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PEDIATRIC ANESTHESIA

Awake Caudal Anesthesia for Inguinal Surgery in One Conjoined Twin

Christian Seefelder, MD^*,, David R. Hill, MD^*,, Robert C. Shamberger, MD^,, and Robert S. Holzman, MD^*,

Departments of *Anesthesia and Surgery, Children’s Hospital; and Departments of 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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