Myxoedema coma is an uncommon, life‑threatening form of long‑standing, neglected hypothyroidism. It is 3–10 times more common in women. It commonly occurs in elderly with a peak incidence in the seventh decade.

We considered persistent surface body temperature of less than 96°F (>3 readings in spite of rewarming efforts) as hypothermia (considering the tropical climate in India. Most common precipitants include exposure to cold, infection, drugs, haemorrhage, hypoxia, hypercapnia, hypoglycaemia, sepsis, and adrenal insufficiency. We report a retrospective analysis of six cases in our intensive care unit (ICU).