Devices, systems and methods for improved intubation which have particular application for awake or sedated intubation are described. An intubation scope having a handle, a flexible probe, and an articulatable tip where the handle has a control lever coupled to a rotary control wheel, which is in turn connected to control wires which when moved by the rotary control wheel cause articulation of the tip of the intubation scope. Systems utilizing the intubation scope may also include endotracheal tubes adapted to fit over the tip of the intubation scope.