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Artificial Intelligence (AI) has emerged as a transformative force in modern anaesthesiology, fundamentally altering how clinicians monitor patients, predict complications, deliver anaesthesia, and make critical perioperative decisions. This chapter provides a comprehensive exploration of AI technologies in anaesthetic practice, beginning with foundational concepts of computational intelligence and progressing through clinical applications in depth of anaesthesia monitoring, risk stratification, airway management, ultrasound-guided procedures, and pain management. The integration of machine learning algorithms, neural networks, and clinical data analytics has enabled real-time pattern recognition, predictive modeling, and decision support that enhance patient safety and optimize resource utilization. While AI systems demonstrate remarkable capabilities in processing complex physiological data and identifying subtle clinical patterns, their implementation raises important questions regarding interpretability, validation, regulatory approval, and the evolving role of human expertise in technology-assisted care. This chapter systematically examines both the promising applications and inherent limitations of AI in anaesthesiology, providing readers with a balanced understanding of how intelligent systems are reshaping perioperative medicine while emphasizing that human judgment remains central to safe, compassionate patient care.
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