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

doi: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

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

^*Corresponding author for this work

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

18 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 language	English
Pages (from-to)	341-345
Number of pages	5
Journal	British Journal of Anaesthesia
Volume	96
Issue number	3
DOIs	https://doi.org/10.1093/bja/aei313
State	Published - Mar 2006

Keywords

Anaesthesia, paediatric
Conjoint twins
Monitoring, bispectral index

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AU - Smith, K. J.

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AU - Ezri, T.

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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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Keywords

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