A 45-years-old female patient underwent total thyroidectomy for a goiter. In the Noor, she started complaining of difficult breathing. On examination, she is agitated using her accessory muscle for breathing, tachycardic, 02 saturation is 93% and there is a large hematoma in the operative site. What is your immediate action?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Open the wound immediately to drain the hematoma
Respiratory distress with a large hematoma after thyroidectomy is an airway emergency from tracheal compression. The sources say to open the wound immediately to drain the hematoma and release the pressure. Applying pressure to the neck worsens the compression. Tracheostomy, cricothyroidotomy, or LMA do not relieve the cause and are not the first step.
- المصدر
- Thyroid and parathyroid surgery (1).pdf · p. 10
- المحاضرة
- Thyroid and Parathyroid · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 209 Q32