Open AccessAnaesthetic challenges in conjoined twins′ separation surgery
Author(s) -
Suvarna Kaniyil,
Priyanka Pavithran,
Kamal K. Mubarak,
Taznim Mohamed
Publication year - 2016
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.193685
Subject(s) - conjoined twins , medicine , hypothermia , anticipation (artificial intelligence) , intensive care , blood loss , multidisciplinary approach , surgery , etiology , intensive care medicine , anesthesia , computer science , social science , artificial intelligence , sociology , psychiatry
Conjoined twins are a rare congenital anomaly of unknown aetiology. We report the successful anaesthetic management of separation of ischiopagus tetrapus conjoined twins. The importance of a multidisciplinary approach, thorough pre-operative evaluation and planning, vigilant monitoring and anticipation of complications such as massive blood and fluid loss, haemodynamic instability, hypothermia and intensive, post-operative care are emphasised.