1. The Simulated Neonatal Airway
2015
WESSEX-OXFORD NEONATAL STUDY DAY
MULTIPROFESSIONAL SIMULATION IN NEONATAL EDUCATION WWW.WONEPEDU.COM
MPROVE | Copyright Protected
Date March 12th
2015 Venue Parent craft Room Princess Anne Hospital Southampton SO16 5YA
Course Fee 150 pounds 12 Places only
2. Green Group
Dr Mary Ledwidge
Consultant Paediatrics
Londonderry
Dr Sam O’Hare
Consultant Neonates Cambridge
Dr Mark Johnson
Grid Trainee Wessex
Dr Katie Greenwood
Paediatric Trainee Newport
Red Group
Dr Susan Broster
Consultant Neonates ANTS
Dr Torsten Hildebrandt
Consultant Paediatrics Bridgend
Dr Veronica Giordano
Grid Trainee Oxford
Dr Kainaz Singh
Paediatric Trainee Kettering
Yellow Group
Dr Daniele De Luca
Consultant Neonatologist Paris
Dr Doris Pepe
Paediatric Trainee Cambridge
Dr Prashanth Bhatt
Grid Trainee ANTS
Dr Burak Salgin
Grid Trainee Cambridge
Groups
Facilitators
Dr Alok Sharma Consultant Neonates Southampton
Dr Colin Peters Consultant Neonates Glasgow
Glandon Jones Neonatal ODP Southampton
Ian Chapman Neonatal ODP Southampton
Dr Sijo Francis Consultant Neonates London
Dr Anushma Sharma Grid Trainee Portsmouth
3. Programme
0830-0850 Registration (Parent craft Room Level F Princess Anne Hospital)
0850-0910 Introductions & Simulation Etiquette
Session 1 (Background) 0920-1120
0910-1000 An Approach to the Difficult Neonatal Airway
Dr Alok Sharma Consultant Neonatologist Princess Anne Hospital Southampton
1000-1040 Risk Assessment (Anticipated Difficult Neonatal Airway)
Dr Sijo Francis Consultant Neonatologist St George’s NHS Trust London
1040-1120 Fibreoptic Intubation by Neonatologists
Dr Colin Peters Consultant Neonatologists Glasgow
1120-1130 Coffee and Tea
Session 2 Difficult Airway Adjuncts-(Workshops 3 Groups) 1130-1300
Station 1 The Glidescope-‘Use in the Neonate’ Sijo Francis & Glandon Jones
Red Group Obstetric Simulation Room
Station 2 The LMA & IGEL ‘A Neonatal Perspective’ Colin Peters & Anushma Sharma
Green Group Parent craft Room
Station 3 The Neonatal Difficult Airway Trolley & Algorithm in Practice Dr Alok Sharma
Yellow Group The Simulation Suite
1300-1345 Lunch (Parent craft Room)
Session 3 Skills and Drills-(Workshops 3 Groups) 1345-1515
Station 1 Use of sedation in the difficult airway-Pro & Con’s Dr Colin Peters & Ian Chapman
Red Group Parent Craft Room
Station 2 The Neonatal Bougie Dr Alok Sharma & Anushma Sharma Green Group Obstetric
Education Room Obstetric Simulation Room
Station 3 First Failed Intubation
Yellow Group The Simulation Suite Dr Sijo Francis & Glandon Jones
1515-1530 Croissants Coffee and Cake
Session 4 Experiential Learning 1530-1730
1530-1615 Simulation 1
1615-1715 Simulation 2
1715-1800 ‘Discussing Your Experiences’ ‘Sharing Resources’ ‘The Neonatal Airway Dropbox’
4. 100.00% 14
0.00% 0
Q1 Were the printed learning
aims/objectives of the course met?
Answered: 14 Skipped: 3
Total 14
# Other Comments Date
1 A fantastic course. Well organised and well thought. Would strongly recommend to my colleagues 3/15/2015 12:15 PM
Yes
No
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes
No
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Simulated Neonatal Airway Course
5. 92.86% 13
7.14% 1
Q2 Was the speaker/instructor
knowledgeable?
