Anesthesiology Documentation
Without Cloud Exposure

Yes. After the one-time model download, VoicePrivate requires no internet connection to transcribe. The local AI model runs entirely on your Mac or Windows laptop. You can dictate pre-op notes, intraoperative addenda, and PACU documentation without any network access at all, which is exactly the situation in many OR suites.

Anesthetic agents, neuromuscular blocking drugs, reversal agents, vasopressors, opioids and adjuvants are in the medical dictionary, for example propofol, rocuronium, sugammadex, neostigmine, phenylephrine and dexmedetomidine. Dictate concentrations as you would say them, such as "ropivacaine 0.5 percent", and read them once before you sign. The dictionary correction stage fixes misheard drug names, and it never changes one real drug name into another.

VoicePrivate types text into any active text field on your computer. This includes Epic Anesthesia (web and desktop), Cerner Anesthesia, Merge Anes, Drager AIMS, GE CARESCAPE, and any other AIMS that presents text input fields. It works the same way in any EHR for pre-op and post-op notes. No plugin, no integration, no IT configuration needed.

Mallampati class I through IV, ASA physical status, Cormack-Lehane grade and thyromental distance are in the medical dictionary under the General vocabulary, so they are available whichever specialty you choose. There is no separate Anesthesiology vocabulary or setting. Add any measurement phrase you use that is missing, such as interincisor distance, to your own dictionary.

No. The Mac specialty picker has 32 specialties plus General, and Anesthesiology is not one of them. Anesthesia terms sit in the shared medical dictionary: airway and induction terms mostly under General and Emergency Medicine, regional blocks under General and Pain Medicine, and operating room terms such as endotracheal, extubated and post anesthesia care unit in the Surgery core list. On Mac, choose Emergency Medicine if most of your notes are airway and induction, Pain Medicine for regional and interventional pain work, or Surgery for operating room notes. All 74,000+ terms stay available whichever you choose, and Windows uses the full dictionary for every note.

Voice macros in VoicePrivate let you define a short trigger phrase that expands to a full text block. For anesthesia, you might create a macro that expands "normal airway assessment" into a complete standard template, or "standard GETA" to populate a general endotracheal anesthesia technique paragraph. Macros are created in the settings panel and stored locally.

Yes, this is a particularly strong use case. Locum anesthesiologists often work at facilities without enterprise dictation software licenses and cannot rely on site-specific tools. Because VoicePrivate installs on your own laptop and doesn't depend on hospital network access or facility-provided licenses, it works consistently across every location where you practice.