# Neonatal Air Transport of Thoraco-Omphalopagus Conjoined Twins: A Case of Adaptation and Multidisciplinary Coordination

## TL;DR

This paper describes the rare and complex transport of conjoined twins requiring specialized medical and logistical adaptations for safe transfer.

## Contribution

The study presents a novel approach to neonatal transport for thoraco-omphalopagus conjoined twins with no existing guidelines.

## Key findings

- Aircraft configuration was modified to provide adequate ventilation for both twins during transport.
- The transport was completed successfully with no complications and the twins received specialized care at the destination.
- Innovative solutions are essential for adapting neonatal transport for multiple critically ill patients.

## Abstract

Background: The emergency transport of thoraco-omphalopagus conjoined twins is a rare occurrence in the medical field of emergency medicine with no specific guidelines on which medical personnel can rely upon. We present to you the case of the transport of thoraco-omphalopagus conjoined twins. Methods: Important changes were made to the configuration of the aircraft as to provide adequate ventilation (one twin ventilated manually with an ABV while the other benefiting from mechanical ventilation) and hemodynamic stability. Results: The team successfully orchestrated the transfer with no complications arriving during the transfer with the twins benefiting from specialized care in the intended tertiary care center. Conclusions: Our paper highlights the importance for innovative approaches in adapting neonatal transport equipment, including ventilation and monitoring for two critically ill patients in a space designed for one, all that underscores the importance of tailored neonatal transport solutions.