Why the study?
Left bundle branch block is common in the general populace but rarely found in young patients.
General anesthesia can be safely administered to young patients with isolated LBBB following complete cardiological evaluation.
May support uneventful GA without pacing in isolated young LBBB; leaves open generalizability and should not yet change practice.
Though Left Bundle Branch Block (LBBB) is a common occurrence in general populace , yet it is found in rarity in young subset of patients .We are presenting a case of successful administration of general anaesthesia in a 28 year old female patient with LBBB ab initio posted for laparoscopic cholecystectomy .The patient maintained a status quo while under anaesthesia .Her LBBB neither deteriorated to complete heart block nor reverted to normal sinus rhythm .We hypothesize that such young patients may be taken up for surgery under general anaesthesia after complete cardiological evaluation and a long term follow-up plan may be drawn to monitor any future deterioration in patient's cardiac status.
No takes yet. Share an insight, caveat, or question.
Gandhi et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: