Silent TIVA-line disconnection
Educational use only. Not clinically reviewed34-year-old woman for Laparoscopic cholecystectomy. About 10 simulated minutes.
What you will practise
- Establish hypnosis before giving a drug that removes movement as a warning.
- Investigate the intravenous delivery path when predicted depth rises without a vital-sign explanation.
- Reconnect the hypnotic line before a silent delivery failure becomes prolonged.
- Use quantitative block and predicted depth together; paralysis is not hypnosis.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Pandit JJ, et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors. Br J Anaesth 2014;113:549-59. PMID 25204697
- Nimmo AF, et al. Guidelines for the safe practice of total intravenous anaesthesia. Anaesthesia 2019;74:211-24
- 2023 ASA Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.