ANESTHESIA OUTSIDE THE OPERATING ROOM: Edited by Karen J. SouterAirway management outside the operating room hazardous and incompletely studiedCook, Tima; Behringer, Elizabeth Cordesb; Benger, Jonathanc,dAuthor Information aDepartment of Anaesthesia and Intensive Care, Royal United Hospital, Bath, UK bDepartment of Anesthesiology, Cedars Sinai Medical Center, Los Angeles, California, USA cUniversity of the West of England dUniversity Hospitals Bristol, NHS Foundation Trust, Bristol, UK Correspondence to Dr Tim Cook, Consultant in Anaesthesia and Intensive Care, Royal United Hospital, Bath BA1 3NG, UK. Tel: +44 1225 825056 7; e-mail: [email protected] Current Opinion in Anaesthesiology: August 2012 - Volume 25 - Issue 4 - p 461-469 doi: 10.1097/ACO.0b013e32835528b1 Buy Metrics Abstract Purpose of review The review examines recent knowledge regarding techniques and complications of airway management in hospitals, outside the operating room. The review does not consider airway management at the time of cardiopulmonary resuscitation as this is a separate topic. Recent findings There is a relative paucity of high-quality and interventional studies with most being observational in nature. The available data confirm the high-risk nature of airway management outside the operating room. Recent studies indicate that complications, particularly in intensive care, occur more frequently after airway placement than at the time of placement. Avoidable harm due to lack of appropriate personnel, equipment and monitoring, most notably capnography, is noted. Although airway management outside the operating room remains a high-risk procedure, the optimal organizational structure, rescue procedures, algorithms and appropriate personnel have yet to be adequately defined. Summary The notably high rate of failure of primary intubation attempts and high complication rates of airway procedures create a strong argument for increased research focus in this area of high-risk and incomplete knowledge. © 2012 Lippincott Williams & Wilkins, Inc.