A patient operated for thyroid surgery for a thyroid swelling later in the evening developed difficulty in breathing. There was swelling in the neck. The immediate management would be:
|A||IV calcium gluconate|
|B||Open the wound sutures in the ward|
Open the wound sutures in the ward
Causes of respiratory distress after thyroid surgery are:
1. Bilateral recurrent laryngeal nerve palsy.
2. Hematoma leading to compression of trachea. Bilateral recurrent laryngeal nerve palsy will present as stridor just after extubation while hematoma will present later in postoperative period. Immediate treatment of hematoma is opening the neck wound and evacuating the clot and then assess the need for intubation.