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

<b>Background</b>: 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. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusions</b>: 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.