Journal Article

Anaesthetic management of thoracopagus twins with complex cyanotic heart disease for cardiac assessment: special considerations related to ventilation and cross-circulation

P. Szmuk, M. F. Rabb, B. Curry, K. J. Smith, M. R. Lantin-Hermoso and T. Ezri

in BJA: British Journal of Anaesthesia

Published on behalf of the British Journal of Anaesthesia

Volume 96, issue 3, pages 341-345
Published in print March 2006 | ISSN: 0007-0912
Published online January 2006 | e-ISSN: 1471-6771 | DOI: https://dx.doi.org/10.1093/bja/aei313
Anaesthetic management of thoracopagus twins with complex cyanotic heart disease for cardiac assessment: special considerations related to ventilation and cross-circulation

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We describe the anaesthetic management of a pair of thoracopagus twins of 14 months of age undergoing complex cardiac evaluation. Synchronous ventilation of the twins, needed for the ECG-gated magnetic resonance imaging-angiography, was achieved through a Carlens (Y) adaptor during procedures and transport. The complex logistical implications are obvious. We also describe the first use of bispectral index monitor for detection of cross-circulation in conjoint twins.

Keywords: anaesthesia, paediatric; conjoint twins; monitoring, bispectral index

Journal Article.  2837 words.  Illustrated.

Subjects: Anaesthetics

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