1.
A A Pract
; 11(3): 71-72, 2018 Aug 01.
Artigo
em Inglês
| MEDLINE
| ID: mdl-29634556
RESUMO
We present the case of the first stage of separation of 9-month-old pygopagus conjoined twins who demonstrated minimal shared vasculature on preoperative imaging and no cross-sedation or cross-neuromuscular blockade during separate inductions of anesthesia. Laparoscopy was implemented in 1 twin at a time, then in both twins simultaneously. Despite insufflation of a single-twin's abdomen, both twins demonstrated hypercapnia and signs of a concomitant respiratory acidosis because of carbon dioxide diffusion through a shared peritoneal membrane. This is the first documented case of simultaneous laparoscopy-induced pneumoperitoneum in pygopagus conjoined twins.
Assuntos
Anestesia Geral/métodos , Laparoscopia/métodos , Pneumoperitônio/diagnóstico por imagem , Gêmeos Unidos/cirurgia , Abdome , Acidose Respiratória/etiologia , Humanos , Hipercapnia/etiologia , Injeções Intraperitoneais , Insuflação , Pneumoperitônio/etiologia
2.
J Clin Anesth
; 54: 87-88, 2019 May.
Artigo
em Inglês
| MEDLINE
| ID: mdl-30412817