What are the key initial considerations in managing a post thyroidectomy haematoma?

  • 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