NONOPERATING ROOM ANESTHESIA: Edited by Janusz C. AndresIntubation outside of the operating room: new challenges and opportunities in COVID-19 eraLee, Delice Weishana; Ma, Martinb,c; Parotto, Matteob,c; Wąsowicz, Marcinb,cAuthor Information aDepartment of Anesthesia, National University Hospital, Singapore bDepartment of Anesthesia and Pain Management, Toronto General Hospital cDepartment of Anesthesia and Pain Medicine, University of Toronto, Toronto, Ontario, Canada Correspondence to Marcin Wąsowicz, Department of Anesthesia and Pain Management, Toronto General Hospital, 200 Elizabeth Street, 3EN-421, Toronto, ON, Canada. Tel: +1 416 340 5164; fax: +1 416 340 3698; e-mail: Marcin.Wasowicz@uhn.ca Current Opinion in Anaesthesiology: August 2020 - Volume 33 - Issue 4 - p 608-611 doi: 10.1097/ACO.0000000000000892 Buy Metrics Abstract Purpose of review Airway management in patients outside the operating room is associated with increased difficulties and risks, and the setting of the COVID-19 global pandemic adds another layer of complexity. Therefore, endotracheal intubation (ETT) of a patient who is presumptive COVID-19 or COVID-19 positive presents an additional challenge to an anesthesiologist. The aim of this review is to summarize the important principles of airway management outside of the operating room during the COVID-19 pandemic. Recent findings Several professional societies have formulated guidelines on airway management COVID-19 suspect and proven patients. Additionally, anesthesiologists working in hospitals treating many infected patients have developed specialized teams responsible for airway management outside the operating room. These documents and protocols focus on the importance of wearing personal protective equipment and the skills of the providers responsible for securing the airway. Staff safety is always a priority when performing ETT outside operating room. Summary The COVID-19 pandemic redefined the management of patients requiring aerosol generating procedures (droplet and airborne precautions). ETT is one of them and anesthesiologists are experts in performing airway management. Although the operating room is a highly controlled environment, airway management outside of this setting is not always the easiest task. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.