The Articulated Oral Airway as an Aid to Mask Ventilation

Inclusion Criteria: * Individuals demonstrating 2 or greater predictors of difficult mask ventilation (as listed below) who are scheduled for elective surgery with general anesthesia and asleep mask ventilation/orotracheal intubation utilizing long-acting neuromuscular blockade. * Predictors of difficult mask ventilation i) Age \> 55 years ii) BMI \> 30kg/m2 iii) Beard iv) Lack of teeth v) History of snoring Exclusion Criteria: * Documented history of impossible mask ventilation * Planned omission of mask ventilation ('rapid-sequence induction,' etc.) * Planned omission of long-acting paralytics * Need for awake airway management * Need for emergent airway protection * Presence of oropharyngeal anatomic abnormalities * Distance from the maxillary incisors to the angle of the mandible \<11cm * \<18 years of age * Known pregnant state * Current incarceration * Refusal to be involved in the study