Overview and Clinical Applications of Artificial Intelligence and Machine Learning in Cardiac Anesthesiology.

Journal: Journal of cardiothoracic and vascular anesthesia
Published Date:

Abstract

Artificial intelligence- (AI) and machine learning (ML)-based applications are becoming increasingly pervasive in the healthcare setting. This has in turn challenged clinicians, hospital administrators, and health policymakers to understand such technologies and develop frameworks for safe and sustained clinical implementation. Within cardiac anesthesiology, challenges and opportunities for AI/ML to support patient care are presented by the vast amounts of electronic health data, which are collected rapidly, interpreted, and acted upon within the periprocedural area. To address such challenges and opportunities, in this article, the authors review 3 recent applications relevant to cardiac anesthesiology, including depth of anesthesia monitoring, operating room resource optimization, and transthoracic/transesophageal echocardiography, as conceptual examples to explore strengths and limitations of AI/ML within healthcare, and characterize this evolving landscape. Through reviewing such applications, the authors introduce basic AI/ML concepts and methodologies, as well as practical considerations and ethical concerns for initiating and maintaining safe clinical implementation of AI/ML-based algorithms for cardiac anesthesia patient care.

Authors

  • Michael Mathis
    Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, United States.
  • Kirsten R Steffner
    Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, 300 Pasteur Drive, Stanford, CA, 94305, USA. ksteffner@stanford.edu.
  • Harikesh Subramanian
    Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA.
  • George P Gill
    Department of Anesthesiology, Cedars Sinai, Los Angeles, CA.
  • Natalia I Girardi
    Department of Anesthesiology, Weill Cornell Medicine, New York, NY.
  • Sagar Bansal
    Department of Anesthesiology and Perioperative Medicine, University of Missouri School of Medicine, Columbia, MO.
  • Karsten Bartels
    Division of Substance Dependence, Department of Psychiatry, University of Colorado School of Medicine, Aurora, Colorado, USA.
  • Ashish K Khanna
    Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.
  • Jiapeng Huang
    Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY; Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, KY. Electronic address: jiapeng.huang@louisville.edu.