走向在疼痛管理中使用人工智能
Ryan Antel1,2, Sera Whitelaw2, Genevieve Gore3
1Department of Anesthesia, McGill University, Montreal, Quebec, Canada.
European journal of pain (London, England)
|November 11, 2024
概括
人工智能 (AI) 在疼痛管理方面表现有前途,可以预测疼痛并定制治疗方法. 然而,临床整合面临着验证和基础设施缺口等挑战.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 疼痛管理技术 疼痛管理技术
背景情况:
- 人工智能 (AI) 在医学的发展正在迅速推进.
- 人工智能在急性和慢性疼痛管理中的应用尚未得到充分定义.
- 本综述探讨了人工智能在疼痛管理中的现状.
研究的目的:
- 系统地审查和描述AI在急性和慢性疼痛管理中的当前应用.
- 确定用于疼痛管理干预的AI类型.
- 讨论阻碍人工智能在疼痛治疗中的临床整合障碍.
主要方法:
- 在PROSPERO注册的系统审查 (ID# CRD42022307017).
- 在四个电子数据库进行了全面的搜索:Embase,Medline,Central和Web of Science.
- 两个独立审查员对17,601个确定的记录进行了选,其中包括197项研究.
主要成果:
- 人工智能在疼痛管理中的应用跨度治疗规划和交付.
- 关键用途包括疼痛预测,个性化治疗反应预测,调节方案定制,图像引导程序和自我管理工具.
- 采用了各种AI领域,包括机器学习,计算机视觉,模糊逻辑,自然语言处理和专家系统.
结论:
- 越来越多的文献表明,人工智能有可能改善患者在疼痛管理方面的结果.
- 临床整合存在重大障碍,包括在不同人群中缺乏验证,基础设施不足和提供者的理解有限.
- 需要继续努力,在整个患者护理连续过程中开发集成的AI系统.
相关概念视频
Analgesia and Pain Management
518
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
518
Opioid Analgesics: Synthetic and Semisynthetic Opioids
230
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
230
Nociception
27.7K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.7K
Pain
466
Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
466
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K


