Scalpel Finger Bougie: The eFONA Skills Lab for the Surgical Airway

Where Mastery Gets Made

Step Into the Training Lab

This guide is part of our digitally enhanced, hands-on curriculum designed to help you master hyperangulated video laryngoscopy. Step up to the practice station, place your mobile device in the holder, and use voice commands to navigate through the training. A step-by-step practice guide is below as an additional resource. It’s time to focus on establishing the key skills you need for success. Review, practice, and repeat, then proceed to the next station when you’re ready.

Step up to the hands-on station.
Place your mobile device in the holder.
Start the video.
Use hands-free commands.
Pause and practice key skills.
Use supporting digital content.
Review Checklist.

Practice Video

Watch this short video for a complete walkthrough of the techniques.

Practice Without Equipment?

Guided Visualization

We often think that practicing a procedure requires physical models upon which to perform that procedure, but that is not entirely true. While regular training with realistic, high-fidelity models is ideal, it’s not always feasible. Visualization is a proven training method that positively impacts your muscle memory.

A stylized representation of a meditative figure dressed in traditional robes, wearing headphones, surrounded by abstract lines and clouds, symbolizing tranquility and focus.

We created this audio tool for our hands-on self-guided stations, but it’s also great for guided visualization practice. Go ahead and close your eyes, listen to this audio, and then imagine yourself walking through the steps of the FONA procedure. Then, see if it doesn’t help you in your hands-on practice! For more on guided visualization and other performance-enhancing tools. Visit our online Stress Lab here.

Checklist of Skills to Master

Step up to the practice station and get hands-on. Watch the video above and use the checklist below to lock in the key skills and clinical pearls for mastering the hyperangulated blade. Everything you need is right here—review, practice, repeat—then move on to the next station when you’re ready.

Skill 1: Layngeal Handshake

Checklist:

Here is a high-efficiency tip that allows you to hold the blade in one hand and the ETT with a rigid stylet in the other for speed and precision.

Hold the blade in your LEFT hand.
- Use a “light & low” grip.
Hold ETT/Stylet in the right
- Use palm up technique