Cultura

Artificial Intelligence in Anesthesiology: A Comprehensive Study Review of Current Applications and Future Prospects

VOLUME 23, 2026

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Hatem Kareem Saleem Altaie, Abdullahi Abdu Ibrahim

Abstract

Artificial intelligence (AI) will transform the sphere of anesthesiology by helping physicians make more informed decisions using the data before, during, and after surgery. In this article, the author goes into detail on the possible uses of AI in the anesthesia practice, such as anesthesia depth monitoring in real-time, predicting hemodynamic instability, better drug delivery systems, and predicting post-surgery difficulty. The comparative analysis of popular machine learning (ML) and deep learning (DL) techniques in different fields is performed. We show the practical approach of applying ensemble models, which include gradient boosting, stacking, and blending classifiers, to make predictions of intraoperative hypotension based on the VitalDB data. Optimum AUC and F1-scores are thereby obtained. SHAP (SHapley Additive exPlanations) helps us to find meaningful physiological features, which makes our work easy to understand. The article addresses the ethical, legal, and practical challenges involved in the application of AI in healthcare settings, such as data protection of patient information, ease of use, and electronic health systems integration. Lastly, we mention the role of federated and multimodal AI models in the future of providing more personalized anesthesia. The work will be of great value to doctors, researchers, and programmers who want to apply AI in anesthesia processes in a safe and effective manner.

Keywords : Artificial intelligence (AI); anesthesiology; machine learning (ML); SHAP; deep learning (DL)..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty