Machine learning methods for perioperative anesthetic management in cardiac surgery patients: a scoping review
| Autor: | Ward H. van der Ven, Antoine H.G. Driessen, Denise P. Veelo, Alexander P.J. Vlaar, Jaap Schuurmans, Susanne Eberl, Santino R. Rellum |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Artificial intelligence medicine.medical_specialty business.industry Anesthetic management Perioperative Cardiac surgery Review Article on Artificial Intelligence in Thoracic Disease: from Bench to Bed Anesthesiology Machine learning Medicine business Intensive care medicine Perioperative care |
| Zdroj: | J Thorac Dis |
| ISSN: | 2077-6624 2072-1439 |
| DOI: | 10.21037/jtd-21-765 |
| Popis: | BACKGROUND: Machine learning (ML) is developing fast with promising prospects within medicine and already has several applications in perioperative care. We conducted a scoping review to examine the extent and potential limitations of ML implementation in perioperative anesthetic care, specifically in cardiac surgery patients. METHODS: We mapped the current literature by searching three databases: MEDLINE (Ovid), EMBASE (Ovid), and Cochrane Library. Articles were eligible if they reported on perioperative ML use in the field of cardiac surgery with relevance to anesthetic practices. Data on the applicability of ML and comparability to conventional statistical methods were extracted. RESULTS: Forty-six articles on ML relevant to the work of the anesthesiologist in cardiac surgery were identified. Three main categories emerged: (I) event and risk prediction, (II) hemodynamic monitoring, and (III) automation of echocardiography. Prediction models based on ML tend to behave similarly to conventional statistical methods. Using dynamic hemodynamic or ultrasound data in ML models, however, shifts the potential to promising results. CONCLUSIONS: ML in cardiac surgery is increasingly used in perioperative anesthetic management. The majority is used for prediction purposes similar to conventional clinical scores. Remarkable ML model performances are achieved when using real-time dynamic parameters. However, beneficial clinical outcomes of ML integration have yet to be determined. Nonetheless, the first steps introducing ML in perioperative anesthetic care for cardiac surgery have been taken. |
| Databáze: | OpenAIRE |
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