Abstract
The Japanese population will become increasingly older in the 21st century, with more elderly people and less children. This means more patients undergoing surgery and less anesthesiologists to take care of them. Therefore, I predict that anesthesia for the ASA class I to II patients undergoing minimally invasive surgery will be automated or supervised via LAN by the anesthesiologist outside the operating room. The anesthesia machine in the 21st century should be digitalized and connected to the network.