I am a new attending....We are in a big center so our endo guys bring down some sicko patients. My question is about full stomach patients.... GI bleed, Achalasia, Esophageal CA (full esophagus more than full stomach), old fat DM pts, etc.....what do you do with these guys. Our endo rooms DO NOT have anesthesia machines. If I want to RSI I would have to bring the case to main OR and screw up everones schedule. On one hand I want to uphold the same standards as I do in the main OR, on the other hand I know as soon as he or she goes down the goose they will suction out what ever is there! What do you all do?