chat gpt in anesthesia by dr. tushar chokshi.pptx

13. Mobile app
In May 2023, OpenAI launched an iOS app for ChatGPT. The
app supports chat history syncing and voice input (using
Whisper, OpenAI's speech recognition model).
In July 2023, OpenAI unveiled an Android app, initially rolling
it out in Bangladesh, Brazil, India, and the U.S. The app later
became available worldwide. OpenAI is working on integrating
ChatGPT with Android's assistant chatbots
According to the latest available data,
ChatGPT currently has around 180.5 million
users. The website generated 1.7 billion visits
in November 2023.
49% of companies presently use ChatGPT,
while 30% intend to use it in the future. 48%
of businesses using ChatGPT have replaced
human workers with the technology. 25% of
companies employing ChatGPT have already
saved more than $75,000 with the technology.
PCMag journalists conducted a test to
determine translation capabilities of
ChatGPT, Google's Bard, and Microsoft Bing,
and compared them to Google Translate. They
"asked bilingual speakers of seven languages to
do a blind test." Languages tested
were Polish, French, Korean, Spanish, Arabic, Ta
galog, and Amharic. They came to the
conclusion that ChatGPT was better than both
Google Translate and others
ChatGPT-3.5 is all well and good, but
ChatGPT-4, at $20 a month via ChatGPT Plus,
is a good deal smarter and more accurate.
GPT-4, OpenAI's most powerful large
language model (LLM), has been available for
months through a subscription to ChatGPT
Plus, which costs $20 a month.

20. ChatGPT used to help healthcare professionals write
and document medical reports, such as clinical notes
and discharge summaries, by providing real-time
suggestions and corrections
Chat GPT serves as a virtual assistant and a
comprehensive source of medical knowledge, offering
immediate access to information on a wide range of
topics

23. ChatGPT in Anaesthesia

25. USING ChatGPT IN SCIENTIFIC WRITING
 Greatly assist in writing scientific research papers through automatically
generating drafts
 Summarizing papers, and providing translations
 It can write cover letters to send to editors
 Suggest titles for articles
 Summarize the main content of a text to create abstracts
 Used to review & summarize extensive text documents such as academic
papers
 To summarize or condense lengthy papers can be very helpful
 Can assist in writing the abstracts of research papers
 Can accept up to 25,000 words as input starting from GPT-4
 One of the most beneficial applications of ChatGPT is English proofreading
enhancing the quality of written content

26. UTILIZING ChatGPT FOR CLINICAL RESEARCHERS
RELATED TO ANESTHESIOLOGY
 ChatGPT can be used to brainstorm research ideas, allowing users to discover and
combine diverse subjects, ultimately leading to innovative research ideas.
 Can be asked to suggest relevant research topics when planning a clinical study
related
 ChatGPT is an asset in various academic and professional settings
 It can review and summarize extensive text documents such as academic papers,
thereby streamlining the process of condensing content and writing abstracts
 ChatGPT can help create lecture materials and assist in drafting lecture outlines
& PPTs
 ChatGPT could efficiently organize the content if you were to request an outline
for a lecture on anesthesia management for patients with any subjects targeting
anesthesiologists

27. THE ROLE OF ChatGPT IN FUTURE CLINICAL FIELDS
) ChatGPT not only helps with scientific writing and clinical research, but has
recently been used to prepare regular discharge summaries and even directly
generate medical records.
) ChatGPT is believed to assist in automatically creating medical records by
organizing patient test results generated in hospitals and documenting the
patient’s condition.
) ChatGPT may also contribute to future clinical decision-making based on
this capability.
However, the reliability of the information generated by ChatGPT
needs to be further ensured before this becomes possible, because
of the nature of medical practice dealing with lives

