Anesthetic management of staged separation of craniopagus conjoined twins.
We present a case of successful separation of craniopagus conjoined twins. The procedure was staged to permit each child to develop adequate independent cerebral venous drainage and to prevent deleterious, perioperative cerebral edema. Surgical hemorrhage, blood product delivery, and hemodilution were minimized.
Department of Anesthesiology, Montefiore Medical Center, Albert Einstein School of Medicine, Bronx, New York, NY, USA. mgirshin@montefiore.org
Michael
M
Girshin
Carlene
C
Broderick
Darshana
D
Patel
Sabeena
S
Chacko
Shamantha
S
Reddy
David
D
Staffenberg
James
J
Goodrich
John
J
Wasnick
D000758:Anesthesia / Q000379:methods*; D002550:Cerebral Veins / Q000601:surgery; D002560:Cerebrovascular Circulation; D003399:Craniotomy / Q000379:methods; D006801:Humans; D007223:Infant; D008297:Male; D012886:Skull / Q000002:abnormalities; D014428:Twins, Conjoined / Q000601:surgery*