Unrecognised oesophageal intubation: time for action

Paul A. Baker, Ellen P. O'Sullivan, Michael F. Aziz

Research output: Contribution to journalEditorialpeer-review

2 Scopus citations


Patients worldwide die every year from unrecognised oesophageal intubation, which is an avoidable complication of airway management usually resulting from human error. Unrecognised oesophageal intubation can occur in any patient of any age whenever intubation occurs regardless of the seniority or experience of the airway practitioner or others involved in the patient's airway management. The tragic fact is that it continues to happen despite improvements in monitoring, airway devices, and medical education. We review these improvements with strategies to eliminate this problem.

Original languageEnglish (US)
Pages (from-to)836-840
Number of pages5
JournalBritish journal of anaesthesia
Issue number6
StatePublished - Dec 2022


  • airway management
  • capnography
  • human factors
  • oesophageal intubation
  • tracheal intubation

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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