Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2011  |  Volume : 55  |  Issue : 2  |  Page : 177-180

Anaesthesia for the separation of conjoined twins


Department of Anaesthesiology and Critical Care, PT.J.N.M. Medical College and Dr. Bram Hospital, Raipur, Chhattisgarh, India

Correspondence Address:
Jaya Lalwani
"Dani Bhawan", Near Nirankari Bhawan,Idgah Bhata, Raipur - 492 001, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.79902

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Thoraco-omphalopagus is one of the most common type of conjoint twins accounting for 74% cases of conjoint twins. We report the anaesthetic management for successful separation of thoraco-omphalopagus conjoint twins, both of them surviving till date. We highlight the responsibility of anaesthesia team in anaesthetising the two individual patients simultaneously, need of careful monitoring and anticipation of complications like massive blood loss, hypotension, hypokalemia, hypoxia and hypercabia. Detailed description of successful management is reported.


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