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Conjoined Twins

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Pediatric Anesthesiology Review

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Abstract

Conjoined twins are relatively rare, but the anesthetic and surgical implications for their care are immense and complex. These anesthetics are not (generally) urgent; there is usually time to do a significant amount of planning that is required to coordinate the many teams involved in this care. Preoperative evaluation of these patients requires a detailed assessment of the shared anatomy. This chapter discusses the impact of the nature of the type of connection between the twins. The types of monitors required and the likelihood of shared anesthetic effect are described. Postoperative care as well as prognosis is explained.

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Suggested Readings

  1. Zhong H-J, Li H, Du Z-Y, Huan H, Yang T-D, Qi Y-Y. Anesthetic Management of conjoined twins undergoing one-stage surgical separation: A single center experience. Pak J Med Sci 2013;29(2):509–13.

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  2. Chalam KS. Anaesthetic Management of Conjoined Twins. Indian J Anaesth. 2009 Jun;53(3): 294–301.

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  3. Memon MI, Ali N, Ali R, Sabzwari AA. Our experience of anesthetic management for separation of craniopagus conjoined twins. Anaesth Pain and Intensive Care 2011;15(2):111–113.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Perioperative, and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA

    Joseph P. Cravero MD, FAAP

  2. Harvard Medical School, Boston, MA, USA

    Joseph P. Cravero MD, FAAP

Authors
  1. Joseph P. Cravero MD, FAAP
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Corresponding author

Correspondence to Joseph P. Cravero MD, FAAP .

Editor information

Editors and Affiliations

  1. Senior Associate in Perioperative Anesthesia, Boston Children’s Hospital, Boston, Massachusetts, USA

    Robert S. Holzman

  2. Senior Associate in Perioperative Anesthesia Critical Care Medicine and Pain Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA

    Thomas J. Mancuso

  3. Senior Associate in Perioperative Anesthesia and Pain Medicine, Boston Children’s Hospital, Boston, Massachusetts, USA

    Joseph P. Cravero

  4. Senior Associate in Cardiac Anesthesia, Chief Division of Cardiac Anesthesia, Boston Children’s Hospital, Boston, Massachusetts, USA

    James A. DiNardo

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© 2017 Springer International Publishing AG

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Cravero, J.P. (2017). Conjoined Twins. In: Holzman, R., Mancuso, T., Cravero, J., DiNardo, J. (eds) Pediatric Anesthesiology Review. Springer, Cham. https://doi.org/10.1007/978-3-319-48448-8_22

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  • DOI: https://doi.org/10.1007/978-3-319-48448-8_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48447-1

  • Online ISBN: 978-3-319-48448-8

  • eBook Packages: MedicineMedicine (R0)

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