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Anesth Analg 2003;96:412-413
© 2003 International Anesthesia Research Society


PEDIATRIC ANESTHESIA

Awake Caudal Anesthesia for Inguinal Surgery in One Conjoined Twin

Christian Seefelder, MD*,{dagger}, David R. Hill, MD*,{dagger}, Robert C. Shamberger, MD{ddagger},§, and Robert S. Holzman, MD*,{dagger}

Departments of *Anesthesia and {ddagger}Surgery, Children’s Hospital; and Departments of {dagger}Anaesthesia and §Surgery, Harvard Medical School, Boston, Massachusetts

Address correspondence and reprint requests to Christian Seefelder, MD, Department of Anesthesia, Children’s Hospital, 300 Longwood Ave., Boston, MA 02115. Address e-mail to christian.seefelder{at}tch.harvard.edu

IMPLICATIONS: Conjoined twins have some cross-circulation, which makes general anesthesia for only one patient impossible. Using caudal anesthesia in the awake patient, we were able to provide anesthesia for an inguinal central venous catheter placement in one patient without having to unnecessarily anesthetize the other twin.




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C. F. Tirotta, R. Lagueruela, H. M. Munro, E. M. Zahn, L. Lopez, and R. P. Burke
Anesthetic Management of Conjoined Twins Presenting for Palliative Open-Heart Surgery
Anesth. Analg., July 1, 2005; 101(1): 44 - 47.
[Abstract] [Full Text] [PDF]




Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.