Anesthetic Management for Surgical Separation of Thoracopagus Twins

Thoraco-Omphalopagus Conjoined Twins: A Case Report

“…Planning should be done for prenatal monitoring and postnatal care if the parents want to carry the pregnancy to term. Separation of the twins should be done under a specialised team that includes pediatric surgeons, cardiac surgeons, anesthesiologists, intensive care specialists, neonatologists, and radiologists [14,15].…”

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

“…from Maryland in 1957 (5). Subsequently, many reports of anaesthetic management of conjoined twins have been published, including MRI study and separation (6–17). Cardiopulmonary bypass and combined caudal and general anaesthesia for separations of conjoined twins have also been used (15,17).…”

Anestesia para separação de gêmeos isquiópagos no período neonatal: relato de caso

“…A reposição volêmica e a perda sangüínea devem ser avaliadas passo a passo. Constituem motivos de grande preocupação neste tipo de cirurgia, principalmente quando existem órgãos únicos envolvidos, como o coração e o fígado 2,7, [17][18][19][20] . No presente caso, apesar de não se ter observado este tipo de problema, isto é, coração e fígado eram órgãos duplos, avaliamos a reposição observando os sinais vitais das crianças, separadamente.…”

“…The difference in body fluid compartments size, the low muscle mass and the low fat deposits, in addition to higher blood flow per organ unit of weight, influence drugs spread to the active site and the secondary distribution Volume replacement and blood loss should be evaluated step by step. These are major concerns in this type of surgery, especially when there is involvement of single organs, such as heart and liver 2,7, [17][18][19][20] . In our case, although not having this problem, that is, heart and liver were double organs, we have evaluated replacement by observing children's vital signs separately.…”