Danger, Danger, Gaston Labat! Does zero-shot artificial intelligence correlate with anticoagulation guidelines recommendations for neuraxial anesthesia?

• Published in: Regional anesthesia and pain medicine Vol. 50; no. 1; pp. 73 - 74
• Main Authors: Fisher, Andrew D, Fisher, Gabrielle
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd 01.01.2025; BMJ Publishing Group LTD
• Subjects: Anticoagulants; Artificial intelligence; Chatbots; Injections, Spinal; Large language models; PostScript; TECHNOLOGY; Injections, Spinal; Anticoagulants; TECHNOLOGY
• ISSN: 1098-7339; 1532-8651; 1532-8651
• DOI: 10.1136/rapm-2024-105405

Moving forward, integrating GPT-4 could significantly enhance the outcomes observed in this research due to its pre-engineered capacity for more sophisticated prompt engineering.2 This advancement means that GPT-4 could offer more precise and nuanced interpretation of complex clinical scenarios. With the unusually high number of iterations examined here, this study’s outputs could be helpful in clarifying if this process of iteration results in improved analysis or if iterations are a fruitless task. [...]complexity in prompt construction could inadvertently challenge the LLM’s ability to accurately interpret and respond to the task at hand, possibly affecting the veracity of its output.7 The nature of the prompts, combining complex subject matter with specific output formatting, may limit the LLM’s performance by imposing cognitive loads that exceed its optimal operating conditions.