Answered: 14 Skipped: 3
Total 14
# Other (commments) Date
1 Excellent talks setting up a good start to the workshops and sim 3/18/2015 8:20 AM
Yes
No
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes
No
2 / 21
Simulated Neonatal Airway Course
6. 5.88% 1
94.12% 16
Q3 Was there any bias or conflict of interest
evident in the course?
Answered: 17 Skipped: 0
Total 17
# Other (please specify) Date
There are no responses.
Yes
No
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes
No
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Simulated Neonatal Airway Course
7. 64.29% 9
28.57% 4
7.14% 1
0.00% 0
0.00% 0
Q4 How worthwhile was the course
material?
Answered: 14 Skipped: 3
Total 14
Extremely
worthwhile
Quite
worthwhile
Moderately
worthwhile
Slightly
worthwhile
Not at all
worthwhile
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Extremely worthwhile
Quite worthwhile
Moderately worthwhile
Slightly worthwhile
Not at all worthwhile
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Simulated Neonatal Airway Course
8. Q5 Please rate the talks from a scale of (1-5)
1 Poor 2 Satisfactory 3 Good 4 Very Good 5
Excellent
Answered: 14 Skipped: 3
1 2 3 4 5
Approach to
the difficul...
Anticipated
difficult...
Fibre optic
intubation i...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
1 2 3 4 5 Total Respondents
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Simulated Neonatal Airway Course
9. 0.00%
0
0.00%
0
0.00%
0
35.71%
5
64.29%
9 14
0.00%
0
0.00%
0
0.00%
0
42.86%
6
57.14%
8 14
0.00%
0
0.00%
0
14.29%
2
57.14%
8
28.57%
4 14
# Comments & Feedback regarding lectures Date
1 Very useful sessions with an excellent balance of information given by the speakers and discussion to draw on
the experience of candidates.
4/23/2015 10:38 AM
2 Excellent talks by all the speakers 3/20/2015 9:36 AM
3 The approach to the difficult airway was very interesting and well structured. Exit procedure was eye opening 3/18/2015 8:22 AM
4 Excellent discussion of how to manage the difficult airway and tools to help us achieve the above 3/16/2015 9:29 AM
5 the lectures were very detailed and very good. 3/15/2015 8:10 PM
Approach to the difficult airway
Anticipated difficult airway (Risk Assessment)
Fibre optic intubation in neonates
6 / 21
Simulated Neonatal Airway Course
10. Q6 Please rate the workshops
Answered: 14 Skipped: 3
0.00%
0
0.00%
0
0.00%
0
50.00%
7
50.00%
7 14 4.50
0.00%
0
0.00%
0
14.29%
2
35.71%
5
50.00%
7 14 4.36
0.00%
0
0.00%
0
0.00%
0
14.29%
2
85.71%
12 14 4.86
0.00%
0
0.00%
0
42.86%
6
50.00%
7
7.14%
1 14 3.64
0.00%
0
0.00%
0
0.00%
0
21.43%
3
78.57%
11 14 4.79
0.00%
0
0.00%
0
0.00%
0
28.57%
4
71.43%
10 14 4.71
# Comments for "The Glidescope Use in Neonates" Date
1 A good session - I have tried this before and still find it quite difficult to use. Was useful to get some tips from Sijo
regarding use
4/23/2015 10:43 AM
2 Learn't something new wanted more time. 3/20/2015 9:37 AM
3 Really good demo 3/18/2015 8:24 AM
# Comments for "The LMA and I-gel" Date
1 Very useful to try the I-gel - we have looked into getting some of these and they seem very easy to use. 4/23/2015 10:43 AM
2 Prefer the gel to the LMA 3/18/2015 8:24 AM
The Glidescope
Use in Neonates
The LMA and
I-gel
The Neonatal
Airway and...
Sedation in
management o...
