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Welcome to Hyperangulated Video Laryngoscopy

nextgen learning to elevate your airway practice

The Integrated Learning Space

With Enhanced Digital Content

Instructions ( or Start Course)
Map Your Own Journey

Our enhanced digital content allows you to learn in multiple ways. Use the digital space here as an online course for learning anytime, anywhere. Then, let the same enhanced digital content guide you through our uniquely immersive, interactive physical spaces for hands-on procedure training, skills challenges, expert coaching, and high-fidelity simulations. Welcome to next-generation training designed to elevate your airway practice.

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What’s Inside


Each space has multiple learning opportunities that integrate digital and physical space. You can start online, then attend a PAC live event or visit a PAC pop-up to add hands-on guided practice, skills challenges, expert faculty coaching, and high-fidelity simulations to your training. For each of these activities, you can earn points toward PAC certification. Open the guide below, complete the activities related to each poster, and then submit your guide. When you’ve earned enough points, we’ll send you your certificate!

Learning Objectives


IntroductionThe DifferenceNew Skills Required
Earn PointsWhat’s NextOnline Only


listen here

Hyperangulated video laryngoscopy (HAVL) is a great tool, but thinking that your standard geometry VL skill will translate seamlessly to this new device is a mistake. Let’s talk about it here.

What’s the Difference

HAVL blades have an angle of 60°. Compare this to the standard Macintosh blade, which is 32°. This angle is intended to allow you to look around the base of the tongue more easily, and improve your view of key anatomy.

A New Design That Requires New Skills

It’s a common mistake to think that HAVL is just a variation of standard VL. The most crucial insight into HAVL for new users is understanding there’s more to its successful use than meets the eye. The increased angle of the blade provides great views, but it also has a profound impact on an operator’s dynamic relationship with airway geometry, and adding a rigid stylet to address the new geometry requires facility with an entirely new device. Those not prepared for these changes by adjusting to the new bundle of micro-skills needed for HAVL will be frustrated by it, particularly when it comes to tube delivery.

The Desert Island Test

What airway device would you want if stranded on a desert island? We know it’s not a scientifically validated method for choosing your intubation device, but if you’re airway expert @JohnCSakles, it’s HAVL. The reason? It works great as a VL workhorse device but is often chosen for its ability to manage many difficult airway situations. So if you’re looking to master an approach that will be your “go-to” (particularly if you’re an infrequent intubator) HAVL may be a great place to start.

One technique mastery

How often do you intubate? In what environment? There is a case to be made that HAVL may be the right device to choose as your go-to choice. Here’s a great thread by @JohnCSakles. Another great educator to add to your learning network.

Available Activities

Congratulations! Now that you’ve reviewed this poster’s enhanced digital content, use it to explore the rest of the available learning activities shown here. To earn points, open the user guide, complete each section, and submit it when ready.

What’s Next


Congratulations! You’ve completed this section of the learning space. Collect all the available points before moving on to the next poster to explore all the interactive and hands-on learning opportunities. 

Online Only

To use this enhanced digital content only online, click the next poster link here or access the digital home page below. Otherwise, find the next poster above to continue through the physical learning space.

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