Technology, education, training and information systems: Edited by Kirk ShelleyAutomated anesthesiaHemmerling, Thomas MAuthor Information Departments of Anesthesiology (McGill University) and Biomedical Engineering (University of Montreal), Montreal, Canada Correspondence to Professor Thomas M. Hemmerling, MD, DEAA, Director NRG (Neuromuscular Research Group), ITAG (Intelligent Technologies in Anesthesia Group), PeriCARG (Perioperative Cardiac Research Group), Montreal General Hospital, 1650 Cedar Avenue, Montreal, QC H3G 1A4, Canada Tel: +1 514 934 1934x43677x43261; fax: +1 514 934 8249; e-mail: firstname.lastname@example.org; www.newanesthesia.com Current Opinion in Anaesthesiology: December 2009 - Volume 22 - Issue 6 - p 757-763 doi: 10.1097/ACO.0b013e328332c9b4 Buy Metrics Abstract Purpose of review Anesthesiologists are overloaded with information and multitasking necessities in an extremely complex work environment. The purpose of this review is to present recent developments toward automated anesthesia and present future technologies for everyday clinical practice. Recent findings Decision support systems integrate different parameters, clinical scenarios and assessments by (non)-trained personnel into algorithms, which lead to diagnostic suggestions, triage evaluations or treatment options. Target-controlled anesthesia infusion systems reduce the anesthesiologist's workload; target-controlled analgesia systems have the potential to provide more stable hemodynamic control. Closed-loop delivery of anesthesia is feasible and provides anesthetic control as good as or better than human delivery. Teleanesthesia offers the possibility of distant preoperative assessment of the patient's fitness for anesthesia, aid of trained personnel to perform anesthetic tasks and the control of anesthesia delivery in a distant location. Summary Decision support systems help to make reliable and standardized decisions in complex environments. Target-controlled infusion systems reduce the anesthetic workload. Closed-loop systems will automate anesthesia care in the near future. Teleanesthesia offers the opportunity to provide safe anesthetic care whenever trained personnel are not available or need support. © 2009 Lippincott Williams & Wilkins, Inc.