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Anaesthesia for the separation of conjoined twins
Authors:R.M. TOWEY  A.K.L. KISIA  S. JACOBACCI  MUASA MUOKI
Affiliation:R.M. Towey, MB ChB, FFARCS, Lecturer, Department of Surgery (Anaesthesia), A.K.L. Kisia, MB ChB, FFARCS Consultant Anaesthetist, S. Jacobacci, MD, Consultant Anaesthetist, and Muasa Muoki, MB ChB, DA, Consultant Anaesthetist Kenyatta National Hospital, Nairobi. Correspondence should be addressed to Dr R.M. Towey who is now Senior Registrar Anaesthetist, St Thomas' Hospital, London SE1 7EH.
Abstract:Anaesthesia for separation of thoracopagus twins is described. One twin died 10 hr postoperatively and was found to have an undiagnosed coarctation of the aorta. The second twin required long term respiratory support and survived. The anaesthetic management and postoperative care are discussed.
Keywords:ANAESTHESIA    paediatric    SURGERY    conjoined twins
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