High neuraxial block: stay close, act together
Educational use only. Not clinically reviewed31-year-old woman for pregnancy-specific high-neuraxial-block recognition, qualified-response coordination, reassessment, and active-risk handoff practice. About 6 simulated minutes.
What you will practise
- Activate the high-neuraxial-block, airway-capable, obstetric, theatre, newborn, and support response.
- Connect the injection clock, block level, breathing, arm strength, circulation, fetal context, and whole person.
- Review rapid progression, awareness, and alternative-cause boundaries.
- Review parallel airway, ventilation, circulation, uterine-displacement, fetal, birth, and support readiness.
- Review the fixed 4-minute qualified support report.
- Hand off airway, circulation, block, fetal, birth, awareness, support, and outcome risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Obstetric Anaesthetists’ Association. Obstetric Quick Reference Handbook: High central neuraxial block. Version 1, updated 2024.
- Griffiths SK, Russell R, et al. Intrathecal catheter placement after inadvertent dural puncture in the obstetric population. Anaesthesia. 2024.
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.