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Anesth Analg 2003;97:999-1002
© 2003 International Anesthesia Research Society

PEDIATRIC ANESTHESIA

Anesthetic Management for a Five-Day Separation of Craniopagus Twins

Theodore G. Wong, MD FRCPC, Biauw-Chi Ong, MBBS MMED, Claire Ang, MBBS MMED, and Huei-Leng Chee, MBBS MMED

Department of Anesthesia and Surgical Intensive Care, Singapore General Hospital

Address correspondence and reprint requests to Ted Wong, MD, FRCPC, Department of Anesthesia and Surgical Intensive Care, Singapore General Hospital, Outram Rd., Singapore 169608. Address e-mail to wong_ted{at}hotmail.com

Craniopagus twinning is a rare form of the already uncommon entity of conjoint twins. With advances in medical technology and expertise, future attempts at surgical separation of these increasingly complex cases are likely to occur. Despite this, medical literature on the anesthetic management of these cases is sparse. The following case report details the anesthetic management and planning leading to and including the 5-dy separation of 11-mo-old craniopagus twins. The report emphasizes the importance of teamwork, communication, and advanced planning required in cases such as this.

IMPLICATIONS: The following case report documents the anesthetic planning and management leading to and including a 5-day separation of twins joined at the head. This case report also details the difficulties encountered during the unique combination of a rarely performed procedure and a long operating time.




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J. L. Stone and J. T. Goodrich
The craniopagus malformation: classification and implications for surgical separation
Brain, May 1, 2006; 129(5): 1084 - 1095.
[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.