High spinal after epidural top-up
Educational use only. Not clinically reviewed31-year-old woman for Emergency cesarean delivery. About 8 simulated minutes.
What you will practise
- Recognize the rapidly progressive pattern and call for help.
- Give high inspired oxygen and support breathing as ventilation weakens.
- Treat hypotension with a small fluid bolus and the stocked vasopressor.
- Protect oxygenation while the modeled block progresses.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Obstetric Anaesthetists’ Association. High central neuraxial block. Obstetric Quick Reference Handbook, section 2-7, version 1.
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.