09.11.2011 hemithyroidectomy on the right side and ipsilateral parathyroidectomy
19.11.2011 3:00 thightness in throat
5:00 thightness in throat much more intense, breathing and swallowing harder; emergency doctor called
5:30 approach of emergency doctor no intubation (not much experience in intubation); RR 141/84, P 106;SpO2 93%; prednisolone 250 mg, 10 mg
metoclopramidehydrochloride and 5 mg tropisetrone; Diagnosis: „dyspnoea because of external cervical bleeding“
→ Departure to University Hospital of Innsbruck (102 km, 20 minutes longer than to nearest hospital)
7:45 Arrival in clinic; swollen neck, hard breathing, almost unable to swallow and speak;
→intubation via videolaryngoscopy evacuation of the hematoma in the operating theatre;
arterial bleeding of a branch of the inferior thyroid artery could be detected and closed by ligature
14:22 CT of the neck
Examination by otorhinolaryngologist: prednisolone 500 mg
20.11.2011 Examination by otorhinolaryngologist: prednisolone 250 mg
21.11.2011 attempt to extubate under control and standby of an otorhinolaryngologist in the operating theatre.
Laryngoscopy before extubation:
1. reduced swelling in the area of the supraglottis, epiglottis and the aryepiglottic plication to the arytenoid
2. hematoma without swelling on the rear of the throat
3. severe hematoma of the vocal cords
→removal of the tracheal tubus
22.11.2011 transfer to intermediate care unit
23.11.2011 transfer to ward
25.11.2011 laryngoscopic control: partial remission of the hematoma of the vocal cords
26.11.2011 discharged from hospital