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A senior attending introduces the Exhibition to a junior resident. Headphones recommended.
Created by the Protected Airway Collaborative, 2026. Fictional educational dialogue with synthesized Juniper and Mark voices. Original FBI 430 poster; AI-created charcoal texture.
Read the transcript
Senior attendingHow much do you know about flexible bronchoscopes?
Junior residentA little?
Senior attendingHave you had one in your hands?
Junior residentOnce or twice. I could see where I wanted to go. Getting the tip there was another matter.
Senior attendingThen we have somewhere to start. This is the Flexible Bronchoscopic Intubation PACscape. We begin with when the technique belongs in your airway plan. Then we work on the device itself: your grip, your thumb, and how your hands work together to control the tip.
Junior residentWhat about doing it awake? I think I’d be more nervous about keeping the patient comfortable.
Senior attendingWe spend a whole gallery on that. Topicalization, the role of sedation, and assessing whether the patient is ready. Then we bring that preparation together with the procedure: finding the route, entering the trachea, and delivering the tube.
Junior residentAnd the other galleries?
Senior attendingThey explore different applications. Using a supraglottic airway as a conduit. Catheter-assisted exchange. And working with a video laryngoscope and bronchoscope together.
Junior residentSo I work through everything before I pick up a scope again?
Senior attendingYou can start practicing the basics as you learn them. Explore the Gallery, then use the Practice Studio with your educator. If a movement isn’t working, come back and watch it again. The map lets you return to the skill you need, without starting the whole course over.
Junior residentOkay. Where should I start?
Senior attendingGallery four thirty. Let’s take a look.
Move from understanding to practice
Use the surface that matches the chapter and the work.Choose a chapter
Follow the numbers or enter where the work matches your need.
Flexible bronchoscopic intubation
Orient to the program, its modular learning paths, and the continuing role of flexible bronchoscopy in airway practice.
Chapter 1 of 7 · Program introductionEnter chapter →
Master the device
Develop the coordinated thumb, wrist, and insertion-cord control that supports every later technique.
Chapter 2 of 7 · Begin here for fundamentalsEnter chapter →
Rapid sequence topicalization
Explore the planning framework for topicalizing the airway before an awake flexible bronchoscopic intubation.
Chapter 3 of 7 · Awake-approach branchEnter chapter →
The FBI procedure
Follow the core simulated oral sequence from preparation and navigation through tube delivery.
Chapter 4 of 7 · Core procedural pathEnter chapter →
The rescue
Pass a tracheal tube directly over the bronchoscope through a functioning supraglottic airway while protecting oxygenation.
Chapter 5 of 7 · Rescue applicationEnter chapter →
The exchange
Preserve a tracheal guide during tube-to-tube exchange or Aintree-mediated removal of a supraglottic airway.
Chapter 6 of 7 · Advanced exchange skillSeparate page route pending
Video-assisted flexible bronchoscopy
Combine video laryngoscopy for exposure with flexible bronchoscopy for navigation and delivery.
Chapter 7 of 7 · Advanced combined techniqueNew page pendingThe map is only the beginning.
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