19 October 2024
: Case report
Anesthetic Strategies and Challenges in the Separation of Pygopagus Conjoined Twins: A Case Report
Congenital defects / diseases
Roland N. Kaddoum1AEF, Sahar M. Siddik1AEF, Gloria M. Al Karaki1AEF, Samar J. Mkhayel1AEF, Marie T. Aouad1AEF*DOI: 10.12659/AJCR.944776
Am J Case Rep 2024; 25:e944776
Table 2. Intraoperative arterial blood gas analysis.
| Baseline | End of surgery | |||
|---|---|---|---|---|
| Twin A | Twin B | Twin A | Twin B | |
| pH | 7.43 | 7.36 | 7.35 | 7.29 |
| PCO | 34.8 | 39.7 | 32.8 | 42.8 |
| PO | 552.6 | 188.1 | 131.8 | 80 |
| Base Excess | −1 | −3 | −7 | −6 |
| Bicarbonate | 23 | 22 | 18 | 21 |
| SpO (%) | 99.8 | 99.5 | 98.5 | 95.4 |
| Hemoglobin | 9.7 | 9.2 | 12.1 | 10.9 |
| Hematocrit | 29 | 27 | 36 | 32 |
| Potassium | 3 | 3 | 4.0 | 3.9 |
| Sodium | 131 | 131 | 135 | 131 |
| Ionized calcium | 4.9 | 5 | 5 | 4.9 |
| Chloride | 104 | 104 | 115 | 110 |
| Glucose | 149 | 133 | 167 | 137 |
| Lactate | 0.8 | 0.8 | 0.9 | 0.7 |






