Postoperative hypoxia in a woman with Down's syndrome: case outcome
BMJ 2005; 330 doi: https://doi.org/10.1136/bmj.330.7499.1068 (Published 05 May 2005) Cite this as: BMJ 2005;330:1068
- 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,
- 3 Rotherham District General Hospital, Rotherham, S60 2UD
- Correspondence to: A K Siotia
Five weeks ago (9 April, p 834) we presented the case of Miss Webb, a 24 year old woman with Down's syndrome, who developed postoperative hypoxia after a hysterectomy for menorrhagia. She was subsequently found to have a pericardial effusion.
A full blood count done on her second admission showed a high mean corpuscular volume of 109.8 (normal range 80-100) fl. Her liver function results and vitamin B12 and folate concentrations were normal. Thyroid function tests showed a thyroid stimulating hormone concentration of 63.7 (0.5-4.1) mIU/l and free T4 of 2.57 (10.3-25.3) pmol/l. Severe hypothyroidism with multiple …
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