• ABC assessment
  • Manoeuvres to relieve dyspnoea:
    • Administer high flow oxygen (1)
    • Sit the patient up (1)
  • Remove surgical clips/sutures: (1)
    • Allows decompression of the haematoma
  • Ensure G&S performed and blood available (1)
  • Ensure appropriate support:
    • ENT surgeon (1)
    • Senior anaesthetist (1)
  • Arrange prompt return to theatre (1)
  • Secure airway at the earliest possible opportunity (1)
    • Ensure smaller ETT than previously used (1)
    • Have difficult airway trolley in close proximity (1)
  • ABC assessment
  • Manoeuvres to relieve dyspnoea:
    • Administer high flow oxygen
    • Sit the patient up
  • Remove surgical clips/sutures:
    • Allows decompression of the haematoma
  • Ensure G&S performed and blood available
  • Ensure appropriate support:
    • ENT surgeon
    • Senior anaesthetist
  • Arrange prompt return to theatre:
    • Secure airway at earliest possible opportunity