Courtesy of Mish.
Those in medical school pondering career specialties need consider which fields may soon vanish to robots. Anesthesiology is one field in the robotic spotlight.
Please consider this Washington Post headline quote: “We are Convinced the Machine can do Better than Human Anesthesiologists”.
I wrote recently about Sedasys, a machine that automates anesthesia. It’s a first-of-its-kind device in the United States. Only four hospitals use it for now. It’s restricted to colonoscopies in healthy patients.
But Sedasys, in development for 15 years, is no longer on the true cutting edge of what’s possible with automated anesthesia.
A machine with the clunky name of iControl-RP is. It’s an experimental device that pushes the boundaries of how much responsibility is turned over to technology. It monitors brain wave activity. And it’s even been tested on children.
One of the reasons that Sedasys was approved by U.S. health regulators is that it’s a conservative leap forward. The device is innovative, but it doesn’t decide alone how much anesthesia to give to a patient.It’s an open-loop system. The initial dose is pre-determined based on a patient’s weight and age. And Sedasys only reduces or stops drug delivery if it detects problems. Only a doctor or nurse can up the dose. That gave regulators a level of comfort.
But the iControl-RP makes its own decisions. It is a closed-loop system.
This new device, being tested by University of British Columbia researchers, monitors a patient’s brain wave activity along with traditional health markers, such as blood oxygen levels, to determine how much anesthesia to deliver.
“We are convinced the machine can do better than human anesthesiologists,” said Mark Ansermino, one of the machine’s co-developers, who works as director of pediatric anesthesia research at the university’s medical school in Vancouver.
Sedasys dips its toes into what’s possible. The iControl-RP dives right in.
Anesthesia is tricky. It’s often compared to flying a plane – keeping a patient hovering in just the right plane of consciousness. It’s called depth of hypnosis. Surgeons don’t want patients writhing on the table. And patients don’t want to be aware of the operation. Of course, no one wants patients to die, a distinct possibility if too much of an anesthesia drug is delivered.
…
