Live, die, repeat: a simulation-based education perspective. Comment on Br J Anaesth 2022; 129: e12–e13

Aldridge, Matthew; Purdell-Lewis, Jeremy

doi:10.1016/j.bja.2022.06.009

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…In some cases, anaesthetists opt to use higher than usual fresh gas flow rates, for example, when rapid changes in anaesthetic depth may be required or to compensate for leaks [20], hypothetically resulting in a greater amount of volatile anaesthetic entering effluent waste streams. Somewhat paradoxically, however, the capture efficiency of VCT systems may appear to be higher when high fresh gas flow rates are used because of the increased proportion of anaesthetic agent that enters the effluent gas stream [21]. This could create a perverse incentive if percentages of mass transfer or overall capture efficiency are used as the only metrics of interest.…”

Section: Discussionmentioning

confidence: 99%

“…was when partially full canisters are returned to the manufacture for desorption [14]. This appears to have been done to simplify the analytical process, but may have introduced inefficiencies which were unrepresentative of ‘real‐world’ use [15, 21]. This does not appear to have been the case in the small studies conducted with the SID‐Dock system [11–13], which showed no distinguishable difference in the ability to desorb partially full vs. full canisters.…”

Section: Discussionmentioning

confidence: 99%

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Volatile capture technology in sustainable anaesthetic practice: a narrative review

Gandhi,

Barker,

Cross

et al. 2024

Anaesthesia

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SummaryAnaesthetic practice contributes to climate change. Volatile capture technology, typically based on adsorption to a carbon‐ or silica‐based substrate, has the potential to mitigate some of the harmful effects of using halogenated hydrocarbons. Anaesthetists have a professional responsibility to use anaesthetic agents which offer the greatest safety and clinical benefit with the lowest financial cost and environmental impacts. Inhalational anaesthetics should be used at an appropriate concentration with a minimal fresh gas flow via a circle system to minimise unnecessary waste. Once practice efficiencies have been maximised, only then should technical solutions such as volatile capture be employed. In this narrative review, we focus on the available literature relating to volatile capture technology, obtained via a targeted literature search and through contacting manufacturers and researchers. We found six studies focusing on the Blue‐Zone Technologies Deltasorb®, SageTech Medical SID and Baxter/ZeoSys CONTRAfluran™ volatile capture systems. Though laboratory analyses of available systems suggest that > 95% in vitro mass transfer is possible for all three systems, the in vivo results for capture efficiency vary from 25% to 73%. Currently, there is no financial incentive for healthcare organisations to capture waste anaesthetic gases, and so the value of volatile capture technology requires quantification. System‐level organisations, such as Greener NHS, are best positioned to commission such evaluations and make policy decisions to guide investment. Further research using volatile capture technology in real‐world settings is necessary and we highlight some priority research questions to improve our understanding of the utility of this group of technologies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Volatile capture technology in sustainable anaesthetic practice: a narrative review

Gandhi,

Barker,

Cross

et al. 2024

Anaesthesia

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“…The advanced language model, ChatGPT-4, has demonstrated a striking aptitude for emulating human conversation since its launch in early 2023. This AI's prowess is notable in written examinations [ 6 - 8 ], such as the U.S. Medical Licensing Examination [ 9 ] and specialty board certification written examinations, including the Royal College of Anaesthetists written examination [ 10 ].…”

Section: Editorialmentioning

confidence: 99%

Pioneering the Integration of Artificial Intelligence in Medical Oral Board Examinations

Hanada,

Hayashi,

Subramani

et al. 2024

Cureus

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We evaluated the use of ChatGPT-4, an advanced artificial intelligence (AI) language model, in medical oral examinations, specifically in anesthesiology. Initially proven adept in written examinations, ChatGPT-4's performance was tested against oral board sample sessions of the American Board of Anesthesiology. Modifications were made to ensure responses were concise and conversationally natural, simulating real patient consultations or oral examinations. The results demonstrate ChatGPT-4's impressive adaptability and potential in oral board examinations as a training and assessment tool in medical education, indicating new avenues for AI application in this field.

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Live, die, repeat: a simulation-based education perspective. Comment on Br J Anaesth 2022; 129: e12–e13

Cited by 2 publications

References 7 publications

Volatile capture technology in sustainable anaesthetic practice: a narrative review

Volatile capture technology in sustainable anaesthetic practice: a narrative review

Pioneering the Integration of Artificial Intelligence in Medical Oral Board Examinations

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