Abstract：
OBJECTIVE:Conjoined twin deliveries require collaborative preparation by multiple specialties for successful airway management. Literature regarding neonatal airway management after conjoined twin delivery is limited to case reports. We present a case series of conjoined twins and introduce an airway management protocol for conjoined twin delivery. METHODS:The medical records of conjoined twins and their mothers at a tertiary care center were reviewed from April 2016 to December 2018. The NCBI database was queried for literature regarding preparation for neonatal airway management after conjoined twins delivery. RESULTS:Five sets of conjoined twins were delivered. Of 10 neonates, all required bag valve mask ventilation. Other airway interventions included continuous positive airway pressure (7), endotracheal intubation (6), and direct laryngoscopy with telescopic video evaluation (1). No patients required ex-utero intrapartum treatment or emergent tracheostomy. A protocol for airway management is described and special considerations are discussed, including anatomic variations, equipment list, operating room staffing and layout, multidisciplinary prenatal conference, and airway imaging review. CONCLUSION:Conjoined twin deliveries have significant implications for the otolaryngologist and require multidisciplinary collaboration. An airway management protocol allows for a standardized process to secure the neonatal airway and optimize patient outcomes.
journal_name
Int J Pediatr Otorhinolaryngoljournal_title
International journal of pediatric otorhinolaryngologyauthors
Snoap A,Varadarajan VV,Mowitz ME,Islam S,Collins WOdoi
10.1016/j.ijporl.2020.110477subject
Has Abstractpub_date
2021-01-01 00:00:00pages
110477eissn
0165-5876issn
1872-8464pii
S0165-5876(20)30620-0journal_volume
140pub_type
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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abstract：:An exhaustive literature review of the last two decades discloses 47 laryngeal malignant neoplasms in children and adolescents. The most frequent malignant neoplasm is the embryonal variant of rhabdomyosarcoma. The timely diagnosis of a laryngeal neoplasm depends on maintaining a high index of suspicion in a patient w...
journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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更新日期：2009-12-01 00:00:00
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journal_title：International journal of pediatric otorhinolaryngology
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journal_title：International journal of pediatric otorhinolaryngology
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