• World J. Gastroenterol. · Jun 2021

    Review

    Artificial intelligence in perioperative management of major gastrointestinal surgeries.

    • SolankiSohan LalSLDepartment of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai 400012, Maharashtra, India. me_sohans@yahoo.co.in., Saneya Pandrowala, Abhirup Nayak, Manish Bhandare, Reshma P Ambulkar, and Shailesh V Shrikhande.
    • Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai 400012, Maharashtra, India. me_sohans@yahoo.co.in.
    • World J. Gastroenterol. 2021 Jun 7; 27 (21): 2758-2770.

    AbstractArtificial intelligence (AI) demonstrated by machines is based on reinforcement learning and revolves around the usage of algorithms. The purpose of this review was to summarize concepts, the scope, applications, and limitations in major gastrointestinal surgery. This is a narrative review of the available literature on the key capabilities of AI to help anesthesiologists, surgeons, and other physicians to understand and critically evaluate ongoing and new AI applications in perioperative management. AI uses available databases called "big data" to formulate an algorithm. Analysis of other data based on these algorithms can help in early diagnosis, accurate risk assessment, intraoperative management, automated drug delivery, predicting anesthesia and surgical complications and postoperative outcomes and can thus lead to effective perioperative management as well as to reduce the cost of treatment. Perioperative physicians, anesthesiologists, and surgeons are well-positioned to help integrate AI into modern surgical practice. We all need to partner and collaborate with data scientists to collect and analyze data across all phases of perioperative care to provide clinical scenarios and context. Careful implementation and use of AI along with real-time human interpretation will revolutionize perioperative care, and is the way forward in future perioperative management of major surgery.©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

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