Implementing Artificial Intelligence in Critical Care Medicine: a consensus of 22.

Journal: Critical care (London, England)
Published Date:

Abstract

Artificial Intelligence (AI) is rapidly transforming the landscape of critical care, offering opportunities for enhanced diagnostic precision and personalized patient management. However, its integration into ICU clinical practice presents significant challenges related to equity, transparency, and the patient-clinician relationship. To address these concerns, a multidisciplinary team of experts was established to assess the current state and future trajectory of AI in critical care. This consensus identified key challenges and proposed actionable recommendations to guide AI implementation in this high-stakes field. Here we present a call to action for the critical care community, to bridge the gap between AI advancements and the need for humanized, patient-centred care. Our goal is to ensure a smooth transition to personalized medicine while, (1) maintaining equitable and unbiased decision-making, (2) fostering the development of a collaborative research network across ICUs, emergency departments, and operating rooms to promote data sharing and harmonization, and (3) addressing the necessary educational and regulatory shifts required for responsible AI deployment. AI integration into critical care demands coordinated efforts among clinicians, patients, industry leaders, and regulators to ensure patient safety and maximize societal benefit. The recommendations outlined here provide a foundation for the ethical and effective implementation of AI in critical care medicine.

Authors

  • Maurizio Cecconi
    Department of Anesthesiology and Intensive Care, Humanitas Clinical and Research Center-IRCCS, Rozzano, Milan, Italy.
  • Massimiliano Greco
    Department of Anesthesiology and Intensive Care, Humanitas Clinical and Research Center-IRCCS, Rozzano, Milan, Italy.
  • Benjamin Shickel
    Department of Medicine, University of Florida, Gainesville, FL USA.
  • Derek C Angus
    Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Heatherlee Bailey
    Durham VA Medical Center, Durham, USA.
  • Elena Bignami
    Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy. Electronic address: bignami.elena@hsr.it.
  • Thierry Calandra
    Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
  • Leo Anthony Celi
    Massachusetts Institute of Technology, Cambridge, MA, USA.
  • Sharon Einav
    Maccabi Healthcare Services Sharon Region, Hebrew University Faculty of Medicine, and Medint Medical Intelligence, Tel Aviv, Israel 2 Faculty of Medicine, Tel Aviv University and Medint Medical Intelligence, Tel Aviv, Israel.
  • Paul Elbers
    Department of Intensive Care Medicine, Laboratory for Critical Care Computational Intelligence (LCCI), Amsterdam Medical Data Science (AMDS), Amsterdam Cardiovascular Science (ACS), Amsterdam Institute for Infection and Immunity (AII), Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.
  • Ari Ercole
    Division of Anaesthesia, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
  • Hernando Gomez
    Department of Critical Care Medicine, Center for Critical Care Nephrology, University of Pittsburgh, Pittsburgh, PA, USA.
  • Michelle Ng Gong
    Division of Critical Care Medicine, Division of Pulmonary Medicine, Department of Medicine. Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
  • Matthieu Komorowski
    Imperial College London, London, UK.
  • Vincent Liu
    Department of Medicine, Oregon Health & Science University, 3181 S.W. Sam Jackson Park Road, Mail Code UHN67, Portland, OR, 97239-3098, USA.
  • Soojin Park
    Department of Neurology, Department of Biomedical Informatics, Columbia University, New York, NY, USA.
  • Aarti Sarwal
    Department of Neurology, Wake Forest Baptist Medical Center, Winston Salem, NC, USA.
  • Christopher W Seymour
    Department of Critical Care Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
  • Fernando G Zampieri
    Research Institute, HCor-Hospital do Coração, São Paulo, Brazil; Research Division, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil. Electronic address: fgzampieri@gmail.com.
  • Fabio Silvio Taccone
    Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, 1070, Brussels, Belgium.
  • Jean-Louis Vincent
    Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium. jlvincent@intensive.org.
  • Azra Bihorac
    Department of Medicine, University of Florida, Gainesville, FL USA.