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Updated: Aug 8, 2026
09:03
The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
Published on: August 15, 2018
Two babies, one heart, and no airway
1Wilford Hall USAF Medical Center, Department of Otolaryngology, San Antonio, TX, USA.
Summary
Managing airways in conjoined twins is complex but crucial. This case report details successful intubation and tracheotomy strategies for anteriorly joined twins, highlighting specialized techniques.
Area of Science:
- Medical Case Reports
- Pediatric Surgery
- Anesthesiology
Background:
- Airway management in conjoined twins is a critical yet under-documented aspect of surgical separation.
- Conjoined twins present unique anatomical challenges for respiratory care.
Observation:
- A case of anteriorly conjoined thoraco-omphalopagus twins sharing a heart is presented.
- Successful intubation was achieved at birth using the rigid Seldinger-assisted videotelescopic intubation (SAVI) technique.
- Flexible airway endoscopy and upright tracheotomy were employed for ongoing respiratory support.
Findings:
- The SAVI technique proved effective for emergent intubation in this complex case.
- Flexible endoscopy facilitated management of ventilator-dependent twins.
- Tracheotomy in the upright position with head rotation was successfully performed.
Implications:
- This report emphasizes the need for specialized airway management strategies for conjoined twins.
- Multidisciplinary team cooperation and meticulous monitoring are essential for successful outcomes.
- The described techniques offer valuable insights for managing similar challenging pediatric airway cases.
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