by Dhruv Nagesh, BS; Kansas City University College of Medicine and Biosciences & Emily Dai, BS; SUNY Downstate College of Medicine
Introduction
Technology is rapidly transforming anesthesiology, from artificial intelligence driven decision support systems to advanced robotic assisted procedures. These innovations promise to enhance patient safety, streamline clinical workflows, and redefine the role of anesthesiologists across the perioperative spectrum.
As the field evolves, it is essential for medical students to stay informed and involved. Tomorrow’s anesthesiologists will not only be expected to adopt emerging tools but also to understand their limitations, advocate for equitable access, and navigate the ethical and logistical challenges they present. This article offers a student perspective on the technologies shaping anesthesiology, future implications for the specialty, and how trainees can prepare to lead in this new era of care.
Key Technologies and Future Implications
Emerging technologies are beginning to redefine the landscape of anesthesiology. Artificial intelligence-based monitoring systems are being developed to optimize anesthetic dosing and predict patient outcomes (1). Immersive reality tools are increasingly explored for pain management, pre-procedure planning, and preoperative patient education (2,3). Robotic systems are being designed to assist with procedures such as intubation or drug delivery, offering consistency and precision beyond the limits of human dexterity (4). Additionally, integrated physiologic monitoring platforms are enabling clinicians to synthesize data from multiple systems (i.e., cardiac output, oxygenation, and ventilator settings) and respond more dynamically to changes in patient status.
These innovations are already shifting the role of anesthesiologists from traditional task execution towards strategic decision making. As technology enhances patient monitoring and intervention capabilities, anesthesiologists will become even more central to critical care and perioperative coordination to advance precision and patient safety.
For patients, these tools may lead to improved safety, earlier detection of complications, and improved recovery. For providers, the expanding technological landscape calls for new forms of interdisciplinary collaboration. Anesthesiologists are increasingly working alongside engineers, data scientists, and software developers to guide the design and implementation of tools that enhance, rather than replace, clinical expertise.
A Student Perspective
As for medical students, we must remain actively engaged with advances in the field. Keeping up with technology trends through the American Society of Anesthesiologists, academic journals, and major medical technology conferences will ensure we remain knowledgeable about the latest innovations shaping the field. Developing foundational skills in data science, machine learning, or programming can offer valuable insight into how AI-driven tools or automated systems can be effectively used in clinical practice. Students should also advocate for the integration of tech-based training into their medical education to ensure future anesthesiologists are equipped to navigate and optimize these innovations in patient care. Finally, students should take an active role in discussions about the ethical implications of new technologies to ensure that advancements are being implemented responsibly to address growing concerns such as patient privacy, decision-making authority, and algorithmic biases; this could be done through participation in bioethics forums, curricular initiatives, or even institutional review boards to help shape the conversation.
Challenges and Ethics
While technology offers significant benefits, its integration into anesthesiology raises important challenges that must be addressed thoughtfully. One major concern is equity. Not all institutions have access to the same resources, and disparities in the availability of technology could widen existing gaps in patient care. The cost of implementing and maintaining advanced systems, along with training staff to use them effectively, can be a barrier for many healthcare settings. There is also a risk of overreliance on automation; when clinicians place blind trust in algorithms without critical oversight, there is potential for harm. This concern is closely tied to the need for transparency in how these tools are developed, tested, and regulated. Technology may also impact the human connection that is central to patient care, as increasing reliance on machines could diminish the interpersonal aspects of medicine such as empathy, clear communication, and shared decision-making. These challenges highlight the need for strong regulatory frameworks, continuous clinician involvement in design and evaluation, and a commitment to using technology to enhance, not replace, clinical judgment and patient relationships.
Conclusion
As technology continues to evolve, anesthesiology stands at the forefront of innovation in medicine. For medical students, this presents both an opportunity and responsibility. Rather than viewing technology as a replacement for human expertise, we should embrace it as a tool that can enhance clinical judgment, improve patient safety, and expand the reach of care. By staying informed, engaging in ethical conversations, and advocating for thoughtful integration, students can play a critical role in shaping the future of anesthesiology. The next generation of anesthesiologists will not only practice with technology, but also help define its role in advancing equitable, compassionate, and safe patient care.
References
1. Duran H-T, Kingeter M, Reale C, Weinger MB, Salwei ME. Decision-making in anesthesiology: will artificial intelligence make intraoperative care safer? Curr Opin Anaesthesiol 2023;36:691–7.
2. Fleet A, Kaustov L, Belfiore EB, Kapralos B, Matava C, Wiegelmann J, Giacobbe P, Alam F. Current Clinical and Educational Uses of Immersive Reality in Anesthesia: Narrative Review. J Med Internet
Res 2025;27:e62785.
3. Garrett B, Taverner T, McDade P. Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study. JMIR Med Inform 2017;5:e11.
4. McKendrick M, Yang S, McLeod GA. The use of artificial intelligence and robotics in regional anaesthesia. Anaesthesia 2021;76 Suppl 1:171–81.
Date of last update: June 16, 2025