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Anesthetic management of staged separation of craniopagus conjoined twins
Michael Girshin1, Carlene Broderick, Darshana Patel
1Department of Anesthesiology, Montefiore Medical Center, Albert Einstein School of Medicine, Bronx, New York, NY, USA. mgirshin@montefiore.org
Abstract:
We present a case of successful separation of craniopagus conjoined twins. The procedure was staged to permit each child to develop adequate independent cerebral venous drainage and to prevent deleterious, perioperative cerebral edema. Surgical hemorrhage, blood product delivery, and hemodilution were minimized.
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