Postoperative Bleeding After Thyroid Surgery: Care Instructions

Overview

Journal Sisli Etfal Hastan Tıp Bul

Specialty General Medicine

Date 2020 May 8

PMID 32377106

Citations 7

Authors

Alessandro Pontin

Antonella Pino

Ettore Caruso

Giulia Pinto

Giuseppinella Melita

De Pasquale Maria

Gianlorenzo Dionigi

Affiliations

Soon will be listed here.

Abstract

Prospective studies on the incidence, etiology, and prognosis of well-characterized patients with bleeding after thyroid surgery are lacking. Bleeding after thyroid surgery cannot be predicted or prevented even if risk factors are known in every single procedure, which enhances the im-portance of the following issues: (a) meticulous hemostasis and surgical technique; (b) coopera-tion with the anesthesiologist, i.e., controlling the Valsalva maneuver, adequate blood pressure at the end of the operation as well as at extubation phase and (c) in case of bleeding, a prompt management to guarantee a better outcome. This requires an intensive postoperative clinical monitoring of patients, ideally, in a recovery room with trained staff for at least 4-6 h. Early recognition of postoperative bleeding with immediate intervention is the key to the management of this complication.

Citing Articles

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PMID: 38742026 PMC: 11088728. DOI: 10.61186/wjps.13.1.37.

Predictors and Preventive Strategies of Bleeding After Thyroid Surgery.

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Modern Surgical Techniques of Thyroidectomy and Advances in the Prevention and Treatment of Perioperative Complications.

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Neck Circumference Measurement for Surveillance and Early Detection of Hemorrhage After Thyroidectomy: A Diagnostic Accuracy Study.

von Ahnen T, Schardey J, von Ahnen M, Busch P, Schardey E, Ezzy M JAMA Otolaryngol Head Neck Surg. 2022; 148(7):646-653.

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