| Anaesthetic management of a craniopagus conjoined twin delivery. | |
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MedLine Citation:
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PMID: 18308547 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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E Drake; C Burym; D Money; D Pugash; V Gunka |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-03-04 |
Journal Detail:
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Title: International journal of obstetric anesthesia Volume: 17 ISSN: 1532-3374 ISO Abbreviation: Int J Obstet Anesth Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-03-18 Completed Date: 2008-05-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200430 Medline TA: Int J Obstet Anesth Country: Netherlands |
Other Details:
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Languages: eng Pagination: 174-6 Citation Subset: IM |
Affiliation:
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Department of Anesthesia, Fetal Medicine and Radiology, BC Women's Hospital, Vancouver, Canada. edrake@cw.bc.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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