Conjoint twins are rare anomalies unique to multiple prgnancies. this rare conditions occurs in 1:200 monozygotic twin pregnancies, 1:900 twin pregnancies and 1:25,0000 to 100,000 births. Data regarding rare obstetric anomaly is sparse and intrapartal management is all the more lacking. This is a case report of a 39-years-old, multigavid woman was diagnosed to have conjoint twins based on early ultrasound findings. On her 37th week of gestation she was admitted for elective cesarean section. Abdominal delivery was done under spinal anesthesia with bupivacaine hyperbaric 0.5% 15 mg with morphine sulfate 0.032%. The male conjoint twins were delivered via primary classical incision. The monochorionic, mono-amniotic placenta was manually extracted one minute after delivery with no gross abnormalities. Both babies has apgar scores of 9 remaining 9 at 1 and 5 minutes. they had an agregate weight of 4000 grams and were assessed to be 37 weeks by pediatric aging.
Human ; Female ; Adult ; TWINS, CONJOINED ; PREGNANCY, TWIN ; ANESTHESIA, SPINAL ; TWINS ; CESAREAN SECTION ; ANESTHESIA, LOCAL

As a designated COVID-19 referral center, managing COVID-19 patients who will require respiratory support was expected. This paper describes how the University of the Philippines - Philippine General Hospital Department of Anesthesiology created and continuously revised airway management guidelines for these patients in light of the constantly evolving COVID-19 pandemic.

COVID-19 ; SARS-CoV-2 ; Intubation ; Developing Countries

Ankyloblepharon-ectodermal dysplasia-clefting (AEC) syndrome is an ectodermal dysplasia presenting with cleft lip or palate and congenital filiform eyelid fusion. This is a case report of a 1-year and 6-month-old girl with AEC syndrome presenting with temporomandibular joint ankylosis who underwent release of temporomandibular joint ankylosis, coronoidectomy, bilateral cheiloplasty, Tajima rhinoplasty, and repair of lower lip pits under general anesthesia. Fiberoptic nasotracheal intubation was done successfully using a two-stage technique originally described by Stiles. As necessitated by the surgical plan, video laryngoscope guidance was subsequently used to facilitate the conversion from nasotracheal to orotracheal intubation.

Ectodermal Dysplasia ; Temporomandibular ankylosis ; Airway Management

Transoral robotic surgery (TORS) is a minimally invasive surgical technique that has recently gained popularity. This involves the use of a robotic system to access and operate on hard-to-reach areas of the body, such as the base of tongue and pharynx. General anesthesia is the technique of choice in TORS as this procedure poses unique challenges due to the patient's airway anatomy, the need for precise surgical movements, and the potential for postoperative complications. Awake fiberoptic intubation (AFOI) is the gold standard for an anticipated difficult airway. This case report describes the anesthetic management for a patient undergoing TORS for a tongue base mass.
Anesthesia