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. 2023 Oct 21;38(2):247–259. doi: 10.1007/s10877-023-01088-0

Table 5.

The application of AI in drug administration control

Study Aim Population AI method N Accuracy results Conclusions
Mendez 2018 [28] Automatic drug delivery ASA I and II undergoing general anesthesia for ambulatory surgery FL closed loop system 85 MDAPE 9,67% (AI) vs. 13,5% (control); MDPE − 3,13% vs. -9,83%; The system showed better performance parameter values than the manual standard procedure and PID algorithms.
Zaouter 2017 [29] Closed loop sedation without manual override Patients undergoing elective Transcatheter Aortic Valve Implantation Hybrid sedation system 20 MDAPE 23,8%; MDPE − 2,4%; The System maintained sedation in 95% of cases with no manual override.
Xu 2022 [30] Computer aided diagnosis system on anesthesia quality control ASA I to III undergoing sedative EGD and/or colonoscopy CNN 154 Emergence and recovery time were significantly shorter than that in the control group (p < 0.01) Satisfaction scores were significantly higher and the emergence and recovery time was significantly shorter.
Syed 2021 [31] Prediction if a colonoscopy can be successfully completed with moderate sedation Patients undergoing colonoscopy Machine learning 10.025 AUC 0,762 The model achieved reliable accuracy in predicting procedures.
Wei 2021 [58] Assessing intrathecal hyperbaric bupivacaine dose during cesarean section Term parturient (ASA II to III) presented for elective cesarean section under spinal anesthesia Machine learning 684 MSE 0,0087; Coefficient of determination 0.807 The model created showed a coefficient of determination of 0.807 to predict intrathecal hyperbaric bupivacaine dose
Marrero 2017 [59] Predict the hypnotic effect in general anesthesia Patients undergoing general anesthesia using intravenous hypnotic agent (propofol) FL 20 RMSE for AFM 36,13 vs. 50,29 for the FM vs. 45,69 for the compartmental model. The model had significantly better results than fuzzy model and compartment model.
Shieh 2000 [60] Controller for neuromuscular block with rocuronium ASA I and II undergoing general anesthesia FL 10 Standard deviation of the T1%² error 1,82% and the mean T1% error − 0,18%. The performance is better in intermediate duration of action neuromuscular blocking agents.
Lin 2002 [61] Predict the hypnotic effect of propofol based on clinical parameters Patients undergoing elective surgery under total intravenous anesthesia ANN 270 Sn 82,35%; Sp 64,38%; AUC 0.7552 The model had the ability to predict the hypnotic effect of propofol bolus induction superiorly than the clinician.