• Br J Anaesth · Mar 2006

    Case Reports

    Anaesthetic management of thoracopagus twins with complex cyanotic heart disease for cardiac assessment: special considerations related to ventilation and cross-circulation.

    • P Szmuk, M F Rabb, B Curry, K J Smith, M R Lantin-Hermoso, and T Ezri.
    • Department of Anesthesiology, University of Texas Medical School at Houston, TX 77030, USA. pszmuk@gmail.com
    • Br J Anaesth. 2006 Mar 1;96(3):341-5.

    AbstractWe describe the anaesthetic management of a pair of thoracopagus twins of 14 months of age undergoing complex cardiac evaluation. Synchronous ventilation of the twins, needed for the ECG-gated magnetic resonance imaging-angiography, was achieved through a Carlens (Y) adaptor during procedures and transport. The complex logistical implications are obvious. We also describe the first use of bispectral index monitor for detection of cross-circulation in conjoint twins.

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