Yousuf Muhammad Saad, Shamim Faisal, Dogar Samie Asghar, Khan Fauzia Anis
From the Department of Anaesthesiology, Aga Khan University, Karachi, Sindh, Pakistan.
A A Case Rep. 2016 Oct 15;7(8):181-183. doi: 10.1213/XAA.0000000000000380.
Anesthetic management of the conjoined twins in the radiology suite presents some unique problems for anesthesia. We report a case of 3-month and 10-day-old xiphopagus twins undergoing computed tomography scan under general anesthesia. The issues in their management in radiology included the unknown effects of anesthetic agents on circulation because of sharing of organs, duplication of staff, equipment in a limited space, placing the children on the scan table, airway control and ventilator management, and changeover of equipment during procedure.
联体双胎在放射科进行麻醉管理时面临一些独特的麻醉问题。我们报告一例3个月零10天大的剑突联体双胎在全身麻醉下接受计算机断层扫描的病例。对他们在放射科进行管理时面临的问题包括:由于器官共用,麻醉药物对循环系统的未知影响;人员重复配置;有限空间内的设备;将患儿放置在扫描台上;气道控制和通气管理;以及在操作过程中更换设备。