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, T. Ezri

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)341-345
Number of pages5
JournalBritish Journal of Anaesthesia
Volume96
Issue number3
DOIs
StatePublished - Mar 2006

Keywords

  • Anaesthesia, paediatric
  • Conjoint twins
  • Monitoring, bispectral index

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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