28. Concerning the authorship of text generated by ChatGPT
 A question arises: Can ChatGPT be considered an author, given that it created the content?
 Alternatively, should the user who directs the GPT to generate the text retain the copyright?
 This inquiry is relevant for discussing the implications of AI-generated content in scientific writing
 In recent years, ChatGPT has been recognized as a contributing author to scientific research
 Several articles listing ChatGPT as authors have been registered and are now accessible through the Web
of Science Core Collection
 At present, most traditional journals, along with most others, do not recognize AI systems such as
ChatGPT as authors
 Many traditional journals recommend that researchers refrain from using ChatGPT for scientific writing
due to a lack of guidelines regarding plagiarism and originality of content generated by ChatGPT
 In brief, the fundamental principle remains that the author of an academic paper should be a human,
while AI systems such as ChatGPT can serve as invaluable tools for researchers to generate hypotheses,
design experiments, and draw inspiration from results
 The ownership of the paper should belong to humans, as they are ultimately those utilizing AI systems
such as ChatGPT and deriving the outcomes
ChatGPT is acknowledged as a tool; however, its authorship has not yet been recognized

29. Potential applications of ChatGPT in Anaesthesiology
Preoperative period
• Patient education and counselling regarding anaesthetic drugs, techniques and risks involved
• Assistance during preoperative evaluation: history taking, data collection, ordering relevant investigations and providing
diagnosis
• Provision of preoperative instructions to the patient depending on the type of surgery and plan of anaesthesia
• Assisting the anaesthesiologist in clinical decision-making based on evidence-based recommendations
Intraoperative period
• Monitoring vitals (heart rate, blood pressure) and determining deviation from the standard range
• Maintenance of records of drugs administered, vitals and complications, if any
Postoperative period
• Provision of analgesia, diet and activity recommendations
• Maintenance of record of patient's experiences and hospital stay
Role in scientific research
• Overcoming language barriers and increasing research equality
• Performing dataset analysis
• Performing a literature review
• Hypothesis generation
• Conduct surveys and data collection
Resident education
• Provision of evidence-based recommendations
• Personalised learning
• Case-based critical thinking

31. Generate the list of pre anesthesia check up questions for
geriatric patient going for surgery of laparoscopic
cholecystectomy under general anesthesia
ChatGPT
Certainly! Pre-anesthesia assessment for geriatric patients undergoing
laparoscopic cholecystectomy involves evaluating their medical history,
current health status, and potential risks associated with anesthesia. Here's
a list of pre-anesthesia check-up questions:
Medical History:
1. Do you have any chronic medical conditions such as hypertension,
diabetes, heart disease, lung issues, or kidney problems?
2. Have you had any previous surgeries or experiences with anesthesia? If so,
how did you react to them?
3. Are you currently taking any medications? Including prescription drugs,
over-the-counter medications, herbal supplements, or vitamins?
4. Do you have any known allergies or adverse reactions to medications or
anesthesia?
Specific to Laparoscopic Cholecystectomy:
1. Have you been experiencing any symptoms related to your gallbladder
(pain, nausea, vomiting, etc.)?
2. Have you had any recent abdominal issues or infections?
3. Are there any known concerns or complications with your gallbladder
(e.g., stones, inflammation)?
Functional Status:
1. How independent are you with your daily activities (e.g., walking, bathing,
dressing)?
2. Are there any mobility or functional limitations that might affect your
recovery post-surgery?
Cardiovascular Health:
1. Have you experienced any heart-related issues, chest pain, or
shortness of breath?
2. Do you have a history of heart conditions or hypertension?
3. Have you had any recent cardiac evaluations or procedures?
Respiratory Health:
1. Do you have any breathing difficulties or lung conditions (e.g.,
asthma, COPD)?
2.Are you a smoker or have a history of smoking?
Nutritional Status:
1. How is your appetite and nutritional intake?
2. Have you experienced any significant weight changes recently?
Geriatric-Specific Concerns:
1. Are there any cognitive issues or memory concerns?
2. Have you experienced any falls or balance problems?
3. Do you have any sensory impairments (vision or hearing)?
Current Health Status:
1. Are you currently feeling unwell or experiencing any symptoms like
fever, cough, or infections?
2. Have there been any recent changes in your health status since your
last medical evaluation?
These questions provide a comprehensive overview of the
patient's health, enabling the anesthesiologist to assess the
patient's suitability for anesthesia and surgery and to plan for any
necessary precautions or adjustments based on the patient's
specific health conditions and needs

