Open AccessAnaesthesia for the separation of conjoined twins
Author(s) -
Jaya Lalwani,
KP Dubey,
Pratibha Jain Shah
Publication year - 2011
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 - 10.4103/0019-5049.79902
Subject(s) - conjoined twins , medicine , anesthesia , conjoint analysis , anticipation (artificial intelligence) , hypokalemia , hypoxia (environmental) , surgery , artificial intelligence , computer science , preference , chemistry , organic chemistry , oxygen , economics , microeconomics
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.