Research Appraisalother

The Current Use of Artificial Intelligence in Anesthesiology

Adv AnesthFeldheim, Timothy V, Brennan, Meghan, Tighe, Patrick1 Dec 2025DOI

Clinical Snapshot

60CEBM
Evidence: Weakother

PICO Framework

P — PopulationAnesthesiology practice and patient care
I — InterventionArtificial intelligence applications (machine learning, deep learning, natural language processing)
C — ComparatorCurrent standard anesthesiology practice without AI
O — OutcomesPatient monitoring enhancement, drug administration optimization, decision-making improvement, postoperative complication prediction

Bottom Line

This narrative review examines the current limited use of artificial intelligence in anesthesiology, highlighting potential applications in patient monitoring, drug optimization, clinical decision-making, and complication prediction. While the technology shows promise for enhancing perioperative care through machine learning and natural language processing, widespread adoption remains limited. The review identifies key areas where AI could transform anesthesiology practice, but lacks specific evidence of clinical effectiveness or implementation challenges. For Australian practitioners, any AI applications would require TGA approval and careful integration with existing perioperative workflows. The field appears to be in early stages compared to other medical specialties like radiology, suggesting opportunities for future development and research.

Evidence: Weak

Key Findings

  • P Value: Not applicable for narrative review

  • Effect Size: Not quantified in abstract

  • Primary Outcome: Current state of AI adoption in anesthesiology is limited despite potential benefits

  • Nnt Or Sensitivity: Not applicable - descriptive review of current applications

  • Confidence Interval: Not provided

Clinical Application

Implementation would require significant technological infrastructure and training Relevant to Australian anesthesiology practice; would need consideration of TGA approval for medical devices and integration with existing hospital systems Anesthesiologists and perioperative care teams globally

Abstract

Artificial intelligence (AI) applications are increasingly being used in areas of medicine such as radiology. However, within anesthesiology, there is not widespread use of AI applications at this time, though it has the potential to have a profound impact. Many applications of AI, including machine learning, deep learning, and natural language processing, are being used to create applications to enhance patient monitoring, optimize drug administration, improve decision-making, and predict postoperative complications.

References

  1. 1.Feldheim, T. V., Brennan, M., & Tighe, P. (2025). The current use of artificial intelligence in anesthesiology. Advances in Anesthesia, 43, [page numbers]. https://doi.org/10.1016/j.aan.2025.07.006
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