Administration of IV anesthetic agents (propofol, etomidate, ketamine) to rapidly induce unconsciousness.

Using volatile anesthetics (sevoflurane, halothane) via mask for induction, common in pediatric anesthesia.

Combination of IV and inhaled agents with opioids and muscle relaxants to optimize anesthesia conditions.

Anesthesia maintained solely with IV agents, often using target-controlled infusion pumps.

Injection of local anesthetic into subarachnoid space for procedures below the umbilicus especially Lower limb procedures.

Catheter placement in epidural space for continuous anesthesia/analgesia, commonly used in labor and postoperative pain.

Targeted anesthesia of specific nerves/plexuses (e.g., brachial plexus, femoral nerve) for extremity surgery.

Real-time ultrasound visualization to improve accuracy and safety of nerve blocks.

Exsanguination and tourniquet application with local anesthetic injection for limb procedures.

Placement of breathing tube through trachea using direct or video laryngoscopy.

Insertion of devices (LMA, i-gel) above vocal cords without tracheal intubation.

Flexible bronchoscope-guided intubation for difficult airways.

Simultaneous administration of induction agent and paralytic with cricoid pressure to minimize aspiration risk.

Use of video-enabled laryngoscopes (Glidescope, C-MAC) for difficult intubations.

It is a structured, evidence-based decision tree designed to guide the anesthesiologist through management of difficult airways.

Administration of sedatives (midazolam, propofol) with analgesics (fentanyl) for minor procedures.

Profound sedation where patients may require airway support but are not intubated.

Tailored sedation for specific procedures (endoscopy, cardioversion) outside operating room.

Corticosteroid administration into epidural space for radicular pain management.

Diagnostic and therapeutic injections for spinal facet-mediated pain.

Targeted blockade of sympathetic ganglia for CRPS and vascular pain syndromes.

Implantable devices for chronic neuropathic pain management.

Multimodal analgesia techniques including PCA, epidural infusions, and regional blocks.

Deliberate reduction of blood pressure to decrease surgical bleeding.

Induced hypothermia for neuroprotection during cardiac surgery or therapeutic hypothermia post-cardiac arrest.

Isolation of one lung using double-lumen tubes or bronchial blockers for thoracic surgery.

Intraoperative collection and reinfusion of patient's own blood.

Real-time cardiac imaging during surgery for hemodynamic monitoring.