In Postoperative room after thyroid surgery patient developed sudden respiratory distress. Dressing was removed and it was found to be slightly blood stained and wound was bulging. What will first thing to be done?
High-Yield Explanation
Postoperative hematomas or bleeding may also complicate thyroidectomies and rarely necessitate emergency reoperation to evacuate the hematoma. Bilateral vocal cord dysfunction with airway compromises requires immediate reintubation and tracheostomy. Seromas may need aspiration to relieve patient discomfo. Ref: Lal G., Clark O.H. (2010). Chapter 38. Thyroid, Parathyroid, and Adrenal. In F.C. Brunicardi, D.K. Andersen, T.R. Billiar, D.L. Dunn, J.G. Hunter, J.B. Matthews, R.E. Pollock (Eds), Schwaz's Principles of Surgery, 9e.a.