Various methods and systems for delivery of an ETT for intubation are provided. In one example, an ETT delivery system includes a rail system for guiding insertion of an ETT and at least partially defining the motion of the ETT. The ETT delivery system further may include a video laryngoscope blade coupled to the rail system and a delivery mechanism. In some examples, the ETT delivery system further includes a positioner configured to adjust the motion of the ETT. As a further example, the ETT delivery system may include a swing arm and a guide rail to at least partially define the motion of the swing arm. Further, a drive-down mechanism may effect motion of the swing arm. As another embodiment, a rail system, a disposable blade and a positioner may be provided. Further, a delivery mechanism may be operatively linked with the integrated rail system.