A patient on the same evening following thyroidectomy presents with a swelling in the neck and difficult breathing. Next management would be:
The next step should be opening the sutures and release the tension hematoma which is causing difficulty in breathing. Ref: Harrison's Internal Medicine, 18th Edition, Page 362; Bailey and Love's Sho Practice of Surgery, 25th Edition, Page 790, 792 and 23rd Edition, Page 727.
Open immediatly
Intubate oro-tracheally
Wait and watch
Administer oxygen by mask