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.
Girshin
Michael
M
Department of Anesthesiology, Montefiore Medical Center, Albert Einstein School of Medicine, Bronx, New York, NY, USA. mgirshin@montefiore.org
Broderick
Carlene
C
Patel
Darshana
D
Chacko
Sabeena
S
Reddy
Shamantha
S
Staffenberg
David
D
Goodrich
James
J
Wasnick
John
J
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*