The MPROvE neonatal instructor training course was established by Neonatologists, and experts in simulation education. The course combines lectures, workshops and simulation to help deliver training in approaching different situations dealing with difficulties in managing the neonatal airway. The intention is to provide teams the ability to deal with these emergencies in a structured way using CRM principles.


The neonatal difficult airway course (NDAC) was established in 2012 as a QI initiative in airway training. MPROvE relates to multidisciplinary education of any kind (i.e. multidisciplinary neonatal simulation, or TEL) being used to improve the quality of care and or neonatal outcomes. The MPROvE team delivers the neonatal simulation instructor course in 2 modules over 1 day. The intention is to help individuals, institutions, hospitals, teams and co specialties to develop skills in crisis resource management, human factors and advanced neonatal airway stabilisation. The MPROvE group has helped develop the course in multiple centres around the UK in Bridgend and Burnley respectively. The course is run annually and is free to paediatric trainees in Wessex Deanery. MPROvE instructors have trained over 200 participants in the UK.

The course addresses the following over 1 day:

- CRM/HRM principles in managing neonatal emergencies
- Difficult neonatal airway equipment and adjuncts (Workshops)
- Traffic light pathway in managing the difficult neonatal airway
- Preparing a difficult neonatal airway trolley
- Evidence based use of sedation and paralysis in neonates
- Checklists-Pre intubation, Pre extubation
- Cant intubate Cant Ventilate Situations in Neonatology
- Videolaryngoscopy training
- Workshops on using the Glidescope, Airtraq, C-MAC, and Bougie intubation
- Simulated practice in managing realistic manikins and modified high fidelity simulators as well as the preterm airway.

Participants & Preparation
For courses held in the UK, participants are limited to 16. The number of participants for courses abroad and days over which the course is held need to be discussed with the organisers. Participants are provided 3 pre-course assignments which can be accessed here. Wider reading around the assignments is encouraged and material and references are part of the assignments.

To register:

Contact: David Bartle

British Association of Perinatal Medicine (BAPM) is registered in England & Wales under charity number 285357 at 5-11 Theobalds Road, London, WC1X 8SH.
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