Skip to main content
 

Main menu

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Open Forum
    • 2023 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • The Journal

User menu

  • Subscribe
  • My alerts
  • Log in

Search

  • Advanced search
American Association for Respiratory Care
  • Subscribe
  • My alerts
  • Log in
American Association for Respiratory Care

Advanced Search

  • Home
  • Content
    • Current Issue
    • Editor's Commentary
    • Archives
    • Most-Read Papers of 2022
  • Authors
    • Author Guidelines
    • Submit a Manuscript
  • Reviewers
    • Reviewer Information
    • Create Reviewer Account
    • Reviewer Guidelines: Original Research
    • Reviewer Guidelines: Reviews
    • Appreciation of Reviewers
  • CRCE
    • Through the Journal
    • JournalCasts
    • AARC University
    • PowerPoint Template
  • Open Forum
    • 2023 Open Forum
    • 2023 Abstracts
    • Previous Open Forums
  • Podcast
    • English
    • Español
    • Portugûes
    • 国语
  • Videos
    • Video Abstracts
    • Author Interviews
    • The Journal
  • Twitter
  • Facebook
  • YouTube
Meeting ReportNeonatal/Pediatrics

Multidisciplinary Preparation for the Delivery of Craniopagus Conjoined Twins

Ashley Volp, Brian James Smith, Christa Bedford-Mu, Aaron Lee and Lee T Donohue
Respiratory Care October 2021, 66 (Suppl 10) 3605626;
Ashley Volp
Respiratory care, UC Davis, Sacramento, California, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Brian James Smith
Respiratory care, UC Davis, Sacramento, California, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christa Bedford-Mu
Neonatal Intensive Care Unit, UC Davis, Sacramento, California, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Aaron Lee
Center for health technology, UC Davis, Sacramento, California, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lee T Donohue
Neonatology, UC Davis, Sacramento, California, United States
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • References
Loading

Abstract

Background: Craniopagus twins joined at the head are an uncommon malformation found once in 2.5 million live births. Beyond findings from the Joint Commission on Accreditation of Health Organizations (JCAHO), there is limited evidence to inform best practices for successful preparation for delivery and management of craniopagus twins. JCAHO identified several root causes related to perinatal death; including poor communication, failure to function as a team, and poor training processes. UC Davis Children’s Hospital successfully delivered and managed craniopagus twins.

Methods: Anonymous surveys were distributed post-delivery to a multi-disciplinary team. Ten of the 13-team members had previously participated in mock deliveries. In preparation for the delivery of craniopagus twins fetal MRI imaging was reviewed to understand and produce anatomically correct positioning. Neonatal training mannequins were fabricated utilizing existing mannequins and the findings of fetal MRI imaging. Preparation required proper identification of each baby. Babies were designated to indicate the location of skull fusion. Baby Orange being fused along its occipital bone and baby Purple fused along its parietal bone. Multidisciplinary delivery team members participated in mock deliveries lasting 2 hours each; completed 3 weeks prior to delivery. Teams were configured utilizing color coding to facilitate closed loop communication. Anticipated requirement of cardiorespiratory support including CPAP and intubation were included. Babies were born at 36 weeks gestation and transitioned to the NICU; Baby Orange, utilizing customized headgear required bubble CPAP and Baby Purple on room air. Post-delivery surveys and team debriefing were conducted. IRB exemption as well as family consent was obtained.

Results: Thirteen surveys were returned. Ten of the 13 (77%) team members participated in simulated deliveries. 100% of respondents agreed that color coding of teams was helpful to distinguish team members during resuscitation of the infants and helped facilitate good communication with less confusion. 100% of respondents agreed mock mannequins created for simulated delivery were accurate.

Conclusions: Multidisciplinary planning and simulation training for the delivery of craniopagus conjoined twins including mannequin representation was beneficial for preparation of the delivery team. The experience of UC Davis Children’s Hospital will serve as a guide for future craniopagus twin delivery preparation worldwide.

Footnotes

  • Commercial Relationships: None

  • Copyright © 2021 by Daedalus Enterprises
PreviousNext
Back to top

In this issue

Respiratory Care
Vol. 66, Issue Suppl 10
1 Oct 2021
  • Table of Contents
  • Index by author

 

Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Association for Respiratory Care.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Multidisciplinary Preparation for the Delivery of Craniopagus Conjoined Twins
(Your Name) has sent you a message from American Association for Respiratory Care
(Your Name) thought you would like to see the American Association for Respiratory Care web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Multidisciplinary Preparation for the Delivery of Craniopagus Conjoined Twins
Ashley Volp, Brian James Smith, Christa Bedford-Mu, Aaron Lee, Lee T Donohue
Respiratory Care Oct 2021, 66 (Suppl 10) 3605626;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Multidisciplinary Preparation for the Delivery of Craniopagus Conjoined Twins
Ashley Volp, Brian James Smith, Christa Bedford-Mu, Aaron Lee, Lee T Donohue
Respiratory Care Oct 2021, 66 (Suppl 10) 3605626;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Info & Metrics
  • References

Related Articles

Cited By...

Info For

  • Subscribers
  • Institutions
  • Advertisers

About Us

  • About the Journal
  • Editorial Board

AARC

  • Membership
  • Meetings
  • Clinical Practice Guidelines

More

  • Contact Us
  • RSS
American Association for Respiratory Care

Print ISSN: 0020-1324        Online ISSN: 1943-3654

© Daedalus Enterprises, Inc.

Powered by HighWire