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Myxedema Coma

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

HypothermiaBradycardiaHypotensionShockReduced Cardiac OutputArrhythmiasHyponatremiaHypoglycemiaAvoid HypoventilationAspirationFull StomachAvoid OpioidsDelayed EmergenceAdrenal InsufficiencyPreload Dependent

Pathophysiology

Myxedema coma is decompensated end-stage hypothyroidism . Long-standing hypothyroidism from any cause — autoimmune disease, iodine deficiency, congenital abnormality, or drugs such as lithium and...

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