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Departments of *Anesthesia and
Surgery, Childrens Hospital; and
Departments of
Anaesthesia and
Surgery, Harvard Medical School, Boston, Massachusetts
Address correspondence and reprint requests to Christian Seefelder, MD, Department of Anesthesia, Childrens 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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