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Pannacci I, de Laurentis C, Cristaldi P, Renzetti T, Armani R, Pianura L, Recchiuti V, Carlesi A, Santato F, Franci M, Serafini L, Latini B, Marras CE. Craniopagus: a proposed nursing care protocol. Nurs Child Young People 2024; 36:25-33. [PMID: 37842792 DOI: 10.7748/ncyp.2023.e1485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/18/2023] [Indexed: 10/17/2023]
Abstract
Craniopagus is a rare condition in which the skulls of conjoined twins, and the neurovascular structures in their skulls, are incompletely separated. Separation surgery is complex and requires a range of skills and expertise, including from all the nursing teams involved. A multidisciplinary group of professionals in a tertiary paediatric care setting in Italy developed a comprehensive protocol for the nursing care of craniopagus twins in hospital, informed by the findings of a literature review and the expertise of its members. The protocol was applied to the management of a pair of craniopagus twins who successfully underwent separation surgery at the authors' hospital. The protocol describes the crucial role of nurses in the care of craniopagus twins and their families before, during and after separation surgery.
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Affiliation(s)
- Ilaria Pannacci
- operating room and intensive care unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Camilla de Laurentis
- medicine and health department, Milano-Bicocca University, Milan, and neurosurgery unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Paola Cristaldi
- neurosurgery unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Tommaso Renzetti
- neurosurgery unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Riccarda Armani
- operating room and intensive care unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Luca Pianura
- department of intensive and robotic neurorehabilitation, Bambino Gesù Children's Hospital, Rome, Italy
| | - Veronica Recchiuti
- department of intensive and robotic neurorehabilitation, Bambino Gesù Children's Hospital, Rome, Italy
| | - Adelina Carlesi
- department of intensive and robotic neurorehabilitation, Bambino Gesù Children's Hospital, Rome, Italy
| | - Francesca Santato
- clinical psychology unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Marina Franci
- intensive care unit, Bambino Gesù Children's Hospital, Rome, Italy
| | - Laura Serafini
- operating room, Bambino Gesù Children's Hospital, Rome, Italy
| | - Barbara Latini
- department of intensive and robotic neurorehabilitation, Bambino Gesù Children's Hospital, Rome, Italy
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DeBoer SL, Jaracz G, Lass N. Did you bring two isolettes? Transport of conjoined twins. Air Med J 1999; 18:35-7. [PMID: 10345783 DOI: 10.1016/s1067-991x(99)90007-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- S L DeBoer
- UCAN, University of Chicago Hospitals, IL, USA
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