{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:25:22Z","timestamp":1787664322696,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess communication practices, perceived barriers, and collaborative attitudes among anesthesiologists in shared airway scenarios, and quantify the gap between perceived value and actual utilization of interdisciplinary airway information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Multicenter cross\u2010sectional survey of anesthesiology residents and specialists at four Israeli tertiary medical centers (January\u2013February 2026). Outcome measures included frequency of seeking otolaryngologic input, perceived usefulness, barriers to utilization, and attitude\u2013behavior correlations across three scenarios: impending airway obstruction, elective direct microlaryngoscopy, and trauma\u2010related airway management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 165 eligible anesthesiologists, 152 responded (93%). Otolaryngologic input was rated very helpful or essential by 68.4% in impending obstruction and helpful by 47.4% in trauma, yet 25.7% and 41.4% rarely or never sought it, respectively. In elective cases, 43.4% rarely or never reviewed preoperative otolaryngology flexible laryngoscopy video recordings, despite 28.9% expressing concern about iatrogenic vocal fold injury. Perceived value correlated only moderately with utilization (Spearman\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.27\u20130.58, all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Primary barriers were systemic: inconsistent otolaryngology recording, incompatible electronic systems, and time constraints. Specialists rated otolaryngologic input and training more favorably than residents (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Support for joint simulation\u2010based training was near\u2010unanimous (90.8%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anesthesiologists consistently value otolaryngologic input but frequently fail to utilize it due to systemic rather than attitudinal barriers. Structural interventions, including EMR\u2010integrated airway data, standardized perioperative briefings, and joint simulation training, are needed to bridge this gap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>5.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70860","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:14:11Z","timestamp":1787663651000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Communication Paradox in Shared Airway Management: A Multicenter Survey"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9685-582X","authenticated-orcid":false,"given":"Yotam","family":"Heilig","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7446-1788","authenticated-orcid":false,"given":"Aviad","family":"Sapir","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elad","family":"Dana","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care and Pain Management Meir Medical Center, Faculty of Medical and Health Sciences, Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahar","family":"Negev","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Soroka University Medical Center, Faculty of Health Sciences, Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shai","family":"Fein","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Beilinson Hospital, Rabin Medical Center, Faculty of Medical and Health Sciences, Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Tmeizeh","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Critical Care and Pain Medicine Hebrew University\u2010Hadassah School of Medicine, Hadassah\u2010Hebrew University Medical Center  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0051-1850","authenticated-orcid":false,"given":"Karam","family":"Azem","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Beilinson Hospital, Rabin Medical Center, Faculty of Medical and Health Sciences, Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer","family":"Shpack","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Beilinson Hospital, Rabin Medical Center, Faculty of Medical and Health Sciences, Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2019.08.003"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2007.21"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.13.5.330"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25948"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000000691"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894221123124"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.358"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15375"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010021\u201006737\u20101"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9156301"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2025.10.006"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocab025"},{"issue":"3","key":"e_1_2_10_15_1","first-page":"1","article-title":"Difficult 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