2017, Number 1
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Rev Mex Anest 2017; 40 (1)
Management of airway after post-thyroidectomy cervical hematoma
Toro-Núñez M, Martínez-Nuez S, Peña-de-Buen N, Franco-Hernández JA, Lafuente-Ojeda N
Language: Spanish
References: 12
Page: 54-57
PDF size: 342.54 Kb.
ABSTRACT
The immediate postoperative thyroidectomy is a moment of vital importance,
as there are complications such as cervical postoperative hematoma that can
compromise the patient’s life. Bleeding post thyroidectomy causes compression
of the trachea, acute obstruction of the airway and suffocation, in the early
postoperative period, within the first 12 hours, when most hematoma with vital
danger becomes clinically apparent. Immediate action requires opening of the
wound and drainage of hematoma, and urgent measures for the maintenance
of an open airway. It presents a case of a suffocating cervical hematoma occurs
after total thyroidectomy with benign thyroid pathology and anesthetic
management to keep an open airway.
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