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The Anatomically Difficult Airway

nextgen learning to elevate your airway practice


The anatomically difficult airway (ADA) conjures images of grossly distorted anatomy and the advanced skills used to overcome them, but this is not the whole story. If you want to master any anatomically difficult airway, you must be able to predict, prepare, and plan for the unexpected. So, if you’re interested in confidently managing the most difficult airways, this is your learning space. Getting started is as easy as scrolling down.👇

Meet the Director

Rohan Panchamia MD

Dr. Rohan Panchamia is a board-certified Anesthesiologist specializing in critical care medicine and transplant anesthesiology. His clinical interests include critical care ultrasound, liver anesthesia, trauma anesthesia, advanced airway education, and resuscitative transesophageal echocardiography.  

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



Get started on your journey through this space.

The Airway Assessment

No one likes surprises in airway management. Learn how to assess for difficulty even in time critical situations.

tools to predict difficulty

A few cognitive tools

What’s the lesson here?

If we had the perfect early warning system to alert us about difficulty ahead we could always navigate around it. But how good is our navigation system? Let’s find out.

where do we go wrong

Lessons from the NAP4 study

Failure happens. Failure to plan for failure should never happen

If we can’t always predict difficulty or failure then have a plan for what to do when it happens.

Getting It Right the First Time

Having a backup plan is critical, but there is also something to be said for getting it right the first time. We explain why here.

Next Sections

dive deeper into the tools & techniques for the ada

In the first sections we covered key assessment, prediction and preparation tools to help you stay ahead of an anatomically difficult airway. The next sections focus on some of the key devices and tools to get the job done and successfully secure an anatomically difficult airway.

leveraging the full power of VL

If there was one device that you would always want as your go to device it might be the hyperangulated video laryngoscope.

tracheal access devices

introducers are all about the delivery. Unlike endotracheal tubes, which are primarily for safe and efficient gas exchange, a tube introducer needs to make no such compromises in design.

fiberoptic skills

The video laryngoscope changed the game of endotracheal tube delivery. So what role does fiberoptic intubation (FOl) still play in the current age of VL? Enter this space and learn from the experts how to integrate this tool into your daily practice,


Let Dr Brown guide you through all the concepts and skills you’ll need to successfully integrate nasopharyngoscopy into your airway practice. Whether it’s to look for a foreign body, assess an inhalational burn, or decide if a patient with angioedema in the ED can go home, nasopharyngoscopy can be a valuable airway assessment skill.

visit the entire universe of PAC learning spaces

You could stop here, but why would you? Visit the online home page for all our learning spaces and choose which one you would like to explore next.

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