32. Generate tci tiva anaesthesia plan for 50 years male ASA 1
patient going for major head and neck surgery under general
anesthesia
ChatGPT
Sure, Total Intravenous Anesthesia (TIVA) using Target-Controlled Infusion
(TCI) is a technique that delivers anesthesia through intravenous
medications while maintaining controlled drug concentrations in the body.
Here's a TCI TIVA anesthesia plan for a 50-year-old male ASA 1 patient
undergoing major head and neck surgery:
Patient Information:
Name: [Patient's Name]
Age: 50 years
Gender: Male
ASA Classification: ASA 1 (Healthy individual without systemic diseases)
Pre-Operative Assessment:
Medical History: Ensure no significant medical conditions or allergies.
Informed Consent: Confirmed and documented.
Anesthetic Technique:
Total Intravenous Anesthesia (TIVA):
Use intravenous agents for induction and maintenance.
Monitoring Plan:
Standard Monitoring: ECG, Non-invasive blood pressure (NIBP), Pulse
oximetry, Capnography.
Bispectral Index (BIS): To monitor depth of anesthesia.
Temperature Monitoring: Continuous temperature monitoring.
Airway Management:
Endotracheal Intubation: Plan for smooth intubation and mechanical
ventilation during surgery.
Fluid Management:
Crystalloids: Normal saline for maintenance and potential volume
replacement.
Avoidance of excessive fluids: To prevent potential complications in head and
neck surgery.
Medication Plan:
Induction Agents: Propofol titrated to effect for smooth induction.
Analgesia: Fentanyl or Remifentanil infusion for intraoperative analgesia.
Muscle Relaxants: Rocuronium or Vecuronium for muscle relaxation.
Maintenance Anesthetic: Propofol infusion adjusted to maintain anesthesia
depth (BIS).
Antiemetics: Ondansetron to prevent post-operative nausea and vomiting.
Specific Considerations for Head and Neck Surgery:
Positioning: Ensure proper positioning to facilitate surgical access without
compromising airway management.
Neuromonitoring: Potentially required for facial nerve integrity during
surgery.
Potential Blood Loss: Prepare for potential blood loss and have blood
products available if needed.
Post-Operative Considerations:
Recovery Monitoring: Continued monitoring in the recovery unit for
emergence from anesthesia and pain control.
Post-Operative Pain Management: Plan for adequate pain relief post-
surgery.
Remarks/Additional Notes:
Team Communication: Clear communication with the surgical team
regarding patient positioning, potential complications, and anesthesia-
related concerns.
Documentation: Thorough documentation of intraoperative events, drug
administration, and patient responses.

33. Create anaesthesia chart in details for anaesthesiologist to
write during para operative period
ChatGPT
An anesthesia chart during the perioperative period is essential for
anesthesiologists to document vital information, track patient responses,
and ensure a smooth and safe anesthetic process. Here's a detailed outline
for an anesthesia chart:
Patient Information:
Name:
Age:
Weight:
ASA Physical Status Classification: (I - healthy, II - mild systemic disease, III -
severe systemic disease, IV - severe systemic disease that is a constant
threat to life, V - moribund patient not expected to survive without the
operation)
Allergies:
Pre-Operative Assessment:
Pre-Anesthetic Evaluation Findings: (Include relevant details from pre-op
assessments)
Informed Consent: (Notation if obtained)
Anesthesia Plan:
Anesthetic Technique: (General, Regional, Local, etc.)
Airway Management Plan: (Endotracheal tube, Laryngeal mask airway, etc.)
Monitoring Plan: (List of monitoring devices to be used - ECG, Pulse
oximetry, NIBP, Capnography, etc.)
Medication Plan: (Induction agents, maintenance drugs, muscle relaxants,
etc.)
Fluid Management Plan: (Type and rate of fluids to be administered)
Intraoperative Details:
Time In/Time Out: (Record time when the patient enters and
exits the operating room)
Anesthetic Induction: (Details of agents used, dosages)
Airway Management: (Any difficulties encountered, successful
intubation, ventilation status)
Monitoring Readings: (Record vital signs at intervals - BP, HR,
SpO2, ETCO2)
Surgical Events: (Any significant events during surgery - bleeding,
changes in patient condition, etc.)
Medication Administration: (Details of drugs administered,
doses, times)
Fluid Input/Output: (Record IV fluids administered and
estimated blood loss)
Post-Operative Notes:
Recovery Details: (Patient condition upon emergence from
anesthesia)
Complications: (Any immediate complications encountered)
Handover Details: (Notes for the post-operative team or
recovery unit)
Remarks/Additional Notes:
Any Unusual Occurrences:
Additional Interventions: (Unexpected events or actions taken)
Post-Op Recommendations:
This chart serves as a comprehensive record of the anesthesia
process and the patient's response throughout the
perioperative period. Anesthesiologists can use it to
communicate important details with the surgical team, monitor
patient status, and ensure continuity of care.

