Non-operating room anesthesia in conjoined twins undergoing magnetic resonance imaging: A case report

Q2 Nursing Perioperative Care and Operating Room Management Pub Date : 2024-02-14 DOI:10.1016/j.pcorm.2024.100373

Gezy Giwangkancana , Michael Dominica Salim Liem

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Abstract

Introduction

The administration of anesthesia during magnetic resonance imaging (MRI) of conjoined twins requires knowledge of safe non-operating room anesthesia (NORA) for pediatrics, as well as intricate details on conjoint twin positioning, pharmacodynamics, and risk assessment. This report provides a detailed account of our efforts to simultaneously manage two pediatric patients as conjoined twins outside of the operating room.

Case

A pair of ten-month-old, conjoined twins with fused chests and abdomens were admitted for an MRI. The medical team ensured their safety by preparing two sets of pediatric anesthesia, complete with MRI-grade monitoring kits, intravenous anesthetic syringes, and airway tools. In addition, the team modified a second oxygen source for the second baby and administered intravenous anesthesia. Throughout the procedure, they monitored ventilation using direct MRI sequence diaphragmatic motion to ensure the twins' well-being.

Conclusion

A comprehensive understanding of NORA, the requirements of an MRI suite, and the physiology of conjoined twins is essential to ensure safe anesthesia.

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接受磁共振成像的连体婴儿的非手术室麻醉：病例报告

导言在对连体双胞胎进行磁共振成像（MRI）时实施麻醉，需要掌握儿科安全非手术室麻醉（NORA）的知识，以及连体双胞胎定位、药效学和风险评估的复杂细节。本报告详细介绍了我们在手术室外同时对两名儿科连体婴儿患者进行管理的过程。医疗团队准备了两套儿科麻醉设备，包括核磁共振成像级监测套件、静脉麻醉注射器和气道工具，以确保他们的安全。此外，医疗小组还为第二个婴儿改装了第二个氧气源，并进行了静脉麻醉。结论全面了解 NORA、磁共振成像室的要求以及连体婴儿的生理特点对确保麻醉安全至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.