The Neonatal
Bougie
First Failed
Intubation
0 1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 Total Weighted Average
The Glidescope Use in Neonates
The LMA and I-gel
The Neonatal Airway and Difficult Airway Algorithm in Practice
Sedation in management of the difficult airway Pro's and Con's
The Neonatal Bougie
First Failed Intubation
7 / 21
Simulated Neonatal Airway Course
11. 3 very helpful 3/15/2015 8:12 PM
# Comments for "The Neonatal Airway and Difficult Airway Algorithm in Practice" Date
1 It was very useful to work through some scenarios in realtime 4/23/2015 10:43 AM
2 this is very helpful and will be adopted in my practice 3/15/2015 8:12 PM
# Comments for "Sedation in management of the difficult airway Pro's and Con's" Date
1 I don't think this session was particularly 'prepared' (Colin was expecting slides but they were not available). It
was still a useful chance to discuss varying practice across different units
4/23/2015 10:43 AM
2 Presentation of available evidence would have added to the discussion. 3/15/2015 3:59 PM
# Comments for "The Neonatal Bougie" Date
1 This was a very useful refresher for me as I have never used a neonatal bougie in clinical practice and would be
more confident doing so now.
4/23/2015 10:43 AM
2 Some excellent points and practical tips about the practice 3/18/2015 8:24 AM
# Comments for "First Failed Intubation" Date
1 This was very useful session 4/23/2015 10:43 AM
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Simulated Neonatal Airway Course
12. Q7 Please rate each simulation on it's
overall value to your learning needs:
Answered: 14 Skipped: 3
0.00%
0
0.00%
0
0.00%
0
28.57%
4
71.43%
10 14 4.71
0.00%
0
0.00%
0
7.14%
1
28.57%
4
64.29%
9 14 4.57
Scenario 1:
Cant Intubat...
Scenario 2:
The anterior...
0 1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 Total Weighted Average
Scenario 1: Cant Intubate Cant Ventilate
Scenario 2: The anterior airway
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Simulated Neonatal Airway Course
13. Q8 Comments on Scenario 1
Answered: 7 Skipped: 10
# Responses Date
1 Very difficult scenario but very good discussion afterwards 3/20/2015 9:39 AM
2 Excellent discussion about the challenges of the situation, Very well summarised debrief 3/18/2015 8:27 AM
3 Excellent scenario reflecting a possible real life situation 3/16/2015 10:09 PM
4 Excellent practise of real life scenarios and really helpful feedback provided 3/16/2015 9:30 AM
5 a common scenario faced in daily practice. it was very helpful that it was simulated so we could learn from it 3/15/2015 8:17 PM
6 Good discussion 3/15/2015 5:48 PM
7 it was really useful to practice this prior to meeting it in practice 3/15/2015 2:02 PM
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Simulated Neonatal Airway Course
14. Q9 Comments on Scenario 2
Answered: 4 Skipped: 13
# Responses Date
1 The mannequin was excellent 3/20/2015 9:39 AM
2 The team approach was emphasised I wonder if we could have gone for a bougie intubation instead of the LMA 3/18/2015 8:27 AM
3 Another very useful scenario reflecting possible events at a district general hospital 3/16/2015 10:09 PM
4 very common scenario faced. it was helpful it was simulated so we could learn from it 3/15/2015 8:17 PM
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Simulated Neonatal Airway Course
15. 0.00% 0
14.29% 2
14.29% 2
71.43% 10
Q10 Did you find post-scenario feedback?
Answered: 14 Skipped: 3
Total 14
Poor
Satisfactory
Useful and
constructive...
Excellent and
likely to...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Poor
Satisfactory
Useful and constructive but unlikely to change my practice
Excellent and likely to change my practice
12 / 21
Simulated Neonatal Airway Course
16. 85.71% 12
0.00% 0
14.29% 2
Q11 Were the scenarios plausible and
mannequins realistic?
Answered: 14 Skipped: 3
Total 14
# Other (please specify) Date
1 Well thought out scenarios and based on real experiences 3/20/2015 9:39 AM
2 Excellent 3/18/2015 8:27 AM
Yes
No
Other (please
specify)
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Answer Choices Responses
Yes
No
Other (please specify)
13 / 21
Simulated Neonatal Airway Course
17. 0.00% 0
7.14% 1
14.29% 2
78.57% 11
Q12 How do you rate the relevance of this
CPD activity to your educational needs?
