 Tracheal intubation placement of a breathing tube below the vocal cords into the trachea is an essential skill for the anesthesia provider. Training on the use of new technology i.e., procedural training, including videooptical laryngoscopy e.g., the Airtraq Avant, Glidescope, and similar devices usually occurs under the tutelage of learned practitioners, while caring for actual patients in the operating room, not during didactic sessions in a classroom. Although the use of airway trainers manikins has led to improved clinical learning curves for the use of some airway devices, it is not known if training on the use of the Airtraq Avant and Wireless Monitor System under simulated difficult airway conditions c-collar and swollen tongue will improve the learning curve of using the devicesystem clinically in in patients with at least one predictor of difficult intubation. 