VAFI - Video Assisted Fiberoptic Intubation

When Videolaryngoscopy fails, you should have a quick response.
First, if feasible, you may try with an introducer.
But if the view is impeded, an introducer may provoke some damage.

Our second line rescue approach, when VL fails is VAFI:
Our intubation station has a single use fiberscope always ready to use.

But remember: you don't have so many hand as Kali goddess, so CALL FOR HELP first!
A colleague will use the fiberscope while you are maintaining the VL view on the field. When the tip of fiberscope appears, switch your eye to the FBS view and complete the task.

LAST BUT NOT LEAST:
VAFI is a rescue approach, it's not an alternative to awake intubation when indicated.

Take a look to this video:
https://youtu.be/GI6b6WU8Yz0