Machine learning in anesthesiology: Detecting adverse events in clinical practice.

Journal: Health informatics journal
Published Date:

Abstract

The credibility of threshold-based alarms in anesthesia monitors is low and most of the warnings they produce are not informative. This study aims to show that Machine Learning techniques have a potential to generate meaningful alarms during general anesthesia without putting constraints on the type of procedure. Two distinct approaches were tested - Complication Detection and Anomaly Detection. The former is a generic supervised learning problem and for this a simple feed-forward Neural Network performed best. For the latter, we used an Encoder-Decoder Long Short-Term Memory architecture that does not require a large manually-labeled dataset. We show this approach to be more flexible and in the spirit of Explainable Artificial Intelligence, offering greater potential for future improvement.

Authors

  • Tomasz T MaciÄ…g
    84790Department of Arteficial Intelligence, University of Groningen, Groningen, The Netherlands and Department of Anesthesiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
  • Kai van Amsterdam
    Department of Anesthesiology, University of Groningen, 10173University Medical Center Groningen, Groningen, The Netherlands.
  • Albertus Ballast
    Department of Anesthesiology, University of Groningen, 10173University Medical Center Groningen, Groningen, The Netherlands.
  • Fokie Cnossen
    Department of Artificial Intelligence, 84790University of Groningen, The Netherlands.
  • Michel Mrf Struys
    Department of Anesthesiology, University of Groningen, 10173University Medical Center Groningen, Groningen, The Netherlands and Department of Basic and Applied Medical Sciences, Ghent University, Gent, Belgium.