{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:37:15Z","timestamp":1789155435212,"version":"build-2803163510"},"reference-count":17,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.3390\/children12040423","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T06:06:35Z","timestamp":1743141995000},"page":"423","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Neonatal Air Transport of Thoraco-Omphalopagus Conjoined Twins: A Case of Adaptation and Multidisciplinary Coordination"],"prefix":"10.3390","volume":"12","author":[{"given":"Bogdan","family":"Oprita","sequence":"first","affiliation":[{"name":"Emergency Department, Floreasca Emergency Hospital, 014461 Bucharest, Romania"},{"name":"Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teodor Nicolae","family":"Berea","sequence":"additional","affiliation":[{"name":"Emergency Department, Floreasca Emergency Hospital, 014461 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruxandra","family":"Oprita","sequence":"additional","affiliation":[{"name":"Emergency Department, Floreasca Emergency Hospital, 014461 Bucharest, Romania"},{"name":"Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1002\/ajmg.c.30321","article-title":"Conjoined twins: A worldwide collaborative epidemiological study of the International Clearinghouse for Birth Defects Surveillance and Research","volume":"157","author":"Mutchinick","year":"2011","journal-title":"Am. J. Med. Genet. Part C Semin. Med. Genet."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"The International Clearinghouse for Birth Defects Monitoring Systems (1991). Conjoined twins\u2014An epidemiological study based on 312 cases. Acta Genet. Med. Gemellol., 40, 325\u2013335.","DOI":"10.1017\/S0001566000003512"},{"key":"ref_3","first-page":"285","article-title":"Conjoined twins in Hungary, 1970\u20131986","volume":"38","author":"Czeizel","year":"1989","journal-title":"Acta Genet. Medicae Gemellol."},{"key":"ref_4","first-page":"56","article-title":"Epidemiological survey of conjoined twins in China","volume":"30","author":"Liang","year":"1999","journal-title":"Hua Xi Yi Ke Da Xue Xue Bao"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Sabih, D., Ahmad, E., Sabih, A., and Sabih, Q. (2010). Ultrasound diagnosis of cephalopagus conjoined twin pregnancy at 29 weeks. Biomed. Imaging Interv. 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Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"107683","DOI":"10.1016\/j.ijscr.2022.107683","article-title":"Thoraco-omphalopagus conjoined twin: A rare case report","volume":"99","author":"Poudel","year":"2022","journal-title":"Int. J. Surg. 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