34. CONCLUSION
 In summary, the discussion highlights the effectiveness of generative AI, exemplified by
ChatGPT, emphasizing the importance of precise queries for refined responses
 While the technology augments the capabilities of anesthesia teams, it is crucial to emphasize
the importance of maintaining a human touch in healthcare
 Recognizing the role of humans in creating original content, ChatGPT serves as a guiding aid
rather than an absolute truth source
 Despite its utility in work aspects like summarizing articles and aiding reviews, its application
in clinical research remains constrained, discouraging direct integration into published papers
 The primary aim of ChatGPT lies in fostering brainstorming and idea generation rather than
presenting conclusive solutions, requiring tailored usage for optimal work efficiency.
 While ChatGPT aids productivity by saving time and enabling focus on more productive tasks,
it's imperative to acknowledge its supportive role without replacing the expertise and
judgment of skilled professionals, as in the field of anesthesiology
 The integration of ChatGPT in anesthesia represents a promising frontier in healthcare
communication and patient care

35. 1) The integration of ChatGPT in anesthesia represents a promising frontier in healthcare communication
and patient care.
2) The ability of ChatGPT to facilitate natural and context-aware conversations holds significant potential
in enhancing the overall anesthesia experience for both clinicians and patients.
3) As we navigate this technological landscape, it is essential to recognize the ethical considerations,
maintain a patient-centered approach, and continually refine the system to meet the unique challenges
of the healthcare environment.
4) The advent of ChatGPT in anesthesia opens doors to improved efficiency, streamlined workflows, and
innovative solutions for communication barriers.
5) While the technology augments the capabilities of anesthesia teams, it is crucial to emphasize the
importance of maintaining a human touch in healthcare.
6) Balancing the benefits of AI-driven conversations with the empathetic and compassionate care that
only humans can provide will be key to realizing the full potential of ChatGPT in anesthesia.
7) As we move forward, ongoing research, collaboration between technologists and healthcare
professionals, and a commitment to ethical practices will be paramount.
8) The journey toward integrating ChatGPT into anesthesia is an exciting one, offering the potential to
revolutionize communication, decision-making, and ultimately, the quality of patient care in the field of
anesthesia.

36. Create some jokes on ChatGPT in anaesthesia
ChatGPT
Why did the anaesthetist invite ChatGPT to the comedy club?
Because it had the perfect dose of humour, always tailored to the audience's reactions!
Why did ChatGPT start a stand-up comedy career in the anesthesia department?
Because it always knows how to deliver the punchline without waking up the patients!
What did the anaesthetist say to ChatGPT when it cracked a joke during surgery?
"You really know how to keep the atmosphere light, but let's save the laughs for the recovery room!"
Why did ChatGPT become the favourite companion for anaesthetists?
Because it never gets tired of hearing their anesthetic puns, and it can even generate a few good ones in return!
How does ChatGPT handle difficult patients during surgery?
It uses its "word anesthesia" to lull them into a state of laughter, ensuring a smooth and cheerful operation.
Why did the anesthesia team bring ChatGPT to the party?
Because it knew how to mix the right "anesthetic" blend of jokes to keep everyone in stitches!
What's ChatGPT's favourite type of humour in the anesthesia world?
Wordplay! It's always ready for a dose of anesthesia.
Why did ChatGPT decide to become a comedian in the medical field?
Because it realized that laughter is the best medicine, even in the operating room!