High Spinal Block

🔑 Key Priorities

• Recognise and manage cardiovascular and respiratory compromise

• Support until block recedes or ventilate if needed

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🧠 Team Actions

Role	Task
Team Leader	Diagnose high spinal, guide vasopressor use
Airway Manager	Assess breathing, ventilate if needed
Circulation	Boluses + vasopressors (metaraminol, adrenaline)

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🧭 Management Algorithm

1. Recognise symptoms: hypotension, bradycardia, dyspnoea, paralysis

2. Call for help

3. 100% O₂, secure airway if apnoeic

4. Give fluid bolus + vasopressors

5. Tilt head-up if tolerated

6. Reassure patient, block should regress

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🔄 Ideal Crisis Flow

            High Spinal Block
                  ↓
          Identify Hypotension, Apnoea
                  ↓
       Oxygenation + Vasopressors + Fluids
                  ↓
         Ventilate + Support Until Resolution