To the Editor: Students often have difficulty defining anatomy of the airway and correctly placing the laryngoscope blade. Combining a fiberoptic bronchoscope (FB) with a straight laryngoscope blade Figure 1 produces a teaching aid that can ease monitoring of the students' progress. With the bronchoscope's tip positioned at the end of the blade, the instructor can view the sequential steps of the laryngoscopy through the FB eyepiece or a video camera system. This makes for easier laryngeal anatomy identification and correction of errors in blade placement. Since the instructor can also observe the larynx, the amount of anterior directed force to the blade is better estimated and conveyed to the student. Visual confirmation of endotracheal tube placement into the larynx is provided to the instructor. Students welcome this method of instruction, and the authors believe it hastens acquiring laryngoscopic skills.Figure 1: Top, The light source was removed from the disposable blade (Bauman Disposablade; Vital Signs, Inc., Totowa, NJ). A 4-mm Olympus LF-2 Tracheal Intubation Fiberscope (Olympus Corp., Lake Success, NY) was secured in the light source channel with a transparent adhesive dressing. Bottom, The light source was removed from a Miller #2 blade (F.L.S. Medical, Huntington Beach, CA). The fiberoptic bronchoscope was passed through a piece of 1/4-in. (6.35-mm)-diameter polyethylene tubing. A transparent adhesive dressing and two neoprene rings align the tubing within the blade.The straight blades in Figure 1 have been found suitable for this purpose. The Macintosh curved blade is not useful because the lingual portion of the epiglottis obscures the line of sight to the larynx. Randall W. Henthorn, MD Jeffrey Reed, MD Jan S. Szafranski, MD, FRCA Raghuvender Ganta, MD, FRCA Department of Anesthesiology, The University of Oklahoma Health Sciences Center and Veterans Medical Center, Oklahoma City, OK 73152