A timeline of surgical lighting - Is automated lighting the future?

High quality surgical lighting is central to successful performance in the operating room and therefore to both patient care and treatment. This article discusses the origins of surgical lighting from the 1800s to today, with a focus on the four main forms. Their uses, advantages, and disadvantages are evaluated in an effort to identify the improvements required to improve today's current state of surgical lighting. Whilst these four mainstream types have served well for the past thirty years, the literature exposes opportunities for improvement and can be used to guide the pathway to transition from manual conventional methods to a more automated lighting (AL) approach. The concept of AL has been proposed using established and known technical approaches such as artificial intelligence (AI), 3D sensor tracking algorithms and thermal imaging. Whilst AL seems incredibly promising, further focused research must be undertaken to maximise its' effectiveness and allow for successful integration of this new technology into operating rooms today.