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OCTOBER 29, 2021

Pseudocholinesterase Deficiency Detected After Multiple Previous Anesthetics

The Frost Series #379

Written by: Alma Juels, MD, and Parker Juels
Reviewed by: Sonia Vaida, MD

A 30-year-old transgender woman presented to the operating room for a laparoscopic appendectomy. She weighed 91 kg, and had eight previous surgeries under general anesthesia—all related to sex reassignment surgery without any complications, per the patient’s report. All past surgeries were performed at a different institution. The patient was HIV-positive and had a history of bronchial asthma. At presentation,