Anaesthesia for the separation of conjoined twins.

Indian J Anaesth

Department of Anaesthesiology and Critical Care, PT.J.N.M. Medical College and Dr. Bram Hospital, Raipur, Chhattisgarh, India.

Published: March 2011

Thoraco-omphalopagus is one of the most common type of conjoint twins accounting for 74% cases of conjoint twins. We report the anaesthetic management for successful separation of thoraco-omphalopagus conjoint twins, both of them surviving till date. We highlight the responsibility of anaesthesia team in anaesthetising the two individual patients simultaneously, need of careful monitoring and anticipation of complications like massive blood loss, hypotension, hypokalemia, hypoxia and hypercabia. Detailed description of successful management is reported.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3106394PMC
http://dx.doi.org/10.4103/0019-5049.79902DOI Listing

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