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Computer-Assisted IV Anesthesia: Still a Future?

  • Computer-Assisted Anesthesia Management (A Joosten, Section Editor)
  • Published:
Current Anesthesiology Reports Aims and scope Submit manuscript

Abstract   

Purpose of Review

Automated control of anesthesia may give the physician time to control hemodynamics and supervise neurological outcomes and thus can provide the patient the safety and quality which until recently was considered a holy grail.

Recent Findings

This field of research is now increasing in every component of general anesthesia (hypnosis, nociception, neuromuscular blockade), and the literature describes some successful algorithms—single or multi-closed-loop controllers. These devices aim to control a predefined target and to continuously titrate anesthetics whatever the patients’ co-morbidities and surgical events to reach this target.

Summary

The literature contains many randomized trials comparing manual and automated anesthesia and shows the feasibility and safety of this system. Automation could quickly concern other aspects of anesthesia like fluid or vasopressor management. This review proposes an overview of closed-loop systems in anesthesia.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Pain Medicine, Hôpital Foch, Suresnes, France

    Morgan Le Guen & Ngai Liu

  2. Outcomes Research Consortium, Cleveland Clinic, Cleveland, USA

    Ngai Liu

  3. Department of Anesthesiology and Critical Care Medicine, CHR Orléans, Orléans, France

    Ngai Liu

  4. Department of Anesthesiology and Critical Care, CHU Rouen, 76000, Rouen, France

    Jean Selim

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  1. Morgan Le Guen
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  2. Ngai Liu
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  3. Jean Selim
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Corresponding author

Correspondence to Jean Selim.

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Conflict of Interest

Dr. Le Guen: none.

Drs Liu is the inventor and co-owner of a patent for a gain constant and control algorithm for a closed-loop anesthesia management system. He is a co-founder of MedSteer, a biomedical company that promotes research and development in closed-loop anesthesia devices.

Dr. Jean Selim: none.

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Le Guen, M., Liu, N. & Selim, J. Computer-Assisted IV Anesthesia: Still a Future?. Curr Anesthesiol Rep 13, 187–195 (2023). https://doi.org/10.1007/s40140-023-00568-y

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