Abstract: In the process of tracheal intubation, the anesthesia video laryngoscope is used to lift up the patient's epiglottis to expose the glottis, and thus guiding the medical staff to perform anesthesia intubation accurately. This paper describes the method and significance of video laryngoscope in the process of guiding anesthesia intubation, introduces the overall structure and function of portable anesthesia video laryngoscope, the design is mainly focused on image acquisition module, core board circuit, video decoding circuit, lithium battery charging circuit and external storage circuit, at last briefly introduces work process of the video laryngoscope.