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The Ambu aScope

With a Modified Checklist for FOI


The AMBU aScope is a single-use, flexible bronchoscopy device that can be used for difficult emergency airway cases, In a patient with an anatomically difficult airway who gives you time to perform FOI (i.e. not a crash airway) and in a physiologically difficult airway in which a hemodynamically neutral intubation is desired, fiberoptic intubation (FOI) may be the preferred method, but requires skill with a fiberoptic device like this one.

What you’ll find here

  • Video review of device
  • Rapid review
  • Indications for use in ED
  • Microskills
  • Equipment list
  • Medication list
  • FOI airway checklist

rapid review to deep dive

This space is organized to bring you the most rapid and essential knowledge first. Then, go ahead and customize your learning by exploring what’s important to you in the content below. Look for the ✋emoji for learning that has an associated hands on component for in person learners.

rapid review – aScope

Don’t have time for the full video or just need a refresher on the basics of FOI with the AMBU aScope? We cut the in service video down to less than 90 seconds. Loop it and enjoy.

full video ✋


Choose the select skills you want to review

Preparing scope ✋

navigating tongue ✋

Insertion into mouth ✋

Through the cords ✋

Equipment you will need (awake intubation)

In order to perform an awake fiberoptic intubation you will need a few extra items along with your standard intubation equipment, plus extra medications for topicalization.


    • Attach to IV pole
  • Disposable scopes
  • Tongue depressor
  • William’s oral airway
  • Mucosal atomizer


  • Lidocaine 5% ointment
  • Lidocaine 4% liquid
  • Neo-synephrine or Afrin Nasal spray

This list of items is integrated into the full FOI intubation checklist below. 👇

The complete FOI Airway Checklist

Similar to the RSI airway checklist this FOI awake intubation checklist walks you through preparing your patient, your equipment, and your team prior to any FOI intubation attempt using fiberoptic approach. Tap on the images to enlarge.

For Mobile Device

Download a PDF version of this checklist, or use the QR code below for rapid access at the bedside when you need it. You can also print the QR code and place it near your FOI equipment.

More FOI resources

For those interested in more FOI training, you can access more content on this topic. Simply click on the masterclass link below to take you to the online masterclass learning space.

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