Vol. 2, Issue 8, Part F (2016)

Abstract
Patients with bifascicular bundle branch block or left bundle branch block (LBBB) can progress into a complete heart block and are at a risk of sudden peri-operative death. Hence while administrating anesthesia, sudden hemodynamic changes such at hypotension or tachycardia are deleterious to such patients. This is where Peripheral Nerve Blocks (PNB) have become a valuable technique in providing anesthesia especially for limb surgeries. They provide good analgesia intra-operatively as well as post-operatively, are cost effective and are comfortable for the patient. They have been noted to be extremely useful in conduction defect patients. Here we report a patient with complete LBBB who underwent right tibia plating under femoral and anterior sciatic block.