Document Detail


Anaesthetic management of a craniopagus conjoined twin delivery.
MedLine Citation:
PMID:  18308547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the successful caesarean delivery of craniopagus conjoined twins in a 21-year-old using a neuraxial technique. Early diagnosis at 19(+5) weeks of gestation enabled thorough multidisciplinary antepartum planning. The multidisciplinary approach aimed to reduce maternal and fetal morbidity. Teams involved in the delivery included the specialities of obstetrics, neonatology, anaesthesia, paediatric neurosurgery and radiology. The delivery was complicated by an anterior placenta. The obstetricians used a J-shaped incision avoiding the placenta and making space for the fetal heads at delivery. Regional anaesthesia was used successfully in this case; although plans had been made should the mother need general anaesthesia intra-operatively. At delivery there were 17 members of the multidisciplinary team present in the operating theatre. They were from five specialities from two separate hospitals. We discuss the anaesthetic considerations for the delivery of conjoined twins and the multidisciplinary approach used in this case.
Authors:
E Drake; C Burym; D Money; D Pugash; V Gunka
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-04
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  17     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-03-18     Completed Date:  2008-05-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  174-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesia, Fetal Medicine and Radiology, BC Women's Hospital, Vancouver, Canada. edrake@cw.bc.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Epidural*
Anesthesia, Obstetrical* / methods
Anesthesia, Spinal*
Cesarean Section / methods*
Female
Humans
Patient Care Team / organization & administration
Pregnancy
Prenatal Diagnosis
Treatment Outcome
Twins, Conjoined*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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