Anesthetic management of staged separation of craniopagus conjoined twins

Authors: GIRSHIN, MICHAEL¹; BRODERICK, CARLENE²; PATEL, DARSHANA¹; CHACKO, SABEENA¹; REDDY, SHAMANTHA¹; STAFFENBERG, DAVID³; GOODRICH, JAMES²; WASNICK, JOHN¹

Source: Paediatric Anaesthesia, Volume 16, Number 3, March 2006 , pp. 347-351(5)

Publisher: Wiley-Blackwell

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Abstract:

Summary

We present a case of successful separation of craniopagus conjoined twins. The procedure was staged to permit each child to develop adequate independent cerebral venous drainage and to prevent deleterious, perioperative cerebral edema. Surgical hemorrhage, blood product delivery, and hemodilution were minimized.

Keywords: conjoined twins; craniopagus; separation; staged; craniotomy; cerebral edema

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1460-9592.2005.01712.x

Affiliations: 1: Department of Anesthesiology 2: Department of Plastic Surgery 3: Department of Neurological Surgery at Children's Hospital, Montefiore Medical Center, Albert Einstein School of Medicine, Bronx, New York, NY, USA

Publication date: 2006-03-01