Anesthetic management of pygopagus conjoined twins: Techniques to evaluate cross-circulation

Mineto Kamata; Emmett Whitaker; Jason Bryant; Gail Besner; Jeffrey Leonard; Lance S. Governale; Gregory D. Pearson; Richard E. Kirschner; Richard Wood; Marc Levitt; Joseph D. Tobias

Anesthetic management of pygopagus conjoined twins: Techniques to evaluate cross-circulation

Mineto Kamata, Emmett Whitaker, Jason Bryant, Gail Besner, Jeffrey Leonard, Lance S. Governale, Gregory D. Pearson, Richard E. Kirschner, Richard Wood, Marc Levitt, Joseph D. Tobias

Research output: Contribution to journal › Article › peer-review

Abstract

Given the associated intricacies associated with surgery and anesthetic management, the care of conjoined twins requires a multidisciplinary approach. Due to the complexity of these patients, anesthetic care may be required for radiologic imaging, placement of tissue expanders, insertion of permanent or temporary vascular access devices, and definitive separation surgery. We present a case of pygopagus conjoined twins with multiple anesthetic encounters, including definitive separation surgery. The perioperative management of such patients, with emphasis on the shared circulation and airway management, is discussed.

Original language	English (US)
Pages (from-to)	6902-6910
Number of pages	9
Journal	International Journal of Clinical and Experimental Medicine
Volume	9
Issue number	3
State	Published - Mar 30 2016
Externally published	Yes

Keywords

Conjoined twins
Pediatric anesthesia
Pygopagus

ASJC Scopus subject areas

General Biochemistry, Genetics and Molecular Biology

Cite this

@article{e09f6e1c777c4b859f96ee69a5bb276e,

title = "Anesthetic management of pygopagus conjoined twins: Techniques to evaluate cross-circulation",

abstract = "Given the associated intricacies associated with surgery and anesthetic management, the care of conjoined twins requires a multidisciplinary approach. Due to the complexity of these patients, anesthetic care may be required for radiologic imaging, placement of tissue expanders, insertion of permanent or temporary vascular access devices, and definitive separation surgery. We present a case of pygopagus conjoined twins with multiple anesthetic encounters, including definitive separation surgery. The perioperative management of such patients, with emphasis on the shared circulation and airway management, is discussed.",

keywords = "Conjoined twins, Pediatric anesthesia, Pygopagus",

author = "Mineto Kamata and Emmett Whitaker and Jason Bryant and Gail Besner and Jeffrey Leonard and Governale, {Lance S.} and Pearson, {Gregory D.} and Kirschner, {Richard E.} and Richard Wood and Marc Levitt and Tobias, {Joseph D.}",

year = "2016",

month = mar,

day = "30",

language = "English (US)",

volume = "9",

pages = "6902--6910",

journal = "International Journal of Clinical and Experimental Medicine",

issn = "1940-5901",

publisher = "e-Century Publishing Corporation",

number = "3",

}

TY - JOUR

T1 - Anesthetic management of pygopagus conjoined twins

T2 - Techniques to evaluate cross-circulation

AU - Kamata, Mineto

AU - Whitaker, Emmett

AU - Bryant, Jason

AU - Besner, Gail

AU - Leonard, Jeffrey

AU - Governale, Lance S.

AU - Pearson, Gregory D.

AU - Kirschner, Richard E.

AU - Wood, Richard

AU - Levitt, Marc

AU - Tobias, Joseph D.

PY - 2016/3/30

Y1 - 2016/3/30

N2 - Given the associated intricacies associated with surgery and anesthetic management, the care of conjoined twins requires a multidisciplinary approach. Due to the complexity of these patients, anesthetic care may be required for radiologic imaging, placement of tissue expanders, insertion of permanent or temporary vascular access devices, and definitive separation surgery. We present a case of pygopagus conjoined twins with multiple anesthetic encounters, including definitive separation surgery. The perioperative management of such patients, with emphasis on the shared circulation and airway management, is discussed.

AB - Given the associated intricacies associated with surgery and anesthetic management, the care of conjoined twins requires a multidisciplinary approach. Due to the complexity of these patients, anesthetic care may be required for radiologic imaging, placement of tissue expanders, insertion of permanent or temporary vascular access devices, and definitive separation surgery. We present a case of pygopagus conjoined twins with multiple anesthetic encounters, including definitive separation surgery. The perioperative management of such patients, with emphasis on the shared circulation and airway management, is discussed.

KW - Conjoined twins

KW - Pediatric anesthesia

KW - Pygopagus

UR - http://www.scopus.com/inward/record.url?scp=84964310706&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84964310706&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84964310706

SN - 1940-5901

VL - 9

SP - 6902

EP - 6910

JO - International Journal of Clinical and Experimental Medicine

JF - International Journal of Clinical and Experimental Medicine

IS - 3

ER -

Anesthetic management of pygopagus conjoined twins: Techniques to evaluate cross-circulation

Abstract

Keywords

ASJC Scopus subject areas

Other files and links

Fingerprint

Cite this