Purpose <p>To summarize the current state of quality improvement for trauma anesthesia.</p> Recent Findings <p>While the basics of quality improvement (QI) in anesthesiology have been understood for some time, trauma care is a multidisciplinary, multi-specialty effort. QI for the trauma anesthesia service therefore includes both the traditional metrics and outcomes for any anesthesia service, such as success with airway management, as well as team-based metrics that capture the holistic reality of trauma care. Anesthesia care impacts global metrics such as risk-adjusted probability of survival, patient length of stay, resuscitative requirements, timely access to the operating room, and overall patient satisfaction. Continuous improvement is frequently through team-based educational and practice initiatives that include all the stakeholders in trauma patient outcomes and not just anesthesia clinicians.</p> Summary <p>Anesthesia QI for trauma patients consists of both anesthesia-specific QI initiatives and team-based multidisciplinary efforts. Recommendations and suggested metrics for both domains are presented with examples of QI projects from the current literature.</p>