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Review
. 2025 Sep;43(3):491-505.
doi: 10.1016/j.anclin.2025.05.004. Epub 2025 Jul 4.

Artificial Intelligence in Regional Anesthesia and Pain Management

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Review

Artificial Intelligence in Regional Anesthesia and Pain Management

Heitor J S Medeiros et al. Anesthesiol Clin. 2025 Sep.

Abstract

Artificial intelligence (AI) is improving regional anesthesia by bringing unparalleled precision and efficiency to ultrasound-guided procedures. Using advanced machine learning algorithms like convolutional neural networks, AI can instantly interpret ultrasound images, accurately identifying nerves, blood vessels, and other critical anatomic structures. This real-time analysis dramatically shortens the learning curve for anesthesiologists, enhancing needle placement accuracy and reducing procedural errors. In labor anesthesia, AI-powered systems such as the spinal level identification device have demonstrated superior accuracy in locating spinal interspaces, especially in patients with high body mass index.

Keywords: Artificial intelligence; Automation; Education; Machine learning; Pain management; Predictive analytics; Regional anesthesia; Ultrasound.

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Conflict of interest statement

Disclosure The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article.

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