An Islamic ethical framework for artificial intelligence and sedation in critical care: A Maqasid al-Shariah–based approach

Authors

DOI:

https://doi.org/10.15282/ijhtc.v11i1.13040

Keywords:

Artificial intelligence, Islamic bioethics, Critical care, Sedation, Maqasid al-Sharia

Abstract

The rapid integration of artificial intelligence (AI) in critical care sedation introduces complex ethical dilemmas that intersect with Islamic bioethics. The integration of AI into intensive care sedation management has redefined how clinicians monitor, modulate, and maintain states of unconsciousness. As AI becomes increasingly integrated into intensive care units (ICUs), particularly in the modulation of sedation, profound ethical and theological questions arise, especially for Muslim patients and physicians. This paper critically examines the implications of AI-driven sedation management in critical care through the lens of Islamic bioethics. The Islamic ethical framework showed AI-driven sedation protocols address autonomy, beneficence, non-maleficence, and justice through the lens of Sharia (Islamic law) and Maqasid al-Sharia (the higher objectives of Islamic law). It looks at how Islamic values like niyyah (intention), amanah (trust), and hurmat al-insan (the importance of human life) can help ensure that AI technologies used for sedation respect patients' awareness, dignity, and readiness for the end of life. Drawing from Maqasid al-Sharia, this manuscript presents a theologically grounded critique of sedation algorithms that risk depersonalising care. It proposes a beautiful framework for integrating Islamic spiritual values with emerging sedation technologies, ensuring that human dignity and divine accountability remain central in AI-assisted ICU care.

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References

Alowais, S. A., Alghamdi, S. S., Alsuhebany, N., Alqahtani, T., Alshaya, A. I., Almohareb, S. N. et al. (2023). Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Medical Education, 23(1), 689.

Bajgain, B., Lorenzetti, D., Lee, J., & Sauro, K. (2023). Determinants of implementing artificial intelligence-based clinical decision support tools in healthcare: A scoping review protocol. BMJ Open, 13(2), e068373.

Basubrin O. (2025). Current status and future of artificial intelligence in medicine. Cureus, 17(1), e77561.

Carini, F. C., Luz, M., & Gusmao-Flores, D. (2024). Enhancing patient care: Updated sedative choices in the intensive care unit. Critical Care Science, 36, e20240152en.

Chamsi-Pasha, H., & Albar, M. A. (2013). Western and Islamic bioethics: How close is the gap? Avicenna Journal of Medicine, 3(1), 8–14.

Devlin, J. W., Skrobik, Y., Gélinas, C., Needham, D. M., Slooter, A. J., Pandharipande, P. P. et al. (2018). Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Critical Care Medicine, 46(9), e825-e873.

Elhaddad, M., & Hamam, S. (2024). AI-driven clinical decision support systems: An ongoing pursuit of potential. Cureus, 16(4), e57728.

Farhud, D. D., & Zokaei, S. (2021). Ethical issues of artificial intelligence in medicine and healthcare. Iranian Journal of Public Health, 50(11), 1-5.

Habeebullah, A. A. (2024). Ethical considerations of artificial intelligence in healthcare: A study in Islamic bioethics. Fountain University Journal of Arts and Humanities, 1(1), 14-24.

Hehsan M. R. (2014). Q&A Fiqh Perubatan. PTS Islamika.

Hehsan M. R. (2023). Fatwa-fatwa Perubatan di Malaysia. Penerbit USIM Press.

Hehsan, M. R., & Muhd Shukeri, W. F. W. (2021). Febrile seizure secondary to opioid and benzodiazepine withdrawal in post-operative airway pediatric surgery: A case report. Anaesthesia, Pain & Intensive Care, 25(6), 804–806.

Hehsan, M. R., & Wan Muhd Shukeri, W. F. (2021). A review on decision protocol and fatwa in malaysia discussing issue of withholding and withdrawal of life-sustaining treatment in intensive care unit. Malaysian Journal of Syariah and Law, 9(2), 1–18.

Hehsan, M. R., Pazudin, I. M., Rosdin, M. A., Izudin, W. A. W., Yustisia, A. N., Nahdah, N. O., & Dahalan, Z. (2023). Human stem cell transplantation: An overview of the Islamic perspective’s ethical issues in Malaysia. Journal of Fatwa Management and Research, 28(3), 1–20.

Jackson, D. L., Proudfoot, C. W., Cann, K. F., & Walsh, T. S. (2009). The incidence of sub-optimal sedation in the ICU: A systematic review. Critical care (London, England), 13(6), R204.

Islamic Book Trust. (n.d.). Musfir bin Ali al‑Qahtani. https://ibtbooks.com/book-author/musfir-bin-ali-al-qahtani/

Ouanes, K., & Farhah, N. (2024). Effectiveness of Artificial Intelligence (AI) in Clinical Decision Support Systems and Care Delivery. Journal of Medical Systems, 48(1), 74.

Page, V., & McKenzie, C. (2021). Sedation in the Intensive Care Unit. Current Anesthesiology Reports, 11(2), 92–100.

Pearson, S. D., & Patel, B. K. (2020). Evolving targets for sedation during mechanical ventilation. Current Opinion in Critical Care, 26(1), 47–52.

Singh, M., & Nath, G. (2022). Artificial intelligence and anesthesia: A narrative review. Saudi Journal of Anaesthesia, 16(1), 86–93.

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Published

2026-04-30

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Section

Research Articles

How to Cite

Hehsan, M. R. (2026). An Islamic ethical framework for artificial intelligence and sedation in critical care: A Maqasid al-Shariah–based approach. International Journal of Humanities Technology and Civilization, 11(1), 32-37. https://doi.org/10.15282/ijhtc.v11i1.13040

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