Acardiac parabiotic twin: a case report

The incidence of anomalies is high in multiple gestations especially in monochorionic twins. This paper reported a case of an acardiac parabiotic twin, a rare deformed fetus which occurs typically in monochorionic twin gestations. It is a severely deformed fetus without heart and limited development of the upper half of the body

Bilateral vocal cord paralysis after extubation

Vocal cord paralysis is an uncommon complication of endotracheal intubation after induction of general anesthesia. It may be due to the endotracheal tube cuff pressure on the recurrent nerves. Vocal cord edema occuring in the presence of a paralyzed cord may precipitate complete airway obstruction and can cause bilateral cord paralysis. Here, we describe post anesthetic bilateral vocal cord paralysis in an elderly female patient which diagnosed by direct larayngoscopy and successfully treated by tracheostomy in respiratory intensive care unit. The patient discharged after two weeks and achieved complete recovery one

Role of routine preoperative ECG on anesthesia planning in elderly patients

ECG is a test which is used for diagnosis and confirmation of cardiovascular diseases. Many studies regarding the validity of this test in different age groups have been performed and different results were obtained. This study was performed to assess the role of ECG on anesthesia planning in elderly patients. One hundred elderly patients who referred to Nikocari hospital in Tabriz for eye surgery were enrolled in this study. Findings of clinical examination and medical history were compared with those obtained from the interpretation of ECG by anesthetists. The data were analyzed using descriptive statistical methods. Results showed that only 4% of the patients without positive findings in clinical examination had ECG abnormalities; 3% had RBBB; and 1% had T inversion in pre-cordial leads. It is noticeable that reported abnormalities are not so important on the basis of anesthesia care planning. According to the results obtained, it seems logical to pay more attention to selection of patients for ECG and ordering ECG test only for patients with positive clinical findings