Non-anesthesiologist ICU physician here so slight bias should be noted. I'm a huge fan of this. Machine will be much more anal about minor issues that some ane

Non-anesthesiologist ICU physician here so slight bias should be noted. I'm a huge fan of this. Machine will be much more anal about minor issues that some anesthesiologists / CRNAs may ignore. Additionally, this will greatly bring down costs for healthy routine procedures that need sedation. Machines don't "get bored" and if things fall out of parameters they happily yell to get attention. Properly coded they should also not make medication errors. Additionally, they should be able to record data and find patterns in patients that unexpectedly don't do well. Michael Jackson would probably still be alive if a machine had been used to help monitor his propofol! Dialysis, for example, used to be a much more manual process. Now, it is mostly driven by nurses and machines. Heck, people even do self-directed dialysis at home. This isn't the end of anesthesiology by any means. The more difficult patients such as those who are obese or have a bunch of health problems will still need more aggressive observations. However, I suspect these machines will move into bigger and bigger surgeries to help assist the gas-passers provide safer analgesia and sedation. Just like robotic assisted surgery became too popular too fast and outcomes suffered, I suspect these type of machines will not be trouble-free. How long before the HN articles about one of these being hacked start appearing? Nevertheless, medical machines like this with tight feedback loops are essential for improving the safety and efficiency in the future practice of medicine.