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ISSN 0484-7903 (Print)

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.


REFERENCES

  1. Lo CY, Kwok KF, Yuen PW. A prospective evaluation of recurrent laryngeal nerve paralysis during thyroidectomy. Arch Surg. 2000;135:204-207.

  2. Yip J, Lang BH, Lo CY. Changing trend in surgical indication and management for Graves’ disease. Am J Surg. 2012;203:162-167.

  3. Burkey SH, van Heerden JA, Thompson GB, Grant CS, Schleck CD, Farley DR. Reexploration for symptomatic hematomas after cervical exploration. Surgery. 2001;130:914-920.

  4. Palumbo MA, Aidlen JP, Daniels AH, Thakur NA, Caiati J. Airway compromise due to wound hematoma following anterior cervical spine surgery. Open Orthop J. 2012;6:108-113.

  5. Godballe C, Madsen AR, Pedersen HB, Sørensen CH, Pedersen U, Frisch T, et al. Post-thyroidectomy hemorrhage: a national study of patients treated at the Danish departments of ENT Head and Neck Surgery. Eur Arch Otorhinolaryngol. 2009;266:1945-1952.

  6. Lang BH, Yih PC, Lo CY. A review of risk factors and timing for postoperative hematoma after thyroidectomy: is outpatient thyroidectomy really safe? World J Surg. 2012;36:2497-2502.

  7. Promberger R, Ott J, Kober F, Koppitsch C, Seemann R, Freissmuth M, et al. Risk factors for postoperative bleeding after thyroid surgery. Br J Surg. 2012;99:373-379.

  8. Zambudio AR, Rodríguez J, Riquelme J, Soria T, Canteras M, Parrilla P. Prospective study of postoperative complications after total thyroidectomy for multinodular goiters by surgeons with experience in endocrine surgery. Ann Surg. 2004;240:18-25.

  9. Campbell MJ, McCoy KL, Shen WT, Carty SE, Lubitz CC, Moalem J, et al. Factores de riesgo para el hematoma después de la tiroidectomía. Surgery. 2013;154:1283-1291.

  10. Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004;59:675-694.

  11. Hodzovic I, Latto IP, Wilkes AR, Hall JE, Mapleson WW. Evaluation of Frova, single-use intubation introducer, in a manikin. Comparison with Eschmann multiple-use introducer and Portex single-use introducer. Anaesthesia. 2004;59:811-816.

  12. Frova G. Comparison of tracheal introducers. Anaesthesia. 2005;60:516-527.




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