Usually we blame the patient being intubated. He/she was born with something that can can't predict externally. That patient has never been intubated before so no one has a clue how hard or easy this airway is. This BAD AIRWAY is one you tried to predict but was more difficult than predicted. Or one that is difficult to place a DL blade 2nd to big tongue, small mouth, or very anterior. One man's difficult is another man's easy as butter airway.
One who goes at an airway without a plan. If I fail intubation, what do I do next? You don't know where the ship is going? The o2 sat is dropping, heart rate is slowing down, your pulse is rising. Your continue to bag the patient with BVM, and even after 30 seconds, the patient is desatting still. No back up/rescue oxygenatin and intubation device is available before committing to RSI. Believing RSI is for everyone. Even if you have an Ultimate airway device that costs more than $10,000, to believe that this rescue intubating airway device is more important that an rescue oxygenaton/ventilation device. The ultimate truth is that captain doesn't think of a surgical airway til its too late.
What you allowed yourself to buy and place in your own portable bag or box. Hopefully you are not limiting your Airway Arsenal to what your chairperson or adminstrator purchases for the department . Regardless if you work in the field or inside in the hospital, you need to defend yourself to save your patients from poor outcomes. Sometimes you need to purchase your own product, even your own personalized cricothyrotomy kit.