Key result
A 45-year-old diabetic woman with undiagnosed severe hypothyroidism successfully recovered from post-anesthesia myxedema coma following treatment with oral T4, gradual rewarming, and inotropic support.
Case Report (n=1)
No
Severe hypothyroidism (myxedema coma) should be considered as a potential cause for delayed recovery from general anaesthesia.
Clinicians should consider hypothyroidism in unexplained delayed emergence; this single case leaves broader screening recommendations open.
Delayed recovery from anaesthesia poses a challenge to the anaesthesiologists.We report a case of 45-year-old lady, a known diabetic on oral hypoglycaemics posted for buttress plating for fracture tibia.On patient's request general anaesthesia was administered.She was haemodynamically stable throughout the procedure.At the end of the procedure, patient was apnoeic and unresponsive.She was investigated thoroughly and a diagnosis of severe hypothyroidism was made with low free T4 and T3 and high TSH levels.The patient was successfully resuscitated after treating with oral T4, gradual rewarming, and inotropic support.
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Shailaja et al. (2013) conducted a case report in Myxedema coma / Delayed recovery from anesthesia (n=1). Oral T4, gradual rewarming, and inotropic support was evaluated on Recovery from myxedema coma. A 45-year-old diabetic woman with undiagnosed severe hypothyroidism successfully recovered from post-anesthesia myxedema coma following treatment with oral T4, gradual rewarming, and inotropic support.
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