Am J Perinatol 2016; 33(04): 420-424
DOI: 10.1055/s-0035-1563713
Commentary
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Modification of the Neonatal Resuscitation Program Algorithm for Resuscitation of Conjoined Twins

Nicole K. Yamada
1   Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University, Palo Alto, California
2   Center for Advanced Pediatric and Perinatal Education, Lucile Packard Children's Hospital Stanford, Palo Alto, California
,
Janene H. Fuerch
1   Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University, Palo Alto, California
2   Center for Advanced Pediatric and Perinatal Education, Lucile Packard Children's Hospital Stanford, Palo Alto, California
,
Louis P. Halamek
1   Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University, Palo Alto, California
2   Center for Advanced Pediatric and Perinatal Education, Lucile Packard Children's Hospital Stanford, Palo Alto, California
› Author Affiliations
Further Information

Publication History

11 May 2015

27 July 2015

Publication Date:
13 October 2015 (online)

Abstract

There are no national or international guidelines for the resuscitation of conjoined twins. We have described how the U.S. Neonatal Resuscitation Program algorithm can be modified for delivery room resuscitation of omphaloischiopagus conjoined twins. In planning for the delivery and resuscitation of these patients, we considered the challenges of providing cardiopulmonary support to preterm conjoined twins in face-to-face orientation and with shared circulation via a fused liver and single umbilical cord. We also demonstrate how in situ simulation can be used to prepare a large, multidisciplinary team of health care professionals to deliver safe, efficient, and effective care to such patients.

 
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