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 Proper preparation is essential for all airway management situations.

 Essential equipment includes oxygen source (wall or tank), suction, bag‐mask ventilation circuit, direct and/or video laryngoscopes, endotracheal tubes of several sizes, supraglottic airway device, blood pressure/ECG/pulse oximetry, and CO2 detection device.

 Supraglottic airway devices include the laryngeal mask airway (LMA) which is inserted into the patient’s mouth and sits above the glottis. As these devices do not protect against aspiration of gastric contents, in the ICU they are generally limited to rescue devices in situations where mask ventilation and endotracheal intubation are difficult.

 While numerous types of direct laryngoscopes are available, the two most common are the Macintosh blade (MAC) and the Miller blade. Both come in multiple sizes, but typically a MAC 3 or Miller 2 are suitable for a standard‐sized adult.

 In recent years, video laryngoscopes, a form of indirect laryngoscopy, have become readily available in most institutions. Video laryngoscopes differ from one another in the shape of the blade, proper position when inserted into the mouth, location of the video source, and reusable/disposable parts. Glidescope® has its own (non‐disposable) stylet which accompanies the unique shape of its blade. One potential problem with video laryngoscopy is that, while it may provide a clear view of the glottic opening, one still may have difficulty maneuvering an endotracheal tube into proper position.

 Endotracheal tubes (ETTs) are also available in various materials and sizes. Most commonly used in the ICU are ETTs made from polyvinyl chloride with a beveled tip to allow better visualization of insertion, a side hole (Murphy’s eye) to prevent total occlusion in the event of a mucous plug, and an inflatable cuff. ETTs are sized according to internal diameter in millimeters and the appropriate size for adults is typically 7.0–8.0 mm. Bear in mind that if bronchoscopy is needed, ETTs smaller than 7.5 mm may be too narrow to accommodate an adult bronchoscope.