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Twin-to-Twin Transfusion Syndrome (TTTS)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

AspirationFull StomachAvoid HypotensionHypotensionAvoid HypervolemiaEdemaCareful PositioningPremature DeliveryPulmonary EdemaUteroplacental Insufficiency

Pathophysiology

Twin-to-twin transfusion syndrome (TTTS) complicates monochorionic twin gestations, where both fetuses share one placenta. Unbalanced arteriovenous anastomoses deep in the placenta shunt blood one...

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