Machine Learning and Artificial Intelligence in Neurocritical Care: a Specialty-Wide Disruptive Transformation or a Strategy for Success

被引:14
作者
Al-Mufti, Fawaz [1 ,2 ,3 ]
Kim, Michael [1 ]
Dodson, Vincent [4 ]
Sursal, Tolga [1 ]
Bowers, Christian [1 ]
Cole, Chad [1 ]
Scurlock, Corey [5 ,6 ]
Becker, Christian [5 ,7 ]
Gandhi, Chirag [1 ]
Mayer, Stephan A. [8 ]
机构
[1] New York Med Coll, Dept Neurosurg, Westchester Med Ctr, Valhalla, NY 10595 USA
[2] New York Med Coll, Dept Neurol, Westchester Med Ctr, Valhalla, NY 10595 USA
[3] New York Med Coll, Westchester Med Ctr, Neuroendovasc Surg & Neurocrit Care Attending, 100 Woods Rd,Macy Pavil 1331, Valhalla, NY 10595 USA
[4] Rutgers State Univ, New Jersey Med Sch, Dept Neurosurg, Newark, NJ USA
[5] Westchester Med Ctr Hlth Network, eHlth Ctr, Valhalla, NY USA
[6] New York Med Coll, Dept Anesthesiol, Westchester Med Ctr, Valhalla, NY 10595 USA
[7] New York Med Coll, Dept Internal Med, Westchester Med Ctr, Valhalla, NY 10595 USA
[8] Henry Ford Hlth Syst, Dept Neurol, Detroit, MI USA
关键词
Multimodality monitoring; Artificial intelligence; Neurocritical care; Closed-loop system; CLOSED-LOOP; INTRACRANIAL-PRESSURE; BISPECTRAL INDEX; HEAD-INJURY; SYSTEM; TELEMEDICINE; ANESTHESIA; MANAGEMENT; HYPERVENTILATION; VENTILATION;
D O I
10.1007/s11910-019-0998-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of Review Neurocritical care combines the complexity of both medical and surgical disease states with the inherent limitations of assessing patients with neurologic injury. Artificial intelligence (AI) has garnered interest in the basic management of these complicated patients as data collection becomes increasingly automated. Recent Findings In this opinion article, we highlight the potential AI has in aiding the clinician in several aspects of neurocritical care, particularly in monitoring and managing intracranial pressure, seizures, hemodynamics, and ventilation. The model-based method and data-driven method are currently the two major AI methods for analyzing critical care data. Both are able to analyze the vast quantities of patient data that are accumulated in the neurocritical care unit. AI has the potential to reduce healthcare costs, minimize delays in patient management, and reduce medical errors. However, these systems are an aid to, not a replacement for, the clinician's judgment.
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页数:7
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