• Theodore G Wong, Biauw-Chi Ong, Claire Ang, and Huei-Leng Chee.
• Department of Anesthesia and Surgical Intensive Care, Singapore General Hospital, Singapore. wong_ted@hotmail.com
• Anesth. Analg. 2003 Oct 1; 97 (4): 999-1002, table of contents.

UnlabelledCraniopagus twinning is a rare form of the already uncommon entity of conjoint twins. With advances in medical technology and expertise, future attempts at surgical separation of these increasingly complex cases are likely to occur. Despite this, medical literature on the anesthetic management of these cases is sparse. The following case report details the anesthetic management and planning leading to and including the 5-dy separation of 11-mo-old craniopagus twins. The report emphasizes the importance of teamwork, communication, and advanced planning required in cases such as this.ImplicationsThe following case report documents the anesthetic planning and management leading to and including a 5-day separation of twins joined at the head. This case report also details the difficulties encountered during the unique combination of a rarely performed procedure and a long operating time.

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