Tool

Description

Application area

Ref.

ChatGPT

Ÿ Natural language processing model

Ÿ Poor performance

Clinical decision support providing of information and guidance

[20]

AlertWatch-OR

Ÿ Provide case-specific advice

Ÿ Can be trained by supervised learning or non-supervised learning types

Ÿ Uses a novel visual display of organ systems with a combination of color codes

Ÿ Textual description to present alerts

Clinical decision support

[75]

SEDLINE

Ÿ These devices can be unreliable as they heavily depend on the patient age, anesthetic agents used and interference from motion or electrocautery.

Clinical decision support

[77]

Mc Sleepy

Ÿ Closed‑loop feedback control system

Ÿ Targeting BIS parameter, analgoscore, muscle relaxation

Ÿ Suitable for complex case and telemedicine

Ÿ Can autonomously control sedation, analgesia and neuromuscular blockade simultaneously during induction, maintenance and emergence

Propofol, remifentanil, rocuronium infusion

[41]

Sedasys

Ÿ Can be managed by non-anaesthetic medical staff

Ÿ Withdrawn from the market in 2016

Propofol sedation

[103]

iControl-RP

Ÿ Closed-loop system for intravenous anesthesiology delivery

Ÿ Make decisions and control the administration of IV agents such as Propofol and Remifentanil

Ÿ iControl-RP takes into account neuromonitoring using BIS as well as haemodynamic monitoring data into its decision making

Propofol sedation

[42]

CLADS

Ÿ Electroencephalographic indices as the input variable

Ÿ BIS as the control variable

Ÿ Can be operated in manual or automatic mode

Ÿ Achieve good trial results

Propofol sedation

[85]

RUGLOOP

Ÿ Patient-individualized closed-loop control system

Ÿ Uses Bayesian technique for machine learning algorithm

Ÿ Accurate propofol injection

Ÿ Acceptable robustness

Propofol sedation

[87]

CONCERT-CL

Ÿ Target controlled infusion (TCI) system

Ÿ Successful clinical trial was carried out in 2013

Propofol, remifentanil, infusion

[88]

DaVinci® Surgical System

Ÿ Has multiple robotic arms so it can handle complicated cases

Ÿ Simulated fiber-optic-assisted oral and nasal intubations of a manikin were successful

Endotracheal intubation and regional anesthesiology

[91]

Kepler Intubation System (KIS)

Ÿ Perform intubation automatically or semi automatically

Ÿ Consists of a single robotic arm controlled by a joystick to guide endotracheal intubation remotely

Ÿ Robotic arm linked to a videolaryngoscope

Intubation

[92]

Magellan system

Ÿ Used for peripheral nerve block

Ÿ Semi-automatic

Ÿ Using ultrasound guided technique

Ÿ Has an arm with a nerve block needle at the end

Ÿ Arm can be controlled by a joystick

Ÿ Ultrasound-guided nerve recognition.

Regional anesthesiology

[96]