title: Anaesthetic challenges in conjoined twins' separation surgery.
abstract: Conjoined twins are a rare congenital anomaly of unknown aetiology. We report the successful anaesthetic management of separation of ischiopagus tetrapus conjoined twins. The importance of a multidisciplinary approach, thorough pre-operative evaluation and planning, vigilant monitoring and anticipation of complications such as massive blood and fluid loss, haemodynamic instability, hypothermia and intensive, post-operative care are emphasised.
authors.affiliation: Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India.
authors.forename: Suvarna
authors.initials: S
authors.lastname: Kaniyil
authors.affiliation: Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Pavithran
authors.affiliation: Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India.
authors.forename: K K
authors.initials: KK
authors.lastname: Mubarak
authors.affiliation: Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India.
authors.forename: Taznim
authors.initials: T
authors.lastname: Mohamed
keywords: Anaesthesia; conjoined twins; separation