dental; Anesthesiology; Costs and Cost Analysis
PubMed: 30447681
DOI: No ID Found -
European Journal of Anaesthesiology Feb 2018
Topics: Aged; Anesthesiology; Aspirin; Critical Care; Europe; Female; Humans; Intermittent Pneumatic Compression Devices; Male; Perioperative Care; Platelet Aggregation Inhibitors; Risk Factors; Societies, Medical; Stockings, Compression; Surgical Procedures, Operative; Vena Cava Filters; Venous Thromboembolism
PubMed: 29112553
DOI: 10.1097/EJA.0000000000000729 -
Journal of Neurosurgical Anesthesiology Apr 2019This review provides a summary of the literature pertaining to the perioperative care of neurosurgical patients and patients with neurological diseases. General topics... (Review)
Review
This review provides a summary of the literature pertaining to the perioperative care of neurosurgical patients and patients with neurological diseases. General topics addressed in this review include general neurosurgical considerations, stroke, traumatic brain injury, neuromonitoring, neurotoxicity, and perioperative disorders of cognitive function.
Topics: Anesthesia; Anesthesiology; Anesthetics; Humans; Neurosurgery; Neurosurgical Procedures
PubMed: 30688763
DOI: 10.1097/ANA.0000000000000581 -
Anesthesia and Analgesia Dec 2014
Topics: Analgesia; Anesthesia; Anesthesiology; Editorial Policies; Education, Medical; History, 20th Century; History, 21st Century; Humans; Mentors; Periodicals as Topic; Retirement
PubMed: 25405679
DOI: 10.1213/ANE.0000000000000482