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Anaesthetic management of conjoined twins' separation surgery.
MedLine Citation:
PMID:  20640136     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Anaesthesia for conjoined twins, either for separation surgery, or for MRI or other evaluation procedures is an enormous challenge to the paediatric anaesthesiologist. This is an extra challenging surgery because we the anaesthesiologists need to care for two patients at the same time instead of just one. Anaesthesia for conjoined twins 'separation surgery mainly centered on the following concerns: 1.Conjoined Twins' physiology like crossed circulation, distribution of blood volume and organ sharing with their anaesthetic implications. 2.Long marathon surgery with massive fluid shifts and loss of blood & blood components and their rapid replenishment. 3.Meticulous planning for organized management of long hours of anaesthetic administration in two paediatric subjects simultaneously with multi surgical specialties' involvement and their unique requirements. We report the anaesthetic and intensive care management of one pair of Pygopagus separation surgery and also the review of literature and world statistics.
Authors:
Kolli S Chalam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  53     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  294-301     Citation Subset:  -    
Affiliation:
Head of Department, Anaesthesiology.
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