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Canadian Journal of Anesthesia, Vol 32, 402-411, Copyright © 1985 by Canadian Anesthesiologists' Society

Clinical Reports: Anaesthetic Considerations for Separation of Omphalo-Ischiopagus Tripus Twins

P. D. JAMES MBBS FFARCS1, J. LERMAN MD FRCPC1, M. E. McLEOD MD FRCPC1, J.E. S. RELTON MB FRCPC FFARCS1, and R. E. CREIGHTON MD FRCPC1

1 Department of Anaesthesia, The Hospital for Sick Children, Toronto, Ontario

Address correspondence to: Dr. J. Lerman, Department of Anaesthesia, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8.

Anaesthesia for the separation of conjoined twins requires a multi-disciplinary team approach. We describe the anaesthetic management of a single-stage separation of 21/2-year-old omphalo-ischiopagus tripus conjoined twins. The successful 171/2-hour operation was conducted by five anaesthetists and 38 surgeons and nurses. Two major problems were encountered: massive blood loss in both twins (requiring transfusions of more than five and seven times their blood volumes) and a transient decrease in core temperatures after separation.

Key Words: ANAESTHETICS: paediatric • GENETIC FACTORS: conjoined twins






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Copyright © 1985 by the Canadian Anesthesiologists' Society.