A 40-year-old female who underwent subtotal thyroidectomy developed respiratory distress 8 hours after the operation. The skin sutures were opened in the ward but the distress persisted. What is next likely step in management?
The most impoant cause of respiratory distress is tension hematoma. (reactionary haemorrhage)Generally, the distress is relieved by opening the skin suture.On rare occasions, it may be necessary to open the layers of the wound, not simply the skin closure, to relieve tension before taking the patient to the theatre to evacuate the hematoma & secure the bleeding vessel.
Immediately shift the patient to operation theatre
Patient should be intubated in the ward
External pressure should be applied over the neck to stop bleeding
Open the layers of the wound in the ward.
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