Anaesthetic experiences in three sets of conjoined twins in King Chulalongkorn Memorial Hospital

Leelanukrom, Ruenreong; Somboonviboon, Wanna; Bunburaphong, Pavena; Kiatkungwanklai, Predee

doi:10.1111/j.1460-9592.2004.01131.x

Cited by 17 publications

(18 citation statements)

References 15 publications

(19 reference statements)

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“…4 , 9 - 10 Caudal epidural anesthesia combined with general anesthesia was also described in omphalopagus twins. 11 Surgical separation of case one was performed under local anesthesia plus general anesthesia without tracheal intubation.…”

Section: Discussionmentioning

confidence: 99%

Anesthetic management of conjoined twins undergoing one-stage surgical separation: A single center experience

Zhong¹,

Li²,

Du³

et al. 2013

Pak J Med Sci

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Objective: To summarize our experience in the anesthetic management of conjoined twins undergoing one-stage surgical separation. Methodology: Medical records of conjoined twins admitted to our hospital for treatment and considered for surgical separation from 1996 to present were retrospectively reviewed. Four cases of conjoined twins underwent one-stage surgical separation under general anesthesia. Preoperative evaluation was performed to determine the extent of anatomical conjunction and associated anomalies. Anesthesia was simultaneously induced in all conjoined twins. The intubation procedure was successfully performed with the head slightly rotated to each baby’s side, followed by the administration of vecuronium. Anesthetic agents were administered according to the estimated weight of each baby. One case of conjoined twins underwent surgical separation with cardiopulmonary bypass due to shared hearts. Results: All conjoined twins were successfully separated. No significant respiratory or cardiac events occurred during surgery except for one twin, which died after separation because of complicated congenital heart disease. Conclusions : Accurate preoperative evaluation, respiratory and circulatory management, and close cooperation of the multidisciplinary team are important aspects of anesthetic management of conjoined twins surgery.

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Section: Discussionmentioning

confidence: 99%

Anesthetic management of conjoined twins undergoing one-stage surgical separation: A single center experience

Zhong¹,

Li²,

Du³

et al. 2013

Pak J Med Sci

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“…Testing the cross-circulation between twins can be performed by administering drugs such as glycopyrrolate to one twin and detecting the effect on the other twin. [18]…”

Section: Discussionmentioning

confidence: 99%

General anesthesia for repair of omphalocele in a pair of conjoined twins in Enugu, Nigeria

et al. 2010

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Conjoined twins have been viewed with fascination since antiquity. There are numerous reports in the literature documenting anesthetic management strategies for the separation of conjoined twins. There are also reports in the literature detailing anesthetic approaches for surgical procedures not involving separation. This is the first report of the anesthetic management of a set of omphalagous presenting for palliative repair of omphalocele in Nigeria.

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“…Goals of the anesthesia care are to pay meticulous attention to detail, monitoring, and vigilance, planning for the postoperative care in the Intensive Care Unit, by a dedicated team of anesthesiologists and intensivists for each child with duplication of all monitoring and equipment in one operating room. [4]…”

mentioning

confidence: 99%

Craniopagus twins for magnetic resonance imaging

et al. 2017

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Anaesthetic experiences in three sets of conjoined twins in King Chulalongkorn Memorial Hospital

Cited by 17 publications

References 15 publications

Anesthetic management of conjoined twins undergoing one-stage surgical separation: A single center experience

Anesthetic management of conjoined twins undergoing one-stage surgical separation: A single center experience

General anesthesia for repair of omphalocele in a pair of conjoined twins in Enugu, Nigeria

Craniopagus twins for magnetic resonance imaging

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