Awake tracheal intubation is a critical skill for the airway practitioner when faced with anticipated difficulty, whether it be in the emergency department, operating theatre or intensive care unit. The most critical skill for success is effective anaesthesia of the airway, using topical, atomised, nebulised or injected local anaesthesia. In this highly interactive 2-hour workshop, we will demonstrate live topicalization and perform self-mutual endoscopy on willing workshop participants. Not to be missed!