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Anesthetic management for separation of thoracopagus twins with complex congenital heart disease: A case report
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- Authors
- Issue Date
- 2015-05
- Publisher
- 대한마취통증의학회
- Citation
- Korean Journal of Anesthesiology, Vol.68 No.3, pp.295-299
- Abstract
- Although thoracopagus twins joined at the upper chest are the most common type of conjoined twins, the separation surgery in these cases has a higher mortality rate. Here, we describe an anesthetic management approach for the separation of thoracopagus conjoined twins sharing parts of a congenitally defective heart and liver. We emphasize the importance of vigilant intraoperative hemodynamic monitoring for early detection of unexpected events. Specifically, real-time continuous monitoring of cerebral oximetry using near-infrared spectroscopy allowed us to promptly detect cardiac arrest and hemodynamic deterioration.
- ISSN
- 2005-6419
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