A handheld system that is used with an endotracheal tube to facilitate endotracheal intubation is disclosed. The device includes a lighted bougie and an intubating channel, a handle, at least one sensor, a midline alignment light, a tongue grasper, a power source, and electronics. These components combine to form an integrated airway management system. During operation of the system, the light transilluminates the anterior neck tissue of the patient and glows brightly in the midline when the bougie is placed in the trachea.