The "conjoined" separation of the head is successful. How difficult is this anesthesia?

Recently, a pair of twins in Brazil successfully separated in the UK in the UK, which is a miracle on earth. Even if it is highly developed today, this is not a simple matter.

If it is simply in terms of surgery, there are many difficulties in surgery. However, the greater challenge is how to make children survive.

Whether it can survive after surgery depends on whether the body has an important organ and whether there is serious complications. But these prerequisites are whether they can spend smoothly during the operation. Because there may be an important organs between the conjoined children, how to ensure that both children are stable during the operation is a key issue.

In addition, the problem of traffic blood flow between the two children may not only cause abnormal drug effects, but also cause abnormal blood pressure. For blood transfusion and infusion, it is a question to give and how much to lose and lose. Any details may be lost, or they may lose all.

Seeing this picture, I believe everyone is shocked? How should this anesthesia be?

People who are not anesthesia may say: Hatant medicine!

Not so easy. Hitting medicine is easy, but how to ensure safety is the key. Undoubtedly, this way of anesthesia must be all chosen. To be anesthesia, we must consider how to ensure the safety of the two children's breathing. Therefore, once the anesthetic enters the body, it may be limited, breathing may be insufficient, suspended, or even suffocation.

Most of the ways to ensure the safety of the respiratory tract are mostly used. On this issue, I believe it will definitely arouse the fierce debate of the masters: some people say that inserting two throat masks, this operation is easy to achieve; some people say that the intubation of the trachea is safer.

There is a consensus in the anesthesia: there is no best technology, only the most suitable technology. This is not only suitable for patients, but also suitable for anesthesia. Suppose a technology is excellent, but it is not advisable to be good at this technology.

How to use medicine?

Since the development of these two children is almost the same, the anesthesia medication can be regarded as two independent and heavy individuals. If there is an estimated child weak, then use the weak as the standard at the same time. Therefore, the two groups of anesthesiologists must start anesthesia together.

In terms of specific medication, it is better not to be deep. Anesthesia may have more advantages in this regard.

If you are worried about the possible difficulties, the anesthesia on the sober surface is preferred.

How to insert it?

From the perspective of the two children's heads, it is impossible to cause a movement back. Therefore, do not hope that there will be backward on the head. In addition, because the intubation can only be performed on the side, the guidance of the fibrous mirror may be a good choice.

The maintenance of blood transfusion and body temperature during the operation is another challenge for anesthesia anesthesia.

The separation of the conjoined arteries is complicated, and the surgery time is often longer. Coupled with the cyclic cross between conjoined children, the blood transfusion and hydraulic and the low temperature that occurs makes this anesthesia extremely difficult. This kind of difficulty may only be anesthesia anesthetic physician.

In addition, "blood stealing" may cause hypertrophic capacity shock due to blood vessel diversion and cycle crossing. Therefore, two sets of monitoring measures and creative monitoring are necessary. Real -time dynamic blood flow dynamic monitoring can allow anesthesia doctors to discover danger at the first time and deal with it as soon as possible. In addition, the separation and ligation of hemopathy in the early days of surgery also avoid interference between two children to a certain extent.

The probability of millions of one -millionth is on these two children. They are unfortunate, but at the same time are lucky, I wish them healthy growth!

[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~

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