Unusual Resistance to Intravenous Anesthetic Drugs in a Rachipagus Infant: A Case Report.
Humans
Twins, Conjoined
Anesthetics, Intravenous
/ administration & dosage
Propofol
/ administration & dosage
Infant, Newborn
Drug Resistance
Infant
Fentanyl
/ administration & dosage
Male
Computed Tomography Angiography
Thiopental
/ administration & dosage
Anesthesia, General
Ketamine
/ administration & dosage
Female
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
01 Nov 2024
01 Nov 2024
Historique:
medline:
31
10
2024
pubmed:
31
10
2024
entrez:
31
10
2024
Statut:
epublish
Résumé
In conjoined twins when one of the twins is incompletely formed and is dependent on the healthy counterpart for survival, they are described as heteropagus (parasitic) twins. Rachipagus is a type of parasitic twin joined at the spine above the sacrum. Such neonates can present with complex problems related to anesthesia. We encountered one such infant for a routine contrast-enhanced computed tomography (CECT) angiography under sedation. The infant was resistant to multiple anesthetic drugs like fentanyl, propofol, and ketamine. Later general anesthesia was induced with thiopentone sodium, and the procedure went on uneventfully.
Identifiants
pubmed: 39480043
doi: 10.1213/XAA.0000000000001866
pii: 02054229-202411000-00001
doi:
Substances chimiques
Anesthetics, Intravenous
0
Propofol
YI7VU623SF
Fentanyl
UF599785JZ
Thiopental
JI8Z5M7NA3
Ketamine
690G0D6V8H
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e01866Informations de copyright
Copyright © 2024 International Anesthesia Research Society.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
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