{"title":"接受磁共振成像的连体婴儿的非手术室麻醉：病例报告","authors":"Gezy Giwangkancana , Michael Dominica Salim Liem","doi":"10.1016/j.pcorm.2024.100373","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>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.</p></div><div><h3>Case</h3><p>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.</p></div><div><h3>Conclusion</h3><p>A comprehensive understanding of NORA, the requirements of an MRI suite, and the physiology of conjoined twins is essential to ensure safe anesthesia.</p></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"35 ","pages":"Article 100373"},"PeriodicalIF":0.0000,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Non-operating room anesthesia in conjoined twins undergoing magnetic resonance imaging: A case report\",\"authors\":\"Gezy Giwangkancana , Michael Dominica Salim Liem\",\"doi\":\"10.1016/j.pcorm.2024.100373\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>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.</p></div><div><h3>Case</h3><p>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.</p></div><div><h3>Conclusion</h3><p>A comprehensive understanding of NORA, the requirements of an MRI suite, and the physiology of conjoined twins is essential to ensure safe anesthesia.</p></div>\",\"PeriodicalId\":53468,\"journal\":{\"name\":\"Perioperative Care and Operating Room Management\",\"volume\":\"35 \",\"pages\":\"Article 100373\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perioperative Care and Operating Room Management\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2405603024000074\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Nursing\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perioperative Care and Operating Room Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405603024000074","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
Non-operating room anesthesia in conjoined twins undergoing magnetic resonance imaging: A case report
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.
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.
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