Keep in mind that you are definately on your own on the floor. While in the OR, circulators may be able to hand you an LMA/bougie/Miller vs Mac blade/etc, but don't expect the floor staff to recognize these terms nor the fact that you are managing a difficult airway. My "check list" Suction ready Free flowing IV with injection ports (not pump tubing running through a machine at KVO) Drugs (induction, pressors, NMB's) Laryngoscope/blades handy (i.e. where I can get to them and not need asssistance) One or two ETT's (I preferentially intubate with an 8.5 in order to facilitate easy bronchoscopy in the ICU) LMA and Bougie readily available In addition, floor patients seem to be universally dehydrated -- I lube my blades. Mick