Case Reports and Reviews: Open Access

Anesthetic Management of an Omphalopagus Conjoined Twins Separation Surgery - A Case Report

Fernando Antônio da Silva Cifuentes, Marina Ayres Delgado, Camila Biazussi Damasceno, Maíra Cota Torres, and Valéria Jorge Souza Castro

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Abstract

Conjoined twins are a rare congenital malformation associated to significant morbidity and mortality. In this article, we reported a successful anesthetic management and challenges related to the surgical separation of an omphalopagus conjoined twins. In this case, some aspects were fundamental to the positive outcome, such as a multidisciplinary approach and anticipation of complications: difficult intubation, massive blood loss, hemodynamic instability and hypothermia, for example.

Keywords: Anesthesia; Conjoined twins; Omphalopagus; Separation surgery.