Prevention, treatment and management of the airway in haematoma after thyroid surgery.
DOI:
https://doi.org/10.30445/rear.v15i12.1174Keywords:
anaesthesia, airway, emergency, haematoma, thyroid surgeryAbstract
Haematomas after thyroid surgery mainly occur in the first 24 hours, and specifically in the 6 hours after surgery. It’s one of the most serious recognized postoperative complications due to the poor compliance of the cervical region and can even lead to death. It has an incidence of 0.5-4%, requiring emergency bed side intervention in the 30% of patients to guarantee airway patency.
Given the high risk of postoperative hemorrhage and the lack of publications on the management of postoperative complications related to the airway, in 2022 appear a new guide for the Management of postoperative haematoma after thyroid surgery developed by the Difficult Airway Society ( DAS), the British Association of Endocrine and Thyroid Surgeons (BAETS) and the British Association of Otorhinolaryngology, Head and Neck Surgery (ENT-UK), whose main objective is to increase patient safety by making recommendations on postoperative monitoring, early diagnosis, the evacuation of the haematoma and the systematic management of the airway.
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