BCHE and hyperinsulinemic hypoglycemia, familial, 4: It was during my PACU rotation, patient just didn't move after surgery, so we brought her out on the ventilator and they had to extubate her like a couple of hours later. And we thought that it was most likely pseudocholinesterase deficiency and she hadn't mentioned anything but she had had surgery years before and was like ‘oh, yeah it took me a while to wake up’.