Laryngoscopy and tracheal intubation are associated with varied levels of sympathetic stimulation. The accompanying increase in heart rate and blood pressure can have deleterious effects. Patients with cardio vascular compromise, elderly, neurological insult requires measures to curb or avoid these changes. Various pharmacological agents have been used to blunt the fluctuations in hemodynamic parameters. The choice of airway equipment can also play a role in the severity of sympathetic stimulation to laryngoscopy and intubation. There is mechanical stretch and stimulation of structures of the airway during laryngoscopy. The magnitude of cardio vascular response is related to the force and duration of laryngoscopy. The alterations in hemodynamic parameters have deleterious effects on patient physiology and is best avoided or attenuated.Most often patients after trauma have associated head injury. This subgroup requires maintenance of hemodynamic and intracranial pressure. However not many studies have compared the difference with respect to hemodynamic changes among various airway equipments. ^[1]The AirtraQ^® is a novel intubation device that has been developed to facilitate tracheal intubation in patients with normal or difficult airways. The blade of the AirtraQ^® consists of two side by side channels. One channel acts as a conduit through which a tracheal tube (ETT) can be passed, whilst the other channel contains a series of lenses, prisms and mirrors that transfers the image from the illuminated tip to a proximal viewfinder, giving a high quality wide-angle view of the glottis and surrounding structures, and the tip of the tracheal tube.^[2]