Flexible Bronchoscopy & Intubation (FBI) Learning Support Resources

The Flexible Bronchoscopy & Intubation in Critical Care (FBI) course is a “one-stop shop” for training in the use of flexiscopes in critically ill patients. Participants will gain the practical knowledge and skills required for decision-making and performing procedures related to airway management, diagnosis, and bronchoscopic respiratory interventions.

This page provides links to learning support resources for the course. It will be continually updated as the course and resources evolve.

Visit Alfred Intensive Care Acadaemic Centre courses and events to find out when the next FBI course and how to register.

Learning support materials 

Practical anatomy 

• Anatomy for bronchoscopy and airway management 

Preparation and equipment 

• Patient preparation for bronchoscopy 

• Flexible bronchoscope 

• Double lumen endotracheal tube (DLT) 

• Bronchial blockers 

• Airway exchange catheter (Aintree) 

• Intubating LMA 

Procedures 

• Airway topicalisation for awake intubation and bronchoscopy (not yet published)

• Awake intubation  

• VAFI and FARSI (Video-assisted Flexible intubation and Flexiscope-assisted rapid sequence intubation) 

• Bronchoscopy for percutaneous tracheostomy  

• Selective lung ventilation  

• Bronchoscopic foreign body removal 

• FONA and CICO transition (not yet published)

• Bronchoalveolar lavage (BAL) 

• Flexible Nasopharyngolaryngoscopy 

Clinical conditions 

• Airway foreign bodies 

• Haemoptysis 

CICM SHLPR requirements 

The FBI course is currently seeking accreditation as a course that meets CICM SHLPR requirements (approval pending).

Participants who are completing the FBI course to meet the requirements for the CICM SHLPR in airway management must be familiar with the following learning materials. 

General 

• Higgs A, et al; Difficult Airway Society; Intensive Care Society; Faculty of Intensive Care Medicine; Royal College of Anaesthetists. Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth. 2018 Feb;120(2):323-352. doi: 10.1016/j.bja.2017.10.021. Epub 2017 Nov 26. PMID: 29406182. [full text article] 

Human factors and decision-making 

• Sections from Higgs et al (2017) on Human Factors, Plan A, B, C, and D, and tracheostomy in ICU patients. 

Tracheostomy emergencies 

• Sections from Higgs et al (2017) on tracheostomy in ICU patients. 

• Nickson CP. Respiratory distress in a tracheostomy patient. LITFL.com: https://litfl.com/respiratory-distress-in-tracheostomy-patient/ 

• Tracheostomy.org.uk algorithm: https://tracheostomy.org.uk/storage/files/NTSP_GREEN_Tracheostomy_Algorithm.pdf 

EFONA and CICO transition 

• Sections from Higgs et al (2017) on Plan D: emergency FONA 

• Emergency surgical airway (knife-finger-bougie)- procedure demonstration video by Rich Levitan (5 min video):