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Unusual Complication of Bifascicular Block During Surgery Under General Anesthesia
Author(s) -
FALKOFF MICHAEL,
STOWE STEPHEN,
ONG LING S.,
HEINLE ROBERT A.,
BAROLD S. SERGE
Publication year - 1978
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1978.tb03471.x
Subject(s) - medicine , anesthesia , complication , right bundle branch block , abnormality , surgery , cardiology , electrocardiography , psychiatry
This report describes the occurrence of Mobitz type II AV block during surgery under general anesthesia in a patient with apparently uncomplicated right bundle branch and left anterior fascicular block (RBBB and LAH). Although prophylactic pacing is not usually recommended in uncomplicated HBBB and LAH, the events in this case suggest that this abnormality may not always be benign during surgery. Continuous monitoring is essential and emergency equipment for temporary pacing should be readily available near the operating and recovery rooms.