- 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.

Miss Webb's chest radiograph
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