Our experience with anesthetic management of conjoined twins' separation surgery Article Swipe
Richa Hirendra
,
Amber Rawat
,
AnilK Paswan
,
Vaibhav Pandey
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.4103/sja.sja_142_19
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.4103/sja.sja_142_19
Conjoined twins are one of the most fascinating human malformations. Here, we report the anesthetic management and challenges faced in performing the successful separation surgery of 4-day-old thoraco-omphalopagus conjoined twins, born at term to a multigravida by elective caesarean section weighing 3.5 kg with APGAR score of more than 7. Computerized tomography scan revealed fused anterior surface of the left lobe of liver with common left portal vein. Confirmation of cross-circulation between the twins was done by giving intravenous midazolam to one of the conjoined twins, but no effect seen in the other one. We highlighted the responsibility of anesthesia team in anesthetizing sequentially the two patients who are joined together, technical difficulty of intubating the twins facing each other, need of careful monitoring, anticipation of complications such as massive blood loss, hemodynamic instability, desaturation, and hypothermia, and preparedness for their management and vigilant postoperative care.
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Metadata
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.4103/sja.sja_142_19
- OA Status
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- References
- 8
- Related Works
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All OpenAlex metadata
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https://openalex.org/W2999924668Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/sja.sja_142_19Digital Object Identifier
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Our experience with anesthetic management of conjoined twins' separation surgeryWork title
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articleOpenAlex work type
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enPrimary language
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2020Year of publication
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2020-01-01Full publication date if available
- Authors
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Richa Hirendra, Amber Rawat, AnilK Paswan, Vaibhav PandeyList of authors in order
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https://doi.org/10.4103/sja.sja_142_19Publisher landing page
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://doi.org/10.4103/sja.sja_142_19Direct OA link when available
- Concepts
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Medicine, Conjoined twins, Midazolam, Anesthesia, Caesarean section, Surgery, Anesthetic, Pregnancy, Sedation, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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8Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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