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Year : 2016  |  Volume : 3  |  Issue : 2  |  Page : 89-90

Occult hypothyroidism and postoperative noninvasive ventilation

Unrecognized Hypothyroidism, Respiratory Failure and Non-invasive Bilevel Ventilation

Correspondence Address:
Uma Hariharan
Department of Anesthesia and Intensive Care, Assistant Professor, Dr Ram Manohar Lohia Hospital and PGIMER, BH 41, East Shalimar Bagh, Delhi 110088, India

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2356-9115.189788

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Hypothyroidism can sometimes be first diagnosed in the perioperative period. It is one of the differential diagnoses of postoperative respiratory depression, necessitating ventilatory support. Mechanical ventilation to tide over the crisis can be either noninvasive or invasive. Noninvasive ventilation with the help of a facemask or a nasal mask must be available in the postoperative recovery area for ready use in such situations. Preoperative thyroid function tests must be carried out in suspected or high-risk cases as symptoms of hypothyroidism may not be overt or may be masked by concurrent diseases. It must be suspected as one of the causes of delayed awakening, delayed extubation, or recurrence of respiratory depression in the postoperative period.

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