NextGen Learning To Elevate Your Airway Practice
Overview
fiberoptic skills for the age of vl
Developed by our PAC design team, this integrated learning space covers all the critical concepts, skills, and tools you need to deploy fiberoptic techniques into your clinical practice. Our experts will teach you when and how to use fiberoptic in real-world care and share all the tricks of the trade they rely on in their practice. Self-guided training labs and faculty coaches in our physical spaces complete the training.
Meet the Director
Ralph Slepian MD
Dr. Ralph Slepian is one of the world’s experts in fiberoptic intubation for difficult airways. He is a professor of Anesthesiology at Weill Cornell Medical College and an Attending Anesthesiologist with the Department of Anesthesiology at New York Presbyterian Hospital. He is also a dedicated airway educator.
An Integrated Learning Space
To Build Durable Skills
PAC is an integrated learning system, not a single course. Our digital content supports multiple learning styles, on your schedule. Begin in the PACscape to explore the concepts, mental models, and procedural frameworks that underpin safe airway management.
Need CME or an online course for yourself or your program? Our CME-enabled resources provide structured, on-demand education that stands on its own.
But airway skills are not built on screens alone. The same curriculum extends into the physical world through pop-up learning and hands-on training deployed where you work. Graphic, interactive posters guide procedures, skills challenges, expert coaching, and high-fidelity simulation, using a shared language across digital and physical spaces.
For deeper, tailored training, teams can book customized small-group sessions in our studio, or attend live courses and flagship events in New York City and partner sites worldwide.
The result is continuity—from online learning, to hands-on practice, to real-world performance. PAC gives you the tools, structure, and flexibility required for next-generation airway training.
What’s Inside
Learning Objectives
Introduction to FOI
The fiber optic device predates the video laryngoscope and is considered the gold standard of intubation. Enter here to find out why.
fiberoptic in the age of VL
In the age of the video laryngoscope, is FOI still relevant, and if so, when should you use it? Enter here and find out.
FIberoptic basics
FOI requires a different skill set from laryngoscopy. Learn the essential skills & gestures to master this device.
FIberoptic intubation
To begin your skills training, use this step-by-step guide for fiberoptic intubation, from prepping the device to delivering the tube.
The nasotracheal APPROACH
Unlike laryngoscopy, the nasotracheal approach is an option. Use this step-by-step guide to begin your skills training for this procedure.
rapid sequence topicalization
When RSI creates too much risk in a patient who needs a definitive airway, the key to success is rapidly and effectively topicalizing and sedating the patient for an “awake” intubation procedure. Let us show you how here.
fiberoptic rescue
You were unable to intubate, but your supraglottic rescue device is working. Here’s how a fiberoptic device can be a great rescue device and help in a challenging situation.
New FOI & VL options
You were unable to intubate, but your supraglottic rescue device is working. Here’s how a Fiberoptic device can be a great rescue device and help in a challenging situation.
Advanced Rescue Skills
Here’s how a simple device can add safety to your fiberoptic tube exchange.
🎧 Deep Cuts
For Premium Subscribers
You’ve got the basics down—great work! To keep learning, head to the next poster. If you’re a subscriber, click below to continue the journey on this topic.
Click Here for Deeper Cuts
To see this premium content
Click Here & Subscribe Now
We’re a scrappy insurgency of airway educators (no venture capital, no corporate machine), just a dedicated team on a mission to make airway training better. You can sign up for free for full access, or for less than $9 a month, you can help us grow. Your support fuels the creation of immersive, interactive digital and hands-on training tools that are accessible to everyone. This isn’t about paywalls for profit — it’s about powering real-world, high-impact education.
Subscribe. Unlock killer content. Power the movement.
Meet the Creators
Each learning space takes a collaborative and design-forward approach. We draw on the power of the creative arts to inspire and tell stories, on the sciences to improve our clinical practice, and on the diverse perspectives of our combined experience to deepen our knowledge. Each unique creation has one goal: to elevate your emergency airway practice.
Ralph Slepian MD
Dr. Ralph Slepian is a Professor of Anesthesiology at Weill Cornell Medical College and an Attending Anesthesiologist with the Department of Anesthesiology at New York Presbyterian Hospital.
Rohan Panchamia MD
Rohan Panchamia MD is an Anesthesiologist & Critical Care physician with an interest in difficult airway and ultrasound. He is the Director of the Anatomically Difficult Airway learning space at PAC.
JOnathan St George MD
Jonathan St. George MD is an Emergency Physician. He is the creator and director of the Protected Airway Collaborative.
