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Anesthesia for Untreated Hypothyroidism

Report of Three Cases

JONG MIN KIM, MD^*, and LARRY HACKMAN, DDS

*Assistant Professor. Resident in Anesthesiology. Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas 66103.

Abstract

Two preoperatively unsuspected and one known hypothyroid patients underwent elective surgery with general anesthesia. All demonstrated unusual sensitivity to anesthetic agents. As suggested by a history of thyroid abnormalities, high serum cholesterol, and exaggerated response to anesthetic agents, the authors were led to suspect hypothyroidism, which was confirmed postoperatively by low serum thyroxine levels.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999