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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 -
Anesthesiology Jul 2008
Topics: American Heart Association; Anesthesiology; Humans; Science; United States
PubMed: 18580163
DOI: 10.1097/ALN.0b013e31817c1ad2 -
Anesthesiology Jul 2024
Topics: Anesthesiology; Humans; Forecasting; Periodicals as Topic
PubMed: 38860790
DOI: 10.1097/ALN.0000000000005025 -
Anesthesiology Jan 2020
Topics: Anesthesiology; Biomedical Research; Humans; Research Subjects
PubMed: 31789636
DOI: 10.1097/ALN.0000000000003026 -
British Journal of Hospital Medicine... Apr 2024The anaesthetic training programme in the United Kingdom (UK) spans over seven years and is overseen by the Royal College of Anaesthetists (RCOA). Junior doctors in... (Review)
Review
The anaesthetic training programme in the United Kingdom (UK) spans over seven years and is overseen by the Royal College of Anaesthetists (RCOA). Junior doctors in England are currently striking amid ongoing pay negotiations with the government, and almost all junior doctors are worried about the cost of living. This article provides an overview of the average financial cost of training for doctors in the anaesthetic training programme. The cost incurred by anaesthetic trainees illustrates the level of financial burden faced by trainees across multiple specialities. The cost includes: student loan repayment (with interest rates), compulsory membership fees (including the Royal College of Anaesthetists and General Medical Council), postgraduate examinations (Fellowship of the Royal College of Anaesthetist exams are compulsory to complete training) and medical indemnity. The average trainee spends between 5.6% and 7.4% of their annual salary on non-reimbursable costs. This article delineates for aforementioned expenses and compares them with the training programs in Australia and New Zealand, given their status as frequent emigration destinations for UK doctors.
Topics: Humans; Anesthesiology; United Kingdom; Education, Medical, Graduate; Australia; New Zealand; Salaries and Fringe Benefits
PubMed: 38708973
DOI: 10.12968/hmed.2023.0437 -
Critical Care (London, England) Aug 2021The respiratory system reacts instantaneously to intrinsic and extrinsic inputs. This adaptability results in significant fluctuations in breathing parameters, such as... (Review)
Review
The respiratory system reacts instantaneously to intrinsic and extrinsic inputs. This adaptability results in significant fluctuations in breathing parameters, such as respiratory rate, tidal volume, and inspiratory flow profiles. Breathing variability is influenced by several conditions, including sleep, various pulmonary diseases, hypoxia, and anxiety disorders. Recent studies have suggested that weaning failure during mechanical ventilation may be predicted by low respiratory variability. This review describes methods for quantifying breathing variability, summarises the conditions and comorbidities that affect breathing variability, and discusses the potential implications of breathing variability for anaesthesia and intensive care.
Topics: Airway Management; Anesthesiology; Critical Care; Humans; Respiration, Artificial; Respiratory Mechanics; Time and Motion Studies
PubMed: 34353348
DOI: 10.1186/s13054-021-03716-0 -
Brazilian Journal of Anesthesiology... 2023
Topics: Humans; Anesthesia; Anesthesiology
PubMed: 37062412
DOI: 10.1016/j.bjane.2023.04.001 -
TheScientificWorldJournal Nov 2013Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine.... (Review)
Review
Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic tool in their routine practice. This paper reviews current and potential applications of ultrasound in anesthesiology in order to encourage anesthesiologists to learn and use this useful tool as an adjunct to physical examination. Ultrasound-guided peripheral nerve blockade and vascular access represent the most popular ultrasound applications in anesthesiology. Ultrasound has recently started to substitute for CT scans and fluoroscopy in many pain treatment procedures. Although the application of airway ultrasound is still limited, it has a promising future. Lung ultrasound is a well-established field in point-of-care medicine, and it could have a great impact if utilized in our ORs, as it may help in rapid and accurate diagnosis in many emergent situations. Optic nerve sheath diameter (ONSD) measurement and transcranial color coded duplex (TCCD) are relatively new neuroimaging modalities, which assess intracranial pressure and cerebral blood flow. Gastric ultrasound can be used for assessment of gastric content and diagnosis of full stomach. Focused transthoracic (TTE) and transesophageal (TEE) echocardiography facilitate the assessment of left and right ventricular function, cardiac valve abnormalities, and volume status as well as guiding cardiac resuscitation. Thus, there are multiple potential areas where ultrasound can play a significant role in guiding otherwise blind and invasive interventions, diagnosing critical conditions, and assessing for possible anatomic variations that may lead to plan modification. We suggest that ultrasound training should be part of any anesthesiology training program curriculum.
Topics: Anesthesiology; Education, Medical, Continuing; Humans; Physicians; Ultrasonography
PubMed: 24348179
DOI: 10.1155/2013/683685 -
British Journal of Anaesthesia Nov 2019
Topics: Anesthesiology; China; Health Policy; Humans; Societies, Medical
PubMed: 31543268
DOI: 10.1016/j.bja.2019.08.004