Postoperative hypoxia in a woman with Down's syndrome: case progression

doi:10.1136/bmj.330.7496.888

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A K Siotia, research fellow in cardiology (Anjan.Siotia@sth.nhs.uk)1,
A Chaudhuri, specialist registrar in acute medicine2,
S I Muzulu, consultant endocrinologist3,
D Harling, consultant anaesthetist3,
R Muthusamy, consultant cardiologist3

¹ Northern General Hospital, Sheffield S5 7AU,
² Ninewells Hospital, Dundee DD1 95Y,
³ Rotherham District General Hospital, Rotherham S60 2UD

Correspondence to: A K Siotia

Last week (9 April, p 834) we presented the case of Miss Webb, who has Down's syndrome and had a sudden postoperative deterioration in her condition after a hysterectomy for menorrhagia. We invited readers to comment on the ethical issues around surgery and the possible cause and management of her postoperative hypoxia.