Answered: 14 Skipped: 3
Total 14
Not relevant
Fairly relevant
Mostly of
relevance
Highly relevant
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Not relevant
Fairly relevant
Mostly of relevance
Highly relevant
14 / 21
Simulated Neonatal Airway Course
18. 0.00% 0
7.14% 1
14.29% 2
78.57% 11
Q13 How do you rate the overall quality of
the education offered by this meeting
Answered: 14 Skipped: 3
Total 14
Poor
Satisfactory
Good
Excellent
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Poor
Satisfactory
Good
Excellent
15 / 21
Simulated Neonatal Airway Course
19. 0.00% 0
0.00% 0
17.65% 3
82.35% 14
Q14 How do you rate the effectiveness of
this educational activity for CPD purposes?
Answered: 17 Skipped: 0
Total 17
Ineffective
Learnt nothi...
Partly
effective...
Definitely
effective Wi...
Very effective
Will plan to...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Ineffective Learnt nothing relevant to my practice
Partly effective Learnt little relevant to my practice
Definitely effective Will plan to modify my practice in a minor way or present practice reinforced
Very effective Will plan to modify my practice in a major way or clearer understanding of basic principals achieved
16 / 21
Simulated Neonatal Airway Course
20. Q15 How can we improve future meetings?
Answered: 8 Skipped: 9
# Responses Date
1 The meeting was really excellent - one of the most clinically useful courses I have attended in the last 5 years. I
wouldn't change much - it may be useful to hear from one of the ENT surgeons...
4/23/2015 10:49 AM
2 Would love to have tried the fibre-optic scope! 3/20/2015 10:43 PM
3 More scenarios please they were excellent 3/18/2015 8:28 AM
4 Perhaps introduce further scenario practise to further consolidate the main learning points 3/16/2015 10:11 PM
5 More of the same please 3/16/2015 9:30 AM
6 More workshops 3/15/2015 5:50 PM
7 The scenarios were great learning experience. Another couple of scenarios will be good. Not sure how to fit this
in but just a thought.
3/15/2015 12:19 PM
8 More hi fidelity scenarios reproduced within small groups 3/15/2015 11:59 AM
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Simulated Neonatal Airway Course
21. 17.65% 3
0.00% 0
23.53% 4
17.65% 3
41.18% 7
Q16 How did you hear about this event?
Answered: 17 Skipped: 0
Total 17
# Other (please specify) Date
1 email circulated in department 3/15/2015 8:19 PM
WONEP website
Email from
WONEP
Email from Dr
A Sharma
Word of mouth
Course Flyer
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
WONEP website
Email from WONEP
Email from Dr A Sharma
Word of mouth
Course Flyer
18 / 21
Simulated Neonatal Airway Course
22. 21.43% 3
78.57% 11
0.00% 0
0.00% 0
Q17 How would you rate the
venue/location?
Answered: 14 Skipped: 3
Total 14
Excellent
Good
Fair
Poor
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Excellent
Good
Fair
Poor
19 / 21
Simulated Neonatal Airway Course
23. 14.29% 2
42.86% 6
35.71% 5
7.14% 1
Q18 How was the catering?
Answered: 14 Skipped: 3
Total 14
Excellent
Good
Fair
Poor
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Excellent
Good
Fair
Poor
20 / 21
Simulated Neonatal Airway Course
24. Q19 Please provide any additional
comments you may have:
Answered: 7 Skipped: 10
# Responses Date
1 An excellent and very well run course - I have already highly recommended it to colleagues and it has prompted
us to increase awareness around our own difficult airway trolley and streamline how we contact ENT/anaesthetic
teams for support.
4/23/2015 10:49 AM
2 Fantastic day well conducted Thank you 3/20/2015 9:40 AM
3 Thoroughly enjoyed the day. Keeping it to the same or fewer participants 3/18/2015 8:28 AM
4 An excellent course, with really valuable teaching sessions, scenarios and feedback. I will definitely change my
clinical practice and highly recommend to colleagues.
3/16/2015 10:11 PM
5 Thank you very much 3/16/2015 9:30 AM
6 Good learning experience, would definitely recommend to colleagues 3/15/2015 5:50 PM
7 Thankyou to all of you who organised this Fantastic and thankyou Will recommend to others 3/15/2015 2:03 PM
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Simulated Neonatal Airway Course