Introduction
SECONDARY
The management of difficult airways is associated with significant mortality in both the Intensive Care Unit (ICU) and the operating room [Until the recent development of a virtual reality fiberoptic simulator with multiple difficult airway scenarios, mostly normal airways were available for high fidelity bronchoscopy simulators [We hypothesized that inexperienced anesthesia providers would improve by training on a virtual reality simulator with difficult airway scenarios when compared to training on normal airway scenarios (primary outcome: improved performance score, secondary outcome: success rates, times, collision avoidance and perceived level